Avir At Enchanted Rock
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Nursing Homes · Medicare certified
1117 S Adams St · Fredericksburg, TX 78624 · 90 certified beds
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CMS Care Compare · Updated Jul 2026
Staffing rating
2.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
35
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
December 4, 2025 · D
Citation F0656Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0656 (CMS scope/severity D: isolated, 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 2025-12-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 20, 2025 · E
Citation F0809Federal surveyors cited this nursing home on 2025-06-20 under CMS tag F0809 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2025-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 20, 2025 · D
Citation F0552Federal surveyors cited this nursing home on 2025-06-20 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2025-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 20, 2025 · D
Citation F0842Federal surveyors cited this nursing home on 2025-06-20 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 2025-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 20, 2025 · E
Citation F0604Federal surveyors cited this nursing home on 2025-06-20 under CMS tag F0604 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. The deficiency was recorded as corrected on 2025-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 20, 2025 · E
Citation F0755Federal surveyors cited this nursing home on 2025-06-20 under CMS tag F0755 (CMS scope/severity E: pattern, 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 2025-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 20, 2025 · E
Citation F0812Federal surveyors cited this nursing home on 2025-06-20 under CMS tag F0812 (CMS scope/severity E: pattern, 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 2025-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 20, 2025 · B
Citation F0912Federal surveyors cited this nursing home on 2025-06-20 under CMS tag F0912 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. The deficiency was recorded as corrected on 2025-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 20, 2025 · D
Citation F0761Federal surveyors cited this nursing home on 2025-06-20 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2025-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 20, 2025 · D
Citation F0641Federal surveyors cited this nursing home on 2025-06-20 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 2025-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 20, 2025 · E
Citation F0801Federal surveyors cited this nursing home on 2025-06-20 under CMS tag F0801 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. The deficiency was recorded as corrected on 2025-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 20, 2025 · D
Citation F0656Federal surveyors cited this nursing home on 2025-06-20 under CMS tag F0656 (CMS scope/severity D: isolated, 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 2025-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 20, 2025 · E
Citation F0880Federal surveyors cited this nursing home on 2025-06-20 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 2025-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 20, 2025 · D
Citation F0726Federal surveyors cited this nursing home on 2025-06-20 under CMS tag F0726 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. The deficiency was recorded as corrected on 2025-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 20, 2025 · D
Citation F0690Federal surveyors cited this nursing home on 2025-06-20 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 2025-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 17, 2024 · D
Citation F0684Federal surveyors cited this nursing home on 2024-05-17 under CMS tag F0684 (CMS scope/severity D: isolated, 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 2024-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 17, 2024 · E
Citation F0656Federal surveyors cited this nursing home on 2024-05-17 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 2024-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 17, 2024 · D
Citation F0759Federal surveyors cited this nursing home on 2024-05-17 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2024-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 17, 2024 · D
Citation F0801Federal surveyors cited this nursing home on 2024-05-17 under CMS tag F0801 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. The deficiency was recorded as corrected on 2024-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 17, 2024 · D
Citation F0641Federal surveyors cited this nursing home on 2024-05-17 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 2024-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $0
Latest: 2.87 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
For profit - Corporation
CMS Care Compare chain: Avir Health Group
Chain ID 719 · 118 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Val Verde County Hospital District
parent · PAC 8325176019
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth Cost of Care Survey · 2024
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$6,003/moNursing Homes
Median · TX$5,627/moOther licensed providers in Fredericksburg, with their own public records.
Cost data not yet available
Your number goes only to facilities you choose. No call blitz. Ever.
Cost data not yet available
Your number goes only to facilities you choose. No call blitz. Ever.
Cost data not yet available
Your number goes only to facilities you choose. No call blitz. Ever.
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