Nursing Homes · Fredericksburg, TX
Nursing Homes · Medicare certified
Avir at Enchanted Rock
210 West Windcrest St · Fredericksburg, TX 78624 · 120 certified beds
Are you the operator? Claim this profile.
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.
February 12, 2025
Tag F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2025.
February 12, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2025.
February 12, 2025
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2025.
February 12, 2025
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 13, 2025.
February 12, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2025.
January 19, 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 January 20, 2025.
January 19, 2025
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 January 20, 2025.
January 19, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity K: pattern, immediate jeopardy. Corrected February 9, 2025.
June 22, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 24, 2024.
January 13, 2024
Tag F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2024.
January 13, 2024
Tag F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected February 15, 2024.
January 13, 2024
Tag F0919Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2024.
January 13, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 15, 2024.
January 13, 2024
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2024.
January 13, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2024.
January 13, 2024
Tag F0761Ensure 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 locked compartments, separately locked, compartments for controlled drugs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2024.
January 13, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2024.
January 13, 2024
Tag F0610Respond appropriately to all alleged violations.
Severity J: isolated, immediate jeopardy. Corrected February 15, 2024.
January 13, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 15, 2024.
January 13, 2024
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity J: isolated, immediate jeopardy. Corrected February 15, 2024.
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
Advertisement
Check availability and pricing at Avir at Enchanted Rock
We'll email you Avir at Enchanted Rock and similar options nearby, with local costs. You can also ask them to contact you, or call (830) 637-7885.
Sponsored
Talk to an advisor at no cost