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Nursing home report

Avir at Enchanted Rock

FREDERICKSBURG, TX · Medicare-certified · 120 beds

Needs attention
For-profitChain member
1 of 5 overall

1 out of 5 stars overall. Avir at Enchanted Rock has 1-star staffing and 2-star health inspection results, reported nurse staffing below the 4.1-hour federal benchmark (3.08 hours/resident/day), and $49,205 in fines over the last 24 months, including a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.0784 hrs/resident/day

Quality measures

Last inspection: January 8, 2026Penalties, last 24 months: $49,205recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0784.

Staffing detail

Registered nurses
0.33
Licensed practical nurses
1.04
Nurse aides
1.71
Weekend nursing
2.82

Hours per resident per day.

Total staff turnover: 83%
Registered nurse turnover: 90%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

3.7%8.3%Worsening

Residents with a fall causing major injury

6.8%2.4%Improving

Residents with pressure ulcers (bedsores)

5%4.6%No change

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

5%6.1%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

5.6%9.4%Worsening

Residents whose ability to walk got worse

15.5%

Long-stay residents on antianxiety or sleep medication

30%20.6%Improving

Short-stay residents newly given an antipsychotic

0%3.3%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

23.8%18%Improving

Residents with depressive symptoms

2.3%0%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%95.1%Worsening

Short-stay residents given the seasonal flu vaccine

71.1%

Short-stay residents given the pneumonia vaccine

71.1%28.3%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: K

The home failed to respond appropriately to all reported abuse or neglect concerns. Cited January 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 610 — 42 CFR §483.12 — S/S: J

The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited January 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 607 — 42 CFR §483.12 — S/S: J

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 655 — 42 CFR §483.21 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $49,205 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $63,121 in total fines.

  • Federal fine

    Jan 19, 2025

    $49,205
  • Federal fine

    Jan 13, 2024

    $13,916

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
Occupancy
45.9 residents on an average day (38% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.