Avir at Enchanted Rock

210 West Windcrest St, Fredericksburg, TX 78624 · CCN 455941 · 120 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing2 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 5 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2026-05-02 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-01-19 IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-01-13 IMMEDIATE JEOPARDY (tag F0610, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Respond appropriately to all alleged violations.
2024-01-13 IMMEDIATE JEOPARDY (tag F0607, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2024-01-13 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.87

state median 2.67

Weekend staffing gap

−5%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.33

registered nurses only

Contract (agency) staff

9%

share of all nursing hours

Days with zero RN hours reported

9

with residents present

Nursing staff turnover

79%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $63,121 in fines.

DateTypeAmount
2025-01-19Fine$49,205
2024-01-13Fine$13,916

Ownership

Ownership type: Government - Hospital district. Part of the AVIR HEALTH GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: No harm, potential for minimal harm: 2 · Potential for more than minimal harm: 40 · Immediate jeopardy: 5

Survey dateTagCategorySeverityCorrected
2026-05-13F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2026-05-02F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2026-05-02F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2026-05-02F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2026-05-02F0684Quality of Life and Care DeficienciesEnot recorded
2026-05-02F0689Quality of Life and Care DeficienciesJnot recorded
2026-05-02F0690Quality of Life and Care DeficienciesDnot recorded
2026-05-02F0727Nursing and Physician Services DeficienciesEnot recorded
2026-05-02F0760Pharmacy Service DeficienciesDnot recorded
2026-05-02F0812Nutrition and Dietary DeficienciesDnot recorded
2026-05-02F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2026-05-02F0880Infection Control DeficienciesDnot recorded
2026-01-08F0880Infection Control DeficienciesEnot recorded
2025-07-10F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2025-07-10F0732Nursing and Physician Services DeficienciesCnot recorded
2025-07-10F0755Pharmacy Service DeficienciesDnot recorded
2025-02-12F0558Resident Rights DeficienciesDnot recorded
2025-02-12F0578Resident Rights DeficienciesDnot recorded
2025-02-12F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-02-12F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-02-12F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2025-02-12F0655Resident Assessment and Care Planning DeficienciesEnot recorded
2025-02-12F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-02-12F0755Pharmacy Service DeficienciesDnot recorded
2025-02-12F0880Infection Control DeficienciesDnot recorded
2025-01-19F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-01-19F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2025-01-19F0689Quality of Life and Care DeficienciesKnot recorded
2024-06-22F0689Quality of Life and Care DeficienciesDnot recorded
2024-01-13F0580Resident Rights DeficienciesDnot recorded
2024-01-13F0584Resident Rights DeficienciesEnot recorded
2024-01-13F0585Resident Rights DeficienciesDnot recorded
2024-01-13F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2024-01-13F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-01-13F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2024-01-13F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2024-01-13F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2024-01-13F0686Quality of Life and Care DeficienciesDnot recorded
2024-01-13F0689Quality of Life and Care DeficienciesJnot recorded
2024-01-13F0695Quality of Life and Care DeficienciesDnot recorded
2024-01-13F0759Pharmacy Service DeficienciesEnot recorded
2024-01-13F0760Pharmacy Service DeficienciesEnot recorded
2024-01-13F0761Pharmacy Service DeficienciesEnot recorded
2024-01-13F0803Nutrition and Dietary DeficienciesBnot recorded
2024-01-13F0812Nutrition and Dietary DeficienciesEnot recorded
2024-01-13F0880Infection Control DeficienciesDnot recorded
2024-01-13F0919Environmental DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Avir at Enchanted Rock, Fredericksburg” at medicare.gov/care-compare.