Texas › Gillespie County › Fredericksburg
Avir At Fredericksburg
1117 S. Adams St., Fredericksburg, TX 78624
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Avir At Fredericksburg, in Fredericksburg, Texas, is certified for 90 beds under for-profit, corporation ownership and belongs to the Avir Health Group chain.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 2, staffing 2 and quality measures 5.
Inspectors recorded 48 health deficiencies across the three most recent survey cycles (17, 19, 12 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 53.3 per 100 beds, more than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $24K.
Reported nurse staffing is 2.9 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 87.8%.
Compared with county, state and nation
| Measure | This facility | Gillespie Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 48 | 48 | 25 | 28.7 |
| Citations per 100 beds | 53.3 | 53.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 87.8% | 78.9% | 52.1% | 45.8% |
| Fines listed | $23,520 | $32,094 | $16,801 | — |
County and state figures are medians across facilities (4 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Jun 2025, 17 May 2024.
Severity mix: J ×2 D ×22 E ×21 B ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 26 Jun 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 11 Jul 2026 |
| 27 May 2026 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | Past Non-Compliance |
| 4 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 5 Dec 2025 |
| 20 Jun 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Standard survey | 29 Jun 2025 |
| 20 Jun 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 29 Jun 2025 |
| 20 Jun 2025 | F0801 | 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. | E | Complaint investigation | 29 Jun 2025 |
| 20 Jun 2025 | F0809 | 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. | E | Standard survey | 29 Jun 2025 |
| 20 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Jun 2025 |
| 20 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 29 Jun 2025 |
| 20 Jun 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 29 Jun 2025 |
| 20 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 29 Jun 2025 |
| 20 Jun 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 29 Jun 2025 |
| 20 Jun 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 29 Jun 2025 |
| 20 Jun 2025 | F0726 | 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. | D | Standard survey | 29 Jun 2025 |
| 20 Jun 2025 | F0761 | 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. | D | Complaint investigation | 29 Jun 2025 |
| 20 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 29 Jun 2025 |
| 20 Jun 2025 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 29 Jun 2025 |
| 17 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0726 | 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. | E | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0803 | 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. | E | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0809 | 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. | E | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 7 Jun 2024 |
| 17 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0801 | 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. | D | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 17 Jun 2024 |
| 17 May 2024 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 17 Jun 2024 |
| 7 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 8 Mar 2024 |
| 26 Mar 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Standard survey | 14 Apr 2023 |
| 26 Mar 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 14 Apr 2023 |
| 26 Mar 2023 | F0727 | 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. | E | Standard survey | 14 Apr 2023 |
| 26 Mar 2023 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Standard survey | 14 Apr 2023 |
| 26 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Apr 2023 |
| 26 Mar 2023 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Standard survey | 14 Apr 2023 |
| 26 Mar 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 14 Apr 2023 |
| 26 Mar 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 14 Apr 2023 |
| 26 Mar 2023 | F0801 | 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. | D | Standard survey | 14 Apr 2023 |
| 26 Mar 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 14 Apr 2023 |
| 26 Mar 2023 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 14 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 May 2026 | Fine | $23,520 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 87.8%, RNs 77.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.1% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.9% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Val Verde County Hospital District. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Val Verde County Hospital District | 5% or greater direct ownership interest | 100% | 11/01/2020 |
| 1117 S Adams Street Opco, LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| 1117 S Adams Street Property Owner, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Gillespie County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Knopp Healthcare and Rehab Center Inc | Fredericksburg | 119 | 3 | 4 | 3 | 25 | 21.0 | — | 9 Jan 2026 |
| Avir At Enchanted Rock | Fredericksburg | 120 | 2 | 2 | 2 | 48 | 40.0 | $63K | 22 Jun 2026 |
| Knopp Nursing & Rehab Center Inc | Fredericksburg | 60 | 1 | 2 | 1 | 34 | 56.7 | $32K | 21 Jan 2026 |
All 4 facilities in Gillespie County
Questions and answers
How many deficiencies has Avir At Fredericksburg been cited for?
48 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Fredericksburg been fined?
Yes. CMS lists fines totalling $24K in the period covered.
How does staffing at Avir At Fredericksburg compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Fredericksburg?
It is part of the Avir Health Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Val Verde County Hospital District and 1117 S Adams Street Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At Fredericksburg last inspected?
The most recent survey or investigation in the CMS record is dated 26 Jun 2026; the most recent standard health survey was 20 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.