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D
Poor

Arbor View Nursing & Rehabilitation

1213 WATER ST · KERRVILLE, TX 78028

8308962411 · For profit - Limited Liability company

179 beds70.4 residents79 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Arbor View Nursing & Rehabilitation receives an overall staffing grade of D (Poor). With 3.6299 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.2737 HPRD, below the recommended 0.75. It is 0.27 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.58% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

⚠️Had 2 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.2737 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.6299hrs/resident/day▼ 0.27
CMS benchmark: 3.48
RN HPRD
0.2737hrs/resident/day▼ 0.41
Recommended: 0.75
Weekend Drop-off
12.58%
3.7638 weekday → 3.2901 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
2days this quarter
4+ days = auto 1-star
CNA HPRD
1.577hrs/resident/day
Direct care aides
LPN HPRD
1.152hrs/resident/day
Licensed practical nurses
Consistency
0.3929std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Kerr County Average+0.36 HPRD
3.27
03.63 HPRD
vs. Texas State Average+0.23 HPRD
3.40
03.63 HPRD
vs. National Average-0.27 HPRD
3.90
03.63 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Arbor View Nursing & Rehabilitation ★
KERRVILLE · This facility
—
D
3.62990.2737★☆☆☆☆
HILLTOP VILLAGE NURSING AND REHABILITATION
KERRVILLE
2.7 mi
F
3.06440.152★☆☆☆☆
Avir at Enchanted Rock
FREDERICKSBURG
21.7 mi
D
3.09580.3871★☆☆☆☆
KNOPP HEALTHCARE AND REHAB CENTER INC
FREDERICKSBURG
23.5 mi
C
3.11750.5038★★★★☆
Town and Country Nursing and Rehabilitation Center
Boerne
29.3 mi
C
3.20030.4913★☆☆☆☆
COMMUNITY CARE CENTER OF HONDO
HONDO
47.2 mi
B
3.66260.7127★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

14
Inspections
79
Total Deficiencies
$248,481
Fines Assessed
Sep 7, 2025Health
3 deficiencies cited· Includes actual harm
▼
Jul 31, 2025Health
20 deficiencies cited· Includes actual harm
▼
Jun 12, 2025Health
6 deficiencies cited
▼
Feb 28, 2025Health
1 deficiency cited
▼
Oct 12, 2024Health
2 deficiencies cited
▼
May 7, 2024Health
1 deficiency cited· Includes actual harm
▼
Mar 14, 2024Health
3 deficiencies cited
▼
Mar 7, 2024Health
1 deficiency cited
▼
Jan 22, 2024Health
3 deficiencies cited· Includes actual harm
▼
Dec 21, 2023Health
7 deficiencies cited· Includes actual harm
▼
May 18, 2023Health
1 deficiency cited
▼
Apr 27, 2023Health
17 deficiencies cited
▼
Mar 19, 2023Health
2 deficiencies cited· Includes actual harm
▼
Feb 10, 2022Health
12 deficiencies cited
▼

Penalty History

Jul 31, 2025Payment Denial
Jul 31, 2025Fine
$140,450
Jun 14, 2024Fine
$11,389
May 7, 2024Fine
$14,814
Dec 21, 2023Fine
$21,528
Dec 21, 2023Fine
$15,593
Mar 19, 2023Fine
$44,707
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.