Nursing HomeInspections

Avir at Fredericksburg

Nursing home in Fredericksburg, TX

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
1117 S. Adams St., Fredericksburg, TX 78624
Phone
(830) 997-4364
Listed under
For-profit
Medicare CCN
675169
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
90
Average residents per day
48
Ownership
For-profit, corporation
Legal business name
Val Verde County Hospital District
Chain
Avir Health Group (118 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 12, 1993
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 675169. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jun 20, 2025. CMS lists 48 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 26, 2023 to Jun 26, 2026): 9 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 26, 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 27, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		J
Immediate jeopardy, isolated
Dec 4, 2025Develop 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 20, 2025Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental		B
Potential for minimal harm, pattern
Jun 20, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 20, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 20, 2025Develop 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		D
Potential for more than minimal harm, isolated
Jun 20, 2025Provide 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 20, 2025Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Jun 20, 2025Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 20, 2025Safeguard 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
Jun 20, 2025Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation		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 1 fine totalling $15,288 in the last three years.

May 27, 2026Fine: $15,288

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
2.86 hours
Registered nurse (RN) time per resident per day
0.54 hours
Nurse aide time per resident per day
1.70 hours
Total nurse staffing on weekends
2.53 hours
Nursing staff turnover (yearly)
79%
RN turnover (yearly)
56%
Administrators who left in the past year
0

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)
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)
Avir at Enchanted Rock210 West Windcrest St · Fredericksburg, TX 78624 · (830) 637-7885 · Government-owned48 health citations in 3 inspection cycles · last standard inspection May 2, 2026 · $63,121 in CMS fines (3 yrs)Medicare & Medicaid certified1★ 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