CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Avir at Enchanted Rock is a 2-star Medicare and Medicaid certified nursing home in Fredericksburg, Texas with 120 certified beds. It has been operating since 1991. Its overall CMS rating is 2 out of 5.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
+ 17 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| UVALDE COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Mar 1, 2025 |
| WELLTOWER INC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Mar 1, 2025 |
| WELLTOWER NNN GROUP, LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Mar 1, 2025 |
| WELLTOWER OP, LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Mar 1, 2025 |
| APOLINAR, ADAM | CORPORATE OFFICER | Individual | N/A | Jul 23, 2015 |
| 210 WEST WINDCREST STREET OPCO, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Mar 1, 2025 |
| FREUND, NOCHUM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 1, 2025 |
| PADILLA, ADRIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 1, 2025 |
| TRAVITSKY, AARON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 1, 2025 |
| DAGAN, AMITAI | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Apr 25, 2025 |
| GOLDBERGER, ABRAHAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Apr 25, 2025 |
| WELLTOWER INC | ADP OF THE SNF | Organization | N/A | Mar 1, 2025 |
| WELLTOWER NNN GROUP, LLC | ADP OF THE SNF | Organization | N/A | Mar 1, 2025 |
| WELLTOWER OP, LLC | ADP OF THE SNF | Organization | N/A | Mar 1, 2025 |
| HERREN, RICHARD | ADP OF THE SNF | Individual | N/A | Mar 1, 2025 |
| PADILLA, ADRIAN | ADP OF THE SNF | Individual | N/A | Mar 1, 2025 |
Compare CMS ratings and recorded fines for Avir at Enchanted Rock and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 119 facilities. View all →