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
May 17, 2024 · E
Citation F0806Federal surveyors cited this nursing home on 2024-05-17 under CMS tag F0806 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. 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 F0880Federal surveyors cited this nursing home on 2024-05-17 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 2024-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 17, 2024 · E
Citation F0726Federal surveyors cited this nursing home on 2024-05-17 under CMS tag F0726 (CMS scope/severity E: pattern, 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 2024-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 17, 2024 · E
Citation F0809Federal surveyors cited this nursing home on 2024-05-17 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 2024-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 17, 2024 · E
Citation F0908Federal surveyors cited this nursing home on 2024-05-17 under CMS tag F0908 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Keep all essential equipment working safely. 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 F0550Federal surveyors cited this nursing home on 2024-05-17 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. 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 F0690Federal surveyors cited this nursing home on 2024-05-17 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 2024-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 17, 2024 · B
Citation F0912Federal surveyors cited this nursing home on 2024-05-17 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 2024-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 17, 2024 · E
Citation F0657Federal surveyors cited this nursing home on 2024-05-17 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 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 F0803Federal surveyors cited this nursing home on 2024-05-17 under CMS tag F0803 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure 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. 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 F0661Federal surveyors cited this nursing home on 2024-05-17 under CMS tag F0661 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. The deficiency was recorded as corrected on 2024-06-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 17, 2024 · D
Citation F0760Federal surveyors cited this nursing home on 2024-05-17 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. 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 F0805Federal surveyors cited this nursing home on 2024-05-17 under CMS tag F0805 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. 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 F0814Federal surveyors cited this nursing home on 2024-05-17 under CMS tag F0814 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2024-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 7, 2024 · D
Citation F0880Federal surveyors cited this nursing home on 2024-03-07 under CMS tag F0880 (CMS scope/severity D: isolated, 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 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 26, 2023 · E
Citation F0745Federal surveyors cited this nursing home on 2023-03-26 under CMS tag F0745 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide medically-related social services to help each resident achieve the highest possible quality of life. The deficiency was recorded as corrected on 2023-04-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 26, 2023 · E
Citation F0812Federal surveyors cited this nursing home on 2023-03-26 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 2023-04-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 26, 2023 · E
Citation F0940Federal surveyors cited this nursing home on 2023-03-26 under CMS tag F0940 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop, implement, and/or maintain an effective training program for all new and existing staff members. The deficiency was recorded as corrected on 2023-04-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 26, 2023 · D
Citation F0641Federal surveyors cited this nursing home on 2023-03-26 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 2023-04-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 26, 2023 · E
Citation F0727Federal surveyors cited this nursing home on 2023-03-26 under CMS tag F0727 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Have 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. The deficiency was recorded as corrected on 2023-04-14. 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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