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.
January 13, 2024
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 February 15, 2024.
January 13, 2024
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 February 15, 2024.
January 13, 2024
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 15, 2024.
January 13, 2024
Tag F0760Ensure that residents are free from significant medication errors.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2024.
January 13, 2024
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 15, 2024.
January 13, 2024
Tag F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 15, 2024.
January 13, 2024
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 15, 2024.
November 18, 2022
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 December 22, 2022.
November 18, 2022
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 22, 2022.
November 18, 2022
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 December 22, 2022.
November 18, 2022
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 E: pattern, no actual harm, potential for more than minimal harm. Corrected December 22, 2022.
November 18, 2022
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 December 22, 2022.
November 18, 2022
Tag F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 22, 2022.
November 18, 2022
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 22, 2022.
November 18, 2022
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 December 22, 2022.
November 18, 2022
Tag F0645PASARR screening for Mental disorders or Intellectual Disabilities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 22, 2022.
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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