Avir at Enchanted Rock
210 West Windcrest St · Fredericksburg, TX · 78624 · 8306377885
120 certified beds For profit - Corporation Chain: Avir Health Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
83% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.08 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 2.82 | ≈ weekday level |
| Nursing turnover / year | 83% | median 45% |
| Fines (3-yr window) | 2 · $63,121 |
Inspection citations (44 in the current record)
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Potential for harm · E January 8, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 10, 2026 · Infection Control
-
Potential for harm · D July 10, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 10, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 11, 2025 · Pharmacy Service
-
No harm found · C July 10, 2025 · found via complaint
Post nurse staffing information every day.
Corrected July 11, 2025 · Nursing and Physician Services
-
Potential for harm · D February 12, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected February 13, 2025 · Resident Rights
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Potential for harm · D February 12, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected February 13, 2025 · Resident Rights
-
Potential for harm · D February 12, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 12, 2025
Respond appropriately to all alleged violations.
Corrected February 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 12, 2025
Ensure each resident receives an accurate assessment.
Corrected February 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 12, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 13, 2025 · Pharmacy Service
-
Potential for harm · D February 12, 2025
Provide and implement an infection prevention and control program.
Corrected February 13, 2025 · Infection Control
-
Immediate jeopardy · K January 19, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 9, 2025 · Quality of Life and Care
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Potential for harm · D January 19, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 19, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 20, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 22, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 24, 2024 · Quality of Life and Care
-
Immediate jeopardy · J January 13, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J January 13, 2024
Respond appropriately to all alleged violations.
Corrected February 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J January 13, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 15, 2024 · Quality of Life and Care
-
Potential for harm · D January 13, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 15, 2024 · Resident Rights
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Potential for harm · E January 13, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected February 15, 2024 · Resident Rights
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Potential for harm · D January 13, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected February 15, 2024 · Resident Rights
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Potential for harm · D January 13, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E January 13, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 15, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 19, 2025 | Fine | $49,205 |
| January 13, 2024 | Fine | $13,916 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455941 · certified since July 26, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.