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 Fredericksburg is a 3-star Medicare and Medicaid certified nursing home in Fredericksburg, Texas with 90 certified beds. It has been operating since 1993. Its overall CMS rating is 3 out of 5.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure that residents are fully informed and understand their health status, care and treatments.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
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.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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 necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
+ 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 |
|---|---|---|---|---|
| VAL VERDE COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Nov 1, 2020 |
| JURADO, JORGE | CORPORATE OFFICER | Individual | N/A | Jun 1, 2022 |
| 1117 S ADAMS STREET OPCO, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Mar 1, 2025 |
| FREUND, NOCHUM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 1, 2025 |
| KOTHMANN, JOHN | 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 16, 2025 |
| GOLDBERGER, ABRAHAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Apr 16, 2025 |
| 1117 S ADAMS STREET PROPERTY OWNER, LLC | ADP OF THE SNF | Organization | N/A | Mar 1, 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 |
| DENNIS, WANDA | ADP OF THE SNF | Individual | N/A | Mar 1, 2025 |
| KOTHMANN, JOHN | ADP OF THE SNF | Individual | N/A | Apr 16, 2025 |
Compare CMS ratings and recorded fines for Avir at Fredericksburg 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 →