Nursing HomeInspections

Avir at Enchanted Rock

Nursing home in Fredericksburg, TX

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
210 West Windcrest St, Fredericksburg, TX 78624
Phone
(830) 637-7885
Listed under
Government-owned
Medicare CCN
455941
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
120
Average residents per day
45
Ownership
Government, hospital district
Legal business name
Uvalde County Hospital Authority
Chain
Avir Health Group (118 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 26, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455941. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: May 2, 2026. CMS lists 48 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 13, 2024 to Jun 22, 2026): 10 from complaint inspections, 5 at the “actual harm” level or higher, including 5 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 22, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
May 13, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
May 2, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
May 2, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
May 2, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 2, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 2, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
May 2, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 2, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
May 2, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
May 2, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
May 2, 2026Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 48. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $63,121 in the last three years.

Jan 19, 2025Fine: $49,205
Jan 13, 2024Fine: $13,916

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.17 hours
Registered nurse (RN) time per resident per day
0.35 hours
Nurse aide time per resident per day
1.71 hours
Total nurse staffing on weekends
2.69 hours
Nursing staff turnover (yearly)
75%
RN turnover (yearly)
71%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Fredericksburg

Knopp Healthcare and Rehab Center INC1208 N Llano · Fredericksburg, TX 78624 · (830) 997-3704 · For-profit25 health citations in 3 inspection cycles · last standard inspection Jan 9, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)
Avir at Fredericksburg1117 S. Adams St. · Fredericksburg, TX 78624 · (830) 997-4364 · For-profit48 health citations in 3 inspection cycles · last standard inspection Jun 20, 2025 · $15,288 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)
Knopp Nursing & Rehab Center INC202 Billie Dr · Fredericksburg, TX 78624 · (830) 997-8840 · For-profit34 health citations in 3 inspection cycles · last standard inspection Jan 21, 2026 · $32,094 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 4 in Fredericksburg →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error