Nursing Homes · Fredericksburg, TX
Nursing Homes · Medicare certified
Avir at Fredericksburg
1117 S. Adams St. · Fredericksburg, TX 78624 · 90 certified beds
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About Avir at Fredericksburg
Avir at Fredericksburg is a nursing home in Fredericksburg, Texas. Its capacity is 90 beds, below the Texas median of 120 for nursing homes. It is run by a nonprofit operator and is part of Avir Health Group. It is Medicare certified. Its public inspection record shows 47 citations, the most recent on May 27, 2026. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 2.86 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
2.0Staffing
2.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (47)
Records from March 2023 to May 2026.
May 27, 2026
Tag F0760Ensure that residents are free from significant medication errors.
Severity J: isolated, immediate jeopardy.
December 4, 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 December 5, 2025.
June 20, 2025
Tag F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 29, 2025.
June 20, 2025
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 June 29, 2025.
June 20, 2025
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 June 29, 2025.
June 20, 2025
Tag F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected June 29, 2025.
June 20, 2025
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 D: isolated, no actual harm, potential for more than minimal harm. Corrected June 29, 2025.
June 20, 2025
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 29, 2025.
June 20, 2025
Tag F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 29, 2025.
June 20, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 29, 2025.
June 20, 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 June 29, 2025.
June 20, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 29, 2025.
June 20, 2025
Tag F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 29, 2025.
June 20, 2025
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 June 29, 2025.
June 20, 2025
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 29, 2025.
June 20, 2025
Tag F0552Ensure that residents are fully informed and understand their health status, care and treatments.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 29, 2025.
May 17, 2024
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2024.
May 17, 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 June 17, 2024.
May 17, 2024
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2024.
May 17, 2024
Tag F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2024.
Penalties (1)
May 27, 2026 · Fine
CMS recorded a civil money penalty of $23,520 against this nursing home on May 27, 2026.
Staffing
2.86 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
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.
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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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