Nursing Homes · Fredericksburg, TX
Nursing Homes · Medicare certified
Avir at Enchanted Rock
210 West Windcrest St · Fredericksburg, TX 78624 · 120 certified beds
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About Avir at Enchanted Rock
Avir at Enchanted Rock is a nursing home in Fredericksburg, Texas. Its capacity is 120 beds, the same as the Texas median for nursing homes. It is run by a government body and is part of Avir Health Group. It is Medicare certified. Its public inspection record shows 56 citations, the most recent on May 13, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.17 hours per resident per day. It is one of 4 nursing homes listed in Fredericksburg. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (56)
Records from November 2022 to May 2026.
May 13, 2026
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 16, 2026.
May 2, 2026
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 4, 2026.
May 2, 2026
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 4, 2026.
May 2, 2026
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 4, 2026.
May 2, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 4, 2026.
May 2, 2026
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 4, 2026.
May 2, 2026
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 4, 2026.
May 2, 2026
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 4, 2026.
May 2, 2026
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 4, 2026.
May 2, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected May 4, 2026.
May 2, 2026
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 4, 2026.
May 2, 2026
Tag F0727Have 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 4, 2026.
January 8, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 10, 2026.
July 10, 2025
Tag F0732Post nurse staffing information every day.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected July 11, 2025.
July 10, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2025.
July 10, 2025
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2025.
February 12, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2025.
February 12, 2025
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2025.
February 12, 2025
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2025.
February 12, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2025.
Penalties (2)
Total fines: $63,121
January 19, 2025 · Fine
CMS recorded a civil money penalty of $49,205 against this nursing home on January 19, 2025.
January 13, 2024 · Fine
CMS recorded a civil money penalty of $13,916 against this nursing home on January 13, 2024.
Staffing
3.17 nurse hours per resident per day in Q2 2026, up from 3.08 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Government - Hospital district
Part of Avir Health Group, a chain of 118 nursing homes.
Average CMS star ratings across the chain: 2.2 overall, 2.4 for health inspections, 1.5 for staffing, 3.8 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in Fredericksburg.
Nursing Homes · Fredericksburg, TX
Knopp Healthcare and Rehab Center INC
Nursing Homes · Fredericksburg, TX
Knopp Nursing & Rehab Center INC
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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