Avir At Enchanted Rock
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Nursing Homes · Medicare certified
202 Billie Dr · Fredericksburg, TX 78624 · 60 certified beds
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CMS Care Compare · Updated Jul 2026
Staffing rating
1.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
23
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
October 18, 2024 · D
Citation F0553Federal surveyors cited this nursing home on 2024-10-18 under CMS tag F0553 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow resident to participate in the development and implementation of his or her person-centered plan of care. The deficiency was recorded as corrected on 2024-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 18, 2024 · D
Citation F0677Federal surveyors cited this nursing home on 2024-10-18 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2024-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 18, 2024 · E
Citation F0610Federal surveyors cited this nursing home on 2024-10-18 under CMS tag F0610 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2024-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 18, 2024 · E
Citation F0759Federal surveyors cited this nursing home on 2024-10-18 under CMS tag F0759 (CMS scope/severity E: pattern, 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 2024-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 18, 2024 · J
Citation F0689Federal surveyors cited this nursing home on 2024-10-18 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 18, 2024 · D
Citation F0758Federal surveyors cited this nursing home on 2024-10-18 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2024-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 18, 2024 · E
Citation F0609Federal surveyors cited this nursing home on 2024-10-18 under CMS tag F0609 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 18, 2024 · D
Citation F0656Federal surveyors cited this nursing home on 2024-10-18 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 2024-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 9, 2024 · D
Citation F0635Federal surveyors cited this nursing home on 2024-09-09 under CMS tag F0635 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide doctor's orders for the resident's immediate care at the time the resident was admitted. The deficiency was recorded as corrected on 2024-09-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 9, 2024 · D
Citation F0726Federal surveyors cited this nursing home on 2024-09-09 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 2024-09-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 9, 2024 · E
Citation F0755Federal surveyors cited this nursing home on 2024-09-09 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 2024-09-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 9, 2024 · J
Citation F0678Federal surveyors cited this nursing home on 2024-09-09 under CMS tag F0678 (CMS scope/severity J: isolated, immediate jeopardy) for Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. The deficiency was recorded as corrected on 2024-09-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 18, 2023 · E
Citation F0657Federal surveyors cited this nursing home on 2023-09-18 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 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 18, 2023 · D
Citation F0609Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 18, 2023 · D
Citation F0656Federal surveyors cited this nursing home on 2023-09-18 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 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 18, 2023 · F
Citation F0835Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0835 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Administer the facility in a manner that enables it to use its resources effectively and efficiently. The deficiency was recorded as corrected on 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 18, 2023 · F
Citation F0756Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0756 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 18, 2023 · F
Citation F0838Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0838 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. The deficiency was recorded as corrected on 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 18, 2023 · E
Citation F0759Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0759 (CMS scope/severity E: pattern, 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 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 18, 2023 · D
Citation F0727Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0727 (CMS scope/severity D: isolated, 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 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $32,094
Latest: 2.99 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
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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