Avir at Fredericksburg
Cost data not yet available
Nursing Homes · Medicare certified
210 West Windcrest St · Fredericksburg, TX 78624 · 120 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1124265541. Look this up in the CMS NPPES registry (opens in a new tab)
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Avir at Enchanted Rock is a nursing home in Fredericksburg, Texas, in Gillespie County. Public records list 120 beds. Ownership records list a government body and tie the listing to Avir Health Group. It is Medicare certified. We hold 56 inspection citations for this listing, the most recent dated 13 May 2026. CMS also lists 2 fine or payment denial actions against it. Reported staffing works out to 3.44 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
Staffing rating
2.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
28
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
35
Staffing rating
2.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
29
Records from November 2022 to May 2026.
May 13, 2026 · D
Citation F0842Federal surveyors cited this nursing home on 2026-05-13 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2026-05-16. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
May 2, 2026 · D
Citation F0610Federal surveyors cited this nursing home on 2026-05-02 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2026-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
May 2, 2026 · E
Citation F0684Federal surveyors cited this nursing home on 2026-05-02 under CMS tag F0684 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2026-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
May 2, 2026 · D
Citation F0760Federal surveyors cited this nursing home on 2026-05-02 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2026-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
May 2, 2026 · D
Citation F0880Federal surveyors cited this nursing home on 2026-05-02 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
May 2, 2026 · D
Citation F0812Federal surveyors cited this nursing home on 2026-05-02 under CMS tag F0812 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2026-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
May 2, 2026 · D
Citation F0842Federal surveyors cited this nursing home on 2026-05-02 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2026-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
May 2, 2026 · D
Citation F0609Federal surveyors cited this nursing home on 2026-05-02 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2026-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
May 2, 2026 · D
Citation F0690Federal surveyors cited this nursing home on 2026-05-02 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2026-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
May 2, 2026 · J
Citation F0689Federal surveyors cited this nursing home on 2026-05-02 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2026-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
May 2, 2026 · E
Citation F0656Federal surveyors cited this nursing home on 2026-05-02 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2026-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
May 2, 2026 · E
Citation F0727Federal surveyors cited this nursing home on 2026-05-02 under CMS tag F0727 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Have 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. The deficiency was recorded as corrected on 2026-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
January 8, 2026 · E
Citation F0880Federal surveyors cited this nursing home on 2026-01-08 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-01-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 10, 2025 · C
Citation F0732Federal surveyors cited this nursing home on 2025-07-10 under CMS tag F0732 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2025-07-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 10, 2025 · D
Citation F0755Federal surveyors cited this nursing home on 2025-07-10 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-07-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 10, 2025 · D
Citation F0644Federal surveyors cited this nursing home on 2025-07-10 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2025-07-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 12, 2025 · D
Citation F0755Federal surveyors cited this nursing home on 2025-02-12 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 12, 2025 · D
Citation F0558Federal surveyors cited this nursing home on 2025-02-12 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2025-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 12, 2025 · D
Citation F0641Federal surveyors cited this nursing home on 2025-02-12 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2025-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 12, 2025 · D
Citation F0609Federal surveyors cited this nursing home on 2025-02-12 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2025-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $63,121
January 19, 2025 · Fine
Citation FINE-113525CMS recorded a civil money penalty of $49,205 against this nursing home on 2025-01-19 (Fine ID: 113525). Source: CMS Care Compare Penalties (as of 2026-07-01).
January 13, 2024 · Fine
Citation FINE-112167CMS recorded a civil money penalty of $13,916 against this nursing home on 2024-01-13 (Fine ID: 112167). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 3.44 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is higher than 2025Q4 (+0.36 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Government - Hospital district
CMS Care Compare chain: Avir Health Group
Chain ID 719 · 116 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "Government - Hospital district".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Aug 5, 2026Ownership changed
The source now records ownership as "Government - Hospital district".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · TX$5,627/moOther licensed providers in Fredericksburg, with their own public records.
Cost data not yet available
Cost data not yet available
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
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