NursingHomes.us
StatesRankingsCompare
NursingHomes.us

Independent nursing-home comparison using official CMS data. Not affiliated with the U.S. government.

Browse

  • All States
  • Rankings
  • Compare
  • Guides

Data

  • Nursing Home Chains
  • Inspection Codes
  • Data Sources

About

  • About Us
  • Contact
  • Privacy Policy
  • Terms of Use
© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasAvir at Fredericksburg

Avir at Fredericksburg

1117 S Adams St, Fredericksburg, TX 786248309974364WebsiteGoogle Maps
4.4on Google(85 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
2/5
Quality
5/5
Beds
90
certified
1 fine(s) totaling $23,520

How Avir at Fredericksburg Compares in Texas

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.

CMS overall rating
3/5
TX average
2.7/5
Above state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
2/5
TX average
1.9/5
Close to state average
Nursing hours per resident
2.86 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.45 hrs/day
TX average
0.43 hrs/day
Close to state average
Staff turnover
87.8%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 2.86 hours per resident per day, below the state average of 3.39.
Staff turnover is 87.8%, higher than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
20
deficiency citations
Inspected May 17, 2024
Most recent cycle
16
deficiency citations
Inspected Jun 20, 2025
The most recent cycle recorded 4 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Gillespie County 65+
7,810
29.0% of county
County Population
26,953
Gillespie County

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.

Beds
90
Avg Residents/Day
49.1
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 12, 1993
Sprinklers
Yes
Council
Resident
County
Gillespie
Last Inspection
Jun 20, 2025
Deficiencies (Cycle 1)
16
Weighted Score
104.0
Infection Citations
0

Deficiency Citations (47)

F0760Immediate Jeopardy

Ensure that residents are free from significant medication errors.

Survey: May 27, 2026Corrected: 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: Dec 4, 2025Corrected: NoCycle: 1
F0604Potential for Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey: Jun 20, 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: Jun 20, 2025Corrected: NoCycle: 1
F0801Potential for Harm

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.

Survey: Jun 20, 2025Corrected: NoCycle: 1
F0809Potential for Harm

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.

Survey: Jun 20, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jun 20, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 20, 2025Corrected: NoCycle: 1
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Jun 20, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jun 20, 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: Jun 20, 2025Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Jun 20, 2025Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: Jun 20, 2025Corrected: NoCycle: 1
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: Jun 20, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Jun 20, 2025Corrected: NoCycle: 1
F0912Minimal Harm

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Survey: Jun 20, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: May 17, 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: May 17, 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: May 17, 2024Corrected: NoCycle: 2
F0726Potential for Harm

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.

Survey: May 17, 2024Corrected: NoCycle: 2
F0803Potential for Harm

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.

Survey: May 17, 2024Corrected: NoCycle: 2
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: May 17, 2024Corrected: NoCycle: 2
F0809Potential for Harm

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.

Survey: May 17, 2024Corrected: NoCycle: 2
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: May 17, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 17, 2024Corrected: NoCycle: 2
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: May 17, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: May 17, 2024Corrected: NoCycle: 2
F0661Potential for Harm

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Survey: May 17, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: May 17, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: May 17, 2024Corrected: NoCycle: 2

+ 17 more deficiencies

Total Fines
$23,520
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineMay 27, 2026
$23,520

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

Nurse Aide1.64 hrs
National avg: 2.32 hrs
LPN0.77 hrs
National avg: 0.86 hrs
RN0.45 hrs
National avg: 0.69 hrs
Total Nursing2.86 hrs
National avg: 3.86 hrs
Weekend Total2.57 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
87.8%
RN Turnover
77.8%
Administrators Left
0

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (14)

NameRoleTypeOwnership %Since
VAL VERDE COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Nov 1, 2020
JURADO, JORGECORPORATE OFFICERIndividualN/AJun 1, 2022
1117 S ADAMS STREET OPCO, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 1, 2025
FREUND, NOCHUMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2025
KOTHMANN, JOHNOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2025
TRAVITSKY, AARONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2025
DAGAN, AMITAIINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AApr 16, 2025
GOLDBERGER, ABRAHAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AApr 16, 2025
1117 S ADAMS STREET PROPERTY OWNER, LLCADP OF THE SNFOrganizationN/AMar 1, 2025
WELLTOWER INCADP OF THE SNFOrganizationN/AMar 1, 2025
WELLTOWER NNN GROUP, LLCADP OF THE SNFOrganizationN/AMar 1, 2025
WELLTOWER OP, LLCADP OF THE SNFOrganizationN/AMar 1, 2025
DENNIS, WANDAADP OF THE SNFIndividualN/AMar 1, 2025
KOTHMANN, JOHNADP OF THE SNFIndividualN/AApr 16, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Avir at Fredericksburg and nearby alternatives.

All Texas facilities
Avir at Fredericksburg
Fredericksburg, TXCurrent facility
CMS
3/5
Health
2/5
Staffing
2/5
Recorded fines: $23,520
Avir at Enchanted Rock
Fredericksburg, TX1,584 ft
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $63,121
Knopp Nursing & Rehab Center INC
Fredericksburg, TX2,112 ft
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $32,094
Knopp Healthcare and Rehab Center INC
Fredericksburg, TX1.9 mi
CMS
3/5
Health
4/5
Staffing
3/5
Recorded fines: None
Avir at Comfort
Comfort, TX20.0 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: None
Hilltop Village Nursing and Rehabilitation
Kerrville, TX21.0 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: None
Arbor View Nursing & Rehabilitation
Kerrville, TX21.7 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $154,617
FacilityDistanceCMSHealthStaffingRecorded fines
Avir at Fredericksburg
Fredericksburg, TX · Current facility
—3/52/52/5$23,520
Avir at Enchanted Rock
Fredericksburg, TX
1,584 ft2/52/52/5$63,121
Knopp Nursing & Rehab Center INC
Fredericksburg, TX
2,112 ft1/52/51/5$32,094
Knopp Healthcare and Rehab Center INC
Fredericksburg, TX
1.9 mi3/54/53/5None recorded
Avir at Comfort
Comfort, TX
20.0 mi5/54/54/5None recorded
Hilltop Village Nursing and Rehabilitation
Kerrville, TX
21.0 mi2/53/51/5None recorded
Arbor View Nursing & Rehabilitation
Kerrville, TX
21.7 mi1/51/51/5$154,617

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.

Frequently Asked Questions

What is the CMS rating for Avir at Fredericksburg?▾
Avir at Fredericksburg has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated average.
How much does Avir at Fredericksburg cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Avir at Fredericksburg participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Avir at Fredericksburg had any health inspection violations?▾
Avir at Fredericksburg had 16 deficiency citations in its most recent health inspection (Jun 20, 2025). The current CMS dataset records 1 fine(s) totaling $23,520.
What are the staffing levels at Avir at Fredericksburg?▾
Avir at Fredericksburg provides 2.86 total nursing staff hours per resident per day, including 0.45 RN hours, 0.77 LPN hours, and 1.64 nurse aide hours. The total staff turnover rate is 87.8%.
How many beds does Avir at Fredericksburg have?▾
Avir at Fredericksburg has 90 certified beds with an average of 49.1 residents per day, resulting in approximately 55% occupancy. The facility is For profit - Corporation owned and is part of the Avir Health Group chain.
Are there other nursing homes near Avir at Fredericksburg?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 3 in Fredericksburg. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Avir at Fredericksburg?▾
On Google Maps, Avir at Fredericksburg has a rating of 4.4 out of 5 based on 85 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.

Part of Avir Health Group

This chain operates 119 facilities. View all →