Avir at Fredericksburg
1117 S Adams St · Fredericksburg, TX · 78624 · 8309974364
90 certified beds For profit - Corporation Chain: Avir Health Group
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Total nurse staffing below 3.0 hours per resident-day
2.87 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
88% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.87 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 2.72 | ≈ weekday level |
| Nursing turnover / year | 88% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (46 in the current record)
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Potential for harm · D December 4, 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 December 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 20, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected June 29, 2025 · Resident Rights
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Potential for harm · E June 20, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected June 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 20, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 20, 2025
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.
Corrected June 29, 2025 · Nursing and Physician Services
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Potential for harm · E June 20, 2025
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.
Corrected June 29, 2025 · Nutrition and Dietary
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Potential for harm · E June 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 29, 2025 · Nutrition and Dietary
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Potential for harm · D June 20, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 20, 2025
Provide and implement an infection prevention and control program.
Corrected June 29, 2025 · Infection Control
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Potential for harm · D June 20, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected June 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 20, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 29, 2025 · Quality of Life and Care
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Potential for harm · E June 20, 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 June 29, 2025 · Pharmacy Service
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Potential for harm · D June 20, 2025 · found via complaint
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.
Corrected June 29, 2025 · Pharmacy Service
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Potential for harm · E June 20, 2025 · found via complaint
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.
Corrected June 29, 2025 · Nutrition and Dietary
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No harm found · B June 20, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected June 29, 2025 · Environmental
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Potential for harm · E May 17, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 17, 2024 · Resident Rights
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Potential for harm · D May 17, 2024
Ensure each resident receives an accurate assessment.
Corrected June 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 17, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 17, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 17, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected June 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 17, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 17, 2024 · Quality of Life and Care
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Potential for harm · D May 17, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 17, 2024 · Quality of Life and Care
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Potential for harm · E May 17, 2024
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.
Corrected June 17, 2024 · Nursing and Physician Services
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Potential for harm · D May 17, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected June 17, 2024 · Pharmacy Service
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Potential for harm · D May 17, 2024
Ensure that residents are free from significant medication errors.
Corrected June 17, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675169 · certified since August 12, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.