Avir at Fredericksburg
Medicare-certified1117 S ADAMS ST, Fredericksburg, TX 78624
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Avir at Enchanted Rock is a for profit - corporation nursing home in Fredericksburg, TX with 120 certified beds.
Capacity
120 residents
Location
Fredericksburg, TX
Status
Listed in a public registry
210 West Windcrest St, Fredericksburg, Texas 78624
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on May 2, 2026, state inspectors cited 13 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 27 minutes with each resident a day, about the same as the Texas average.
Medicare fined Avir at Enchanted Rock 2 times in the last three years, $63,121 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 27 minutes |
| Registered nurse time per resident, per day | 28 minutesAbove the Texas average |
| Nursing staff who left in the past year | 79%Above the Texas average |
1 administrator has left the home in the past year.
48 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 22, 2026 · Complaint investigation · 1 citation
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
May 13, 2026 · Complaint investigation · 1 citation
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide and implement an infection prevention and control program.
Respond appropriately to all alleged violations.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure that residents are free from significant medication errors.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Post nurse staffing information every day.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Reasonably accommodate the needs and preferences of each resident.
Honor 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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide and implement an infection prevention and control program.
Ensure each resident receives an accurate assessment.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Respond appropriately to all alleged violations.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Respond appropriately to all alleged violations.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that residents are free from significant medication errors.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure medication error rates are not 5 percent or greater.
Provide safe and appropriate respiratory care for a resident when needed.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide and implement an infection prevention and control program.
Honor 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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
2 fines totaling $63,121 in the last three years.
210 West Windcrest StFredericksburg, TX 78624
10 other communities within 10 miles
1117 S ADAMS ST, Fredericksburg, TX 78624
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702 West Windcrest Street, Fredericksburg, TX 78624
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State inspectors visited on May 2, 2026 and cited 13 health deficiencies, 3 of them from complaint investigations. The Texas average is 9.4.
Nurses and aides spend 3 hours 27 minutes with each resident per day, including 28 minutes from registered nurses. 79% of nursing staff left over the past year.
Yes. Medicare fined Avir at Enchanted Rock 2 times in the last three years, totaling $63,121.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.