Arbor View Nursing & Rehabilitation
1213 WATER STREET, Kerrville, TX, 78028
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company
- Certified beds
- 179 · avg 70 residents/day
- Total nursing staff turnover
- 100% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 100% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 6 fines · $248,481 total
- Payment denials
- 1 denial
- Infection control citations
- 7
State licensing & capacity
- License number
- 310778
- Service type
- Medicare/medicaid
- Licensed capacity
- 179 beds
- Bed type breakdown
- 70 Medicare-only · 109 Medicaid/Medicare
- Current license effective
- September 1, 2024
- Current license expires
- February 28, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Guadalupe County Hospital Board (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Riverside Snf Operations, Llc
- Administrator
- Jeff Chamberlain
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (15 on record)
- Laura Givens
Adp of The Snf · since 2025
- Dolores Major
Corporate Director · since 2025
- Brian j Ramos
Operational/managerial Control · since 2024
- Jeff a Chamberlain
Adp of The Snf · since 2024
- Riverside Snf Operations, Llc
Operational/managerial Control · since 2024
- Jim t Colvin
Corporate Director · since 2023
+ 9 additional owners on the federal record.
Recent change of ownership
November 2022 (3 years ago) · acquired from Edgewood Care Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 79)
- E0842·Sep 7, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- J0760·Sep 7, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0755·Sep 7, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0677·Jul 31, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0880·Jul 31, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0850·Jul 31, 2025
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
- D0842·Jul 31, 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F0812·Jul 31, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal penalties
By year
- 20251 fine · $140K · 1 payment denial
- 20242 fines · $26K
- 20233 fines · $82K
Most recent events
- Jul 31, 2025Payment denial · 6 days · starting Sep 2, 2025
- Jul 31, 2025Fine · $140K
- Jun 14, 2024Fine · $11K
- May 7, 2024Fine · $15K
- Dec 21, 2023Fine · $22K
- Dec 21, 2023Fine · $16K
Largest single fine on record: $140K.
Fire-safety citations
21 Life-Safety-Code citations on file. Most recent: Jul 31, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Arbor View Nursing & Rehabilitation is a 179-bed Medicare/Medicaid nursing home in Kerrville, Texas, licensed since 1971 and managed by Riverside SNF Operations, LLC under a hospital district license. CMS rates it 1 star overall, with a 1-star health inspection rating, substantiated findings of resident abuse or neglect, and SFF Candidate status. Six fines total $248,481 since the facility's record began — more than 12 times the Texas median. Staffing also rates 1 star, and total nursing staff turnover reached 100% in the past year.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS has flagged this as a Special Focus Facility candidate — a step below outright SFF designation, signaling a documented pattern of serious deficiencies across multiple inspection cycles. CMS has also substantiated findings of resident abuse or neglect here within the past 36 months.
Six CMS fines total $248,481. The Texas median fine total across penalized facilities is about $20,700, so this facility's penalty total is roughly 12 times that figure. About 30% of Texas nursing homes have received no fines at all.
CMS rates staffing 1 star here. Each resident receives about 218 minutes of nursing care per day — roughly 23 minutes less than at a 4-star-staffing facility in Texas. That gap widens further because residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest. RN coverage comes to about 16 minutes per resident per day, against a 4-star Texas threshold of 37 minutes.
Every nursing staff member — including every registered nurse — left in the past year. A 100% turnover rate means a long-stay resident will cycle through an entirely new care team within 12 months, and likely more than once. This is the highest possible turnover tier.
The facility is operating at roughly 39% of its licensed 179 beds, with about 70 residents on a given day. That occupancy level, paired with the safety flags and staffing picture above, is part of the record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Status as SFF Candidate
CMS has designated this facility an SFF Candidate based on a pattern of serious deficiencies — ask what specific corrective steps have been taken and what the current inspection timeline looks like.
Substantiated abuse findings
CMS records substantiated abuse or neglect findings here within the past 36 months — ask what happened, what policy changes followed, and how incidents are reported to families today.
Six fines totaling $248,481
Ask which deficiencies triggered each of the six fines, whether any remain under dispute, and what the facility has changed in response to the most recent penalty.
100% nursing staff turnover
Every nursing staff member left in the past year — ask how many nurses are currently on staff, how open positions are filled, and what the current vacancy rate is.
16 minutes of RN care per resident
Reported RN coverage averages 16 minutes per resident per day; ask how many registered nurses are on each shift and whether an RN is present overnight.
Occupancy at 39% of capacity
With roughly 70 of 179 licensed beds occupied, ask whether units have been consolidated and how staffing is allocated across the building.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.