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AVIR at Fredericksburg brings compassionate skilled nursing and rehabilitation to the heart of Texas Hill Country. Our team helps patients regain strength and independence through personalized recovery programs, allowing families to focus on what matters most.
Capacity
90 residents
Location
Fredericksburg, TX
Status
Listed in a public registry
1117 S ADAMS 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 June 20, 2025, state inspectors cited 17 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 2 hours 52 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare fined Avir at Fredericksburg once in the last three years, $15,288 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hours 52 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 27 minutes |
| Nursing staff who left in the past year | 88%Above the Texas average |
37 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 26, 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.
May 27, 2026 · Complaint investigation · 1 citation
Ensure that residents are free from significant medication errors.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide and implement an infection prevention and control program.
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.
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.
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.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure that residents are fully informed and understand their health status, care and treatments.
Ensure each resident receives an accurate assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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.
Keep all essential equipment working safely.
Dispose of garbage and refuse properly.
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide and implement an infection prevention and control program.
Ensure that residents are free from significant medication errors.
Ensure medication error rates are not 5 percent or greater.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure each resident receives an accurate assessment.
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Provide and implement an infection prevention and control program.
1 fine totaling $15,288 in the last three years.
1117 S ADAMS STFredericksburg, TX 78624
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State inspectors visited on June 20, 2025 and cited 17 health deficiencies, 8 of them from complaint investigations. The Texas average is 9.4.
Nurses and aides spend 2 hours 52 minutes with each resident per day, including 27 minutes from registered nurses. 88% of nursing staff left over the past year.
Yes. Medicare fined Avir at Fredericksburg once in the last three years, totaling $15,288.
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.