Arbor View Nursing & Rehabilitation
Arbor View Nursing & Rehabilitation in KERRVILLE, TX — inspection on September 7, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/07/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Arbor View Nursing & Rehabilitation
1213 Water St Kerrville, TX 78028
SUMMARY STATEMENT OF DEFICIENCIES
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
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/07/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Arbor View Nursing & Rehabilitation
1213 Water St Kerrville, TX 78028
SUMMARY STATEMENT OF DEFICIENCIES
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.