Avir At Enchanted Rock
210 West Windcrest St, Fredericksburg, TX 78624 · Gillespie County
Government · 120 certified beds · 36% occupancy · (830) 637-7885
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.
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.
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 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
- Potential for harmTag F0760 · May 2, 2026Corrected May 4, 2026
Ensure that residents are free from significant medication errors.
Pharmacy Service 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★.