Arbor View Nursing & Rehabilitation
Inspection Findings
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
9/07/2025 at 3:01 p.m., the DON stated medications should be wasted and discarded if not administered to avoid confusion. Record review of a facility policy, titled Medication Administration last revised 5/07/2025 revealed: Medications are administered by licensed nurses, or other staff who are legally authorized to do so in this state, as ordered by the physician and in accordance with professional standards of practice.3.
Identify resident 10. Ensure that the six rights of medication administration are followed. a. Right resident b.
Right drug c. Right dosage d. Right route e. Right time f. Right documentation. 11. Review MAR to identify medication to be administered. 12. Compare medication source (bubble pack, vial, etc.) with MAR to verify resident name, medication name, form dose, route and time. 14. Remove medication from source.15.
Administer medication as ordered in accordance with manufacturer specifications 19. Observe resident consumption of medication.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/07/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Arbor View Nursing & Rehabilitation
1213 Water St Kerrville, TX 78028
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0760
F 0760 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
verification, error reporting, and cart security; return demonstration med pass competency for every nurse.
Targeted coaching & corrective action: Involved nurse was removed from independent med pass and was trained, re-educated, and monitored/supervised by the ADON until she demonstrated competency in the Six Riof Medication Pass. Pharmacy partnership: Consultant Pharmacist to conduct focused storage/handling rounds monthly x 3 months. Monitoring to Ensure Ongoing Compliance (QAPI) Med pass
observations will be completed by DON/Designee 3x weekly x3 weeks, weekly x 3 weeks, then monthly x 3 months at random throughout the facility or until substantial compliance is achieved. Results/Discrepancies reported to QAPI ADHOC QAPI held on 9/5/25. The surveyor verification of the Plan of Removal on 09/07/2025 was as follows: Record review of Resident #1's progress note dated 8/29/2025 at 7:25 p.m. (documented as a late entry) by LVN A stated a medication error occurred. The DON and Hospice RN were notified of the error. Vital signs were documented all within normal limits. LVN A documented at 7:35 pm
she noted Resident #1 was lethargic with low blood pressure of 70/40. Hospice notified who advised to send to the hospital. Record review of a facility incident report dated 8/29/2025 at 7:25 p.m. stated Resident #1 was accidently given the wrong medication during med-pass by handing the resident the wrong medication cup. Assessment and notifications documented. -During an interview on 9/07/2025 at 11:56 a.m., stated LVN A made the original notifications to hospice, DON and the RP and were documented in Resident #1's progress notes on 8/29/2025. -Record review of Resident #1's progress notes dated 8/31/2025 revealed the resident received an assessment, monitoring for falls and instructions not to get up unassisted to prevent falls after re-admission from the hospital. (8/32/2025) Resident #1's provider was notified of her return from hospi
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/07/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Arbor View Nursing & Rehabilitation
1213 Water St Kerrville, TX 78028
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0842
Federal health inspectors cited WATERSIDE NURSING & REHABILITATION in KERRVILLE, TX for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2025-09-07.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 3 deficiencies cited during this inspection of WATERSIDE NURSING & REHABILITATION.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-08.
Arbor View Nursing & Rehabilitation in KERRVILLE, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in KERRVILLE, TX, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Arbor View Nursing & Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.