Avir at Enchanted Rock
Fredericksburg · 0.3 mi · 120 beds
Citations0Substantiated0
Avir at Fredericksburg
1117 S ADAMS ST, Fredericksburg, TX, 78624
Nursing home90 licensed beds0 citations on record
3 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 16 deficiencies against Avir at Fredericksburg in Fredericksburg, Texas at its most recent standard inspection on 2025-06-20, 7 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $23,520. Medicare rates it 3 out of 5 overall.
3 / 5Medicare overall rating
90certified beds
16deficiencies at the last inspection
2immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $23,520
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.42
Potential for minimal harmThe least serious band.3
Most recentJDEEEEEEDDDDDDDBEEEE
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2026-05-27 · from a complaint · Immediate jeopardy to resident health or safety
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-12-04 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0604 · 2025-06-20 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-06-20 · from a complaint · No actual harm, potential for more than minimal 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.
Nutrition and Dietary Deficiencies · F0801 · 2025-06-20 · from a complaint · No actual harm, potential for more than minimal 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.
Nutrition and Dietary Deficiencies · F0809 · 2025-06-20 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-06-20 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-06-20 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · F0552 · 2025-06-20 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-06-20 · from a complaint · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-06-20 · standard survey · No actual harm, potential for more than minimal 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.
Quality of Life and Care Deficiencies · F0690 · 2025-06-20 · from a complaint · No actual harm, potential for more than minimal 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.
Nursing and Physician Services Deficiencies · F0726 · 2025-06-20 · standard survey · No actual harm, potential for more than minimal 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.
Pharmacy Service Deficiencies · F0761 · 2025-06-20 · from a complaint · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2025-06-20 · standard survey · No actual harm, potential for more than minimal harm
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · F0912 · 2025-06-20 · standard survey · No actual harm, potential for minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2024-05-17 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2024-05-17 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2024-05-17 · standard survey · No actual harm, potential for more than minimal 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.
Nursing and Physician Services Deficiencies · F0726 · 2024-05-17 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS2.8627
Nursing staff turnoverShare of nursing staff who left in a year87.8%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$23,520
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Avir at Fredericksburg
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| VAL VERDE COUNTY HOSPITAL DISTRICT | Organization | 100% | since 11/01/2020 |
| JURADO, JORGE | Individual | NOT APPLICABLE | since 06/01/2022 |
| 1117 S ADAMS STREET OPCO, LLC | Organization | NOT APPLICABLE | since 03/01/2025 |
| FREUND, NOCHUM | Individual | NOT APPLICABLE | since 03/01/2025 |
| KOTHMANN, JOHN | Individual | NOT APPLICABLE | since 03/01/2025 |
| TRAVITSKY, AARON | Individual | NOT APPLICABLE | since 03/01/2025 |
| DAGAN, AMITAI | Individual | NOT APPLICABLE | since 04/16/2025 |
| GOLDBERGER, ABRAHAM | Individual | NOT APPLICABLE | since 04/16/2025 |
| 1117 S ADAMS STREET PROPERTY OWNER, LLC | Organization | NOT APPLICABLE | since 03/01/2025 |
| WELLTOWER INC | Organization | NOT APPLICABLE | since 03/01/2025 |
| WELLTOWER NNN GROUP, LLC | Organization | NOT APPLICABLE | since 03/01/2025 |
| WELLTOWER OP, LLC | Organization | NOT APPLICABLE | since 03/01/2025 |
Part of the AVIR HEALTH GROUP group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Knopp Nursing & Rehab Center INC
Fredericksburg · 0.4 mi · 60 beds
Citations0Substantiated0
Knopp Healthcare and Rehab Center INC
Fredericksburg · 1.9 mi · 119 beds
Citations0Substantiated0
Contact
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 675169.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction