The nursing home failed to ensure residents were free from significant medication errors. Cited May 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
Fredericksburg Nursing and Rehab
Registered name: Avir at Fredericksburg
FREDERICKSBURG, TX · Medicare-certified · 90 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
3 of 5 overall
Fredericksburg Nursing and Rehab has a 3-star overall rating, with weaker health inspection and staffing ratings at 2 stars each, but a 5-star quality measure rating. Reported nurse staffing is 2.86 hours per resident per day, below the federal benchmark of 4.1, and the facility had $15,288 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.8627 hrs/resident/day
Quality measures
Last inspection: June 26, 2026Penalties, last 24 months: $15,288recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8627.
Staffing detail
- Registered nurses
- 0.45
- Licensed practical nurses
- 0.77
- Nurse aides
- 1.64
- Weekend nursing
- 2.57
Hours per resident per day.
Total staff turnover: 88%
Registered nurse turnover: 78%
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
24%25.9%Worsening
Residents with a fall causing major injury
3.4%2.6%Improving
Residents with pressure ulcers (bedsores)
0%2.4%Worsening
Residents with a urinary tract infection
0%2.6%Worsening
Residents who lost too much weight
0%3.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%3.7%Worsening
Residents whose ability to walk got worse
—13.9%—
Long-stay residents on antianxiety or sleep medication
24%20%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
0%8%Worsening
Residents with depressive symptoms
3.7%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%46.2%Worsening
Short-stay residents given the pneumonia vaccine
100%61.1%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $15,288 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $23,520 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $15,288 in total fines.
- $15,288
Federal fine
May 27, 2026
Operator & ownership
Recent ownership change · Nov 1, 2020
Now operated by Val Verde County Hospital District, previously Fredericksburg Nursing and Rehabilitation LP.
- Ownership
- For profit - Corporation
- Chain
- Part of AVIR HEALTH GROUP · 118 homes · 2.3 stars avg
- Occupancy
- 49.1 residents on an average day (55% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.