For profit - Corporation · 90 certified beds · CMS number 675169
Avir at Fredericksburg, Fredericksburg, TX
CMS records 48 health deficiencies at Avir at Fredericksburg in Fredericksburg, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 20, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 1 fine totaling $15,288 in the last three years.
- 48deficiencies, 3 cycles (TX median 25)
- 17in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $15,288fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Fredericksburg as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Fredericksburg may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (17 deficiencies)
Standard inspection Jun 20, 2025. CMS counts 17 health deficiencies and 4 fire safety deficiencies in this cycle.
Jun 26, 2026 · Complaint inspection
1 deficiency, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 11, 2026
May 27, 2026 · Complaint inspection
1 deficiency, highest J
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection)
Dec 4, 2025 · Complaint inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2025
Jun 20, 2025 · Standard + complaint inspection
14 deficiencies, highest E
F912 · Minimum bedroom size
Requirement cited (CMS): Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Jun 29, 2025
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 29, 2025
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 29, 2025
F809 · Meal times and snacks
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 29, 2025
F801 · Qualified dietitian and food staff
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 29, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 29, 2025
F726 · Competent nurses and nurse aides
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2025
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2025
F604 · Limits on physical restraints
Requirement cited (CMS): Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 29, 2025
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2025
Previous cycle: 19 deficiencies (standard inspection May 17, 2024)
Standard inspection May 17, 2024. CMS counts 19 health deficiencies and 7 fire safety deficiencies in this cycle.
May 17, 2024 · Standard inspection
19 deficiencies, highest E
F912 · Minimum bedroom size
Requirement cited (CMS): Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Jun 17, 2024
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 17, 2024
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 17, 2024
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 17, 2024
F809 · Meal times and snacks
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 17, 2024
F806 · Allergies, preferences, and meal substitutes
Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 17, 2024
F805 · Food prepared for individual needs
Requirement cited (CMS): Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2024
F803 · Menus that meet nutritional needs
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 17, 2024
F801 · Qualified dietitian and food staff
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2024
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2024
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2024
F726 · Competent nurses and nurse aides
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 17, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2024
F661 · Discharge summary
Requirement cited (CMS): Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 17, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 17, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 17, 2024
Earlier cycle: 12 deficiencies (standard inspection Mar 26, 2023)
Standard inspection Mar 26, 2023. CMS counts 12 health deficiencies and 5 fire safety deficiencies in this cycle.
Mar 7, 2024 · Complaint inspection
1 deficiency, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 8, 2024
Mar 26, 2023 · Standard inspection
11 deficiencies, highest J
F940 · Staff training program
Requirement cited (CMS): Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 14, 2023
F912 · Minimum bedroom size
Requirement cited (CMS): Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Apr 14, 2023
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 14, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 14, 2023
F801 · Qualified dietitian and food staff
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 14, 2023
F745 · Medically related social services
Requirement cited (CMS): Provide medically-related social services to help each resident achieve the highest possible quality of life.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 14, 2023
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 14, 2023
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Apr 14, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 14, 2023
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 14, 2023
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 14, 2023
Tags cited in more than one inspection
12 tags cited on more than one inspection date at Avir at Fredericksburg; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 4 | Dec 4, 2025; Jun 20, 2025; May 17, 2024; Mar 26, 2023 |
| F641 Accurate resident assessments | 3 | Jun 20, 2025; May 17, 2024; Mar 26, 2023 |
| F801 Qualified dietitian and food staff | 3 | Jun 20, 2025; May 17, 2024; Mar 26, 2023 |
| F842 Complete, confidential medical records | 3 | Jun 26, 2026; Jun 20, 2025; Mar 26, 2023 |
| F880 Infection prevention and control program | 3 | Jun 20, 2025; May 17, 2024; Mar 7, 2024 |
| F912 Minimum bedroom size | 3 | Jun 20, 2025; May 17, 2024; Mar 26, 2023 |
| F684 Quality of care | 2 | May 17, 2024; Mar 26, 2023 |
| F690 Bladder, bowel, and catheter care | 2 | Jun 20, 2025; May 17, 2024 |
| F726 Competent nurses and nurse aides | 2 | Jun 20, 2025; May 17, 2024 |
| F760 No significant medication errors | 2 | May 27, 2026 (PNC); May 17, 2024 |
| F809 Meal times and snacks | 2 | Jun 20, 2025; May 17, 2024 |
| F812 Food safety and sanitation | 2 | Jun 20, 2025; Mar 26, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| May 27, 2026 | Fine | $15,288 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.86 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.45 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.57 h
- Nursing staff turnover
- 87.8% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 3 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 5 of 5
CMS figures for Avir at Fredericksburg, copied as published; Texas medians are ours.
Facility details
- Address
- 1117 S. Adams St., Fredericksburg, TX 78624
- Phone
- (830) 997-4364
- County
- Gillespie
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Avir Health Group
- Certified beds
- 90
- Average residents per day
- 49.1
- In Medicare/Medicaid since
- Aug 12, 1993
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are a resident's goals and preferences written into the care plan? (F656, cited 4 times)
- How does the home check that resident assessments match what staff actually observe? (F641, cited 3 times)
- How often does the dietitian see residents, especially those with weight changes? (F801, cited 3 times)
- Does the home use electronic health records, and can families get access through a portal? (F842, cited 3 times)
Other nursing homes in Fredericksburg and the same chain
- Avir at Enchanted Rock
Fredericksburg · 48 deficiencies - Knopp Nursing & Rehab Center INC
Fredericksburg · 34 deficiencies - Knopp Healthcare and Rehab Center INC
Fredericksburg · 25 deficiencies - Avir at El Paso
El Paso · 93 deficiencies - Avir at Patriot
El Paso · 78 deficiencies - Avir at Cowhorn Creek
Texarkana · 68 deficiencies - Avir at Kerrville
Kerrville · 67 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.