Avir At Enchanted Rock
210 West Windcrest St, Fredericksburg, TX 78624 · Gillespie County
Government · 120 certified beds · 36% occupancy · (830) 637-7885
Avir At Enchanted Rock reviews: what the government record shows
The U.S. government (CMS) rates Avir At Enchanted Rock 2 out of 5 stars overall, below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 5 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 2 of 5 stars
- Nurse staffing
- 3.44 hrs/resident/day (+5% vs TX median)
- Antipsychotic drug use
- 4.6% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 5.4% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $63,121
- Inspection findings
- 48 cited, 5 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Strengths
- ✓Nurse staffing of 3.44 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !CMS rates it just 2 of 5 stars overall.
- !Cited for 5 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $63,121 in federal fines in roughly the last three years.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Avir At Enchanted Rock
Is Avir At Enchanted Rock a good nursing home?
Avir At Enchanted Rock in Fredericksburg, Texas holds a 2 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Avir At Enchanted Rock staffed?
Avir At Enchanted Rock reports 3.44 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Avir At Enchanted Rock been fined or flagged for abuse?
Avir At Enchanted Rock has paid approximately $63,121 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.44 nurse hours per resident per day. 5% above the Texas median of 3.27.
Nursing staff turnover: 78.9% · RN turnover: 80%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0689 · May 2, 2026Corrected May 4, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0656 · May 2, 2026Corrected May 4, 2026
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
- Potential for harmTag F0684 · May 2, 2026Corrected May 4, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Potential for harmTag F0727 · May 2, 2026Corrected May 4, 2026
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.
Nursing and Physician Services Deficiencies
- Potential for harmTag F0880 · Jan 8, 2026ComplaintCorrected Jan 10, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0755 · Jun 22, 2026ComplaintCorrected Jun 24, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0842 · May 13, 2026ComplaintCorrected May 16, 2026
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
- Potential for harmTag F0609 · May 2, 2026Corrected May 4, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0610 · May 2, 2026Corrected May 4, 2026
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0690 · May 2, 2026Corrected May 4, 2026
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
Showing the 10 most recent and serious of 48 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is government (government - hospital district). It is part of the Avir Health Group chain, which operates 116 facilities, with a chain-average CMS rating of 2.3 stars.