Avir At Fredericksburg
1117 S Adams St, Fredericksburg, TX 78624 · Gillespie County
For-profit · 90 certified beds · 55% occupancy · (830) 997-4364
The U.S. government (CMS) rates Avir At Fredericksburg 3 out of 5 stars overall — average. Its nurse staffing is 12% below the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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.
2.86 nurse hours per resident per day. 12% below the Texas median of 3.27.
Nursing staff turnover: 87.8% · RN turnover: 77.8%
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 F0760 · May 27, 2026Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
- Potential for harmTag F0604 · Jun 20, 2025Corrected Jun 29, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0755 · Jun 20, 2025ComplaintCorrected Jun 29, 2025
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 F0801 · Jun 20, 2025ComplaintCorrected Jun 29, 2025
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
- Potential for harmTag F0809 · Jun 20, 2025Corrected Jun 29, 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.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0812 · Jun 20, 2025Corrected Jun 29, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Jun 20, 2025Corrected Jun 29, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0656 · Dec 4, 2025ComplaintCorrected Dec 5, 2025
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 F0552 · Jun 20, 2025Corrected Jun 29, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
- Potential for harmTag F0641 · Jun 20, 2025ComplaintCorrected Jun 29, 2025
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Showing the 10 most recent and serious of 47 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Avir Health Group chain (119 facilities), chain average overall rating 2.3★.