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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasAvir at Enchanted Rock

Avir at Enchanted Rock

210 West Windcrest St, Fredericksburg, TX 786248306377885
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
4/5
Beds
120
certified
2 fine(s) totaling $63,121

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 120 certified beds with an average of 47.1 residents per day (39% occupancy)

• Last health inspection found 12 deficiencies (inspected Feb 12, 2025)

• Has been fined a total of $63,121 across 2 fine(s)

• Total nursing staff: 3.09 hours per resident per day

• Staff turnover rate: 85.4% (high)

Avir at Enchanted Rock is a 1-star Medicare and Medicaid certified nursing home in Fredericksburg, Texas with 120 certified beds. It has been operating since 1991. The facility scored below average compared to Texas facilities.

Beds
120
Avg Residents/Day
47.1
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 26, 1991
Sprinklers
Yes
Council
Resident
County
Gillespie
Last Inspection
Feb 12, 2025
Deficiencies (Cycle 1)
12
Weighted Score
149.5
Infection Citations
0

Deficiency Citations (43)

F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Jul 10, 2025Corrected: NoCycle: 1
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Jul 10, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jul 10, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jan 19, 2025Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jan 19, 2025Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 19, 2025Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jun 22, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Jan 13, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Jan 13, 2024Corrected: NoCycle: 2
F0585Potential for Harm

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.

Survey: Jan 13, 2024Corrected: NoCycle: 2
F0607Immediate Jeopardy

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Jan 13, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jan 13, 2024Corrected: NoCycle: 2
F0610Immediate Jeopardy

Respond appropriately to all alleged violations.

Survey: Jan 13, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jan 13, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jan 13, 2024Corrected: NoCycle: 2
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Jan 13, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 13, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jan 13, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Jan 13, 2024Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Jan 13, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Jan 13, 2024Corrected: NoCycle: 2

+ 13 more deficiencies

Total Fines
$63,121
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineJan 13, 2024
$13,916
FineJan 19, 2025
$49,205

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.70 hrs
National avg: 2.35 hrs
LPN1.00 hrs
National avg: 0.86 hrs
RN0.39 hrs
National avg: 0.68 hrs
Total Nursing3.09 hrs
National avg: 3.89 hrs
Weekend Total2.71 hrs
National avg: 0.00 hrs
Physical Therapist0.04 hrs
National avg: 0.07 hrs
Total Turnover
85.4%
RN Turnover
100.0%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (8)

NameRoleTypeOwnership %Since
UVALDE COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Mar 1, 2025
210 WEST WINDCREST STREET OPCO, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 1, 2025
FREUND, NOCHUMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2025
PADILLA, ADRIANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2025
TRAVITSKY, AARONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2025
APOLINAR, ADAMCORPORATE OFFICERIndividualN/AJul 23, 2015
WELLTOWER NNN GROUP, LLC5% OR GREATER SECURITY INTERESTOrganizationN/AMar 1, 2025
WELLTOWER OP LLC5% OR GREATER SECURITY INTERESTOrganizationN/AMar 1, 2025

Nearby Nursing Homes

All Texas facilities

Avir at Fredericksburg

Fredericksburg, TX · 90 beds

For profit$33,145 in fines
Health
Staffing
Not Rated
Quality
1820 ft

Knopp Nursing & Rehab Center INC

Fredericksburg, TX · 60 beds

For profit$32,094 in fines
Health
Staffing
Quality
2808 ft

Knopp Healthcare and Rehab Center INC

Fredericksburg, TX · 119 beds

For profit
Health
Staffing
Quality
1.9 mi

Frequently Asked Questions

What is the CMS rating for Avir at Enchanted Rock?▾
Avir at Enchanted Rock has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
Has Avir at Enchanted Rock had any health inspection violations?▾
Avir at Enchanted Rock had 12 deficiency citations in its most recent health inspection (Feb 12, 2025). The facility has been fined a total of $63,121 across 2 fine(s).
What are the staffing levels at Avir at Enchanted Rock?▾
Avir at Enchanted Rock provides 3.09 total nursing staff hours per resident per day, including 0.39 RN hours, 1.00 LPN hours, and 1.70 nurse aide hours. The total staff turnover rate is 85.4%.
How many beds does Avir at Enchanted Rock have?▾
Avir at Enchanted Rock has 120 certified beds with an average of 47.1 residents per day, resulting in approximately 39% occupancy. The facility is For profit - Corporation owned.
Are there other nursing homes near Avir at Enchanted Rock?▾
Yes, there are 3 other nursing homes in Fredericksburg, Texas with an average rating of 2.5/5. You can compare all facilities on the Fredericksburg nursing homes page.