Avir at Fredericksburg
1117 S. Adams St., Fredericksburg, TX 78624 · (830) 997-4364
For profit - Corporation · 90 certified beds
Avir at Fredericksburg has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2025, found 14 citations (the Texas average is 9.4). It was fined 1 time in the last three years, $15,288 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 20, 2025 found 14 citations. What an inspection citation means
- Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.June 20, 2025 · F0604 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 20, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.June 20, 2025 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.June 20, 2025 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 20, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.June 20, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are fully informed and understand their health status, care and treatments.June 20, 2025 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.June 20, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 20, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.June 20, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 20, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 20, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 20, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.June 20, 2025 · F0912 · Level of harm: Potential for minimal harm · Residents affected: Some
Complaint inspections, last three years
Inspections after complaints found 9 citations.
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 26, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.May 27, 2026 · F0760 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.December 4, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.June 20, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.June 20, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 20, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.June 20, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 20, 2025 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.March 7, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $15,288May 27, 2026
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.86 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.45 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.77 | 0.95 | 0.86 |
| Nurse aides | 1.64 | 2.01 | 2.32 |
| Total nursing staff turnover | 87.8% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 90 |
| Average residents per day | 49.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Knopp Healthcare and Rehab Center Inc Fredericksburg · ★★★★★ 3 out of 5 stars
- Avir at Enchanted Rock Fredericksburg · ★★★★★ 2 out of 5 stars
- Knopp Nursing & Rehab Center Inc Fredericksburg · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Avir at Fredericksburg on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.