🛡️ Free for Families  ·  No Spam Calls  ·  No Referral Fees  ·  Built on Official Records

FindSeniorLivingNow

🏠 Is this your community?

Families are searching for a community like yours right now. Make sure they find you.

Claim This Community
🏥
Medicare-certifiedSkilled Nursing

Avir at Enchanted Rock

Fredericksburg, TexasMedicare inspection record
(830) 637-7885

About Avir at Enchanted Rock

Avir at Enchanted Rock is a for profit - corporation nursing home in Fredericksburg, TX with 120 certified beds.

Community at a glance

Capacity

120 residents

Location

Fredericksburg, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

210 West Windcrest St, Fredericksburg, Texas 78624

(830) 637-7885

Medicare inspection record

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.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 27 minutes
Registered nurse time per resident, per day28 minutesAbove the Texas average
Nursing staff who left in the past year79%Above the Texas average

1 administrator has left the home in the past year.

Inspections

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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jun 24, 2026

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.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 16, 2026
May 2, 2026 · Standard inspection · 11 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareCorrected May 4, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected May 4, 2026
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected May 4, 2026
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected May 4, 2026
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 4, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected May 4, 2026
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected May 4, 2026
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected May 4, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected May 4, 2026
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 4, 2026
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 4, 2026
January 8, 2026 · Complaint investigation · 1 citation+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Jan 10, 2026
July 10, 2025 · Complaint investigation · 3 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 11, 2025
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 11, 2025
  • Post nurse staffing information every day.

    Minimal harm or risk, widespread (level C)Nursing and Physician ServicesFrom a complaintCorrected Jul 11, 2025
February 12, 2025 · Standard inspection · 9 citations+
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Feb 13, 2025
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 13, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 13, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Feb 13, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 13, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Feb 13, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 13, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 13, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Feb 13, 2025
January 19, 2025 · Complaint investigation · 3 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Feb 9, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 20, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 20, 2025
June 22, 2024 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 24, 2024
January 13, 2024 · Standard inspection · 18 citations+
  • Respond appropriately to all alleged violations.

    Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationCorrected Feb 15, 2024
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationCorrected Feb 15, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareCorrected Feb 15, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 15, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Feb 15, 2024
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 15, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Feb 15, 2024
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Feb 15, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Feb 15, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Feb 15, 2024
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 15, 2024
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 15, 2024
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 15, 2024
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 15, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Feb 15, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 15, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Feb 15, 2024
  • 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.

    Minimal harm or risk, a pattern (level B)Nutrition and DietaryCorrected Feb 15, 2024

Fines and payment denials

2 fines totaling $63,121 in the last three years.

  • January 19, 2025Fine: $49,205
  • January 13, 2024Fine: $13,916

About the home, per Medicare

Ownership
Government - Hospital district
Legal business name
Uvalde County Hospital Authority
Medicare-certified beds
120
Average residents per day
43
Accepts
Medicare and Medicaid
First certified
July 26, 1991
Part of a chain
Avir Health Group, 118 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
455941

Location

Loading map…

210 West Windcrest StFredericksburg, TX 78624

10 other communities within 10 miles

Senior living near Fredericksburg

Questions about Avir at Enchanted Rock

How did Avir at Enchanted Rock do on its last inspection?+

State inspectors visited on May 2, 2026 and cited 13 health deficiencies, 3 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at Avir at Enchanted Rock?+

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.

Has Avir at Enchanted Rock been fined by Medicare?+

Yes. Medicare fined Avir at Enchanted Rock 2 times in the last three years, totaling $63,121.

Does Medicare cover skilled nursing?+

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.

How much does a nursing home cost?+

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.

What is the CMS star rating?+

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.

Senior living in Fredericksburg Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026