Avir at Enchanted Rock

210 West Windcrest St
Fredericksburg TX 78624
Phone: 8306377885

Government - Hospital district

Official CMS provider data, processing date 2026-09-01. Not an endorsement.

CMS overall rating
2/5
Below average
Overall rating2/5
Health inspections2/5
Staffing2/5
Quality measures4/5
Long-stay quality5/5
Short-stay quality2/5
  • Overall rating vs. the Texas average: 0.7 star lower (2.7), below average
  • Overall rating vs. the national average: 1.0 star lower (3.0), below average
  • Overall rating vs. the Fredericksburg average: 0.2 star lower (2.2), below average

CMS does not record an abuse citation or Special Focus designation for this facility in the current data.

Facility details

Size, ownership, and inspection history as reported to CMS.

Certified beds120
Average residents per day42.6
Occupancy36%
OwnershipGovernment - Hospital district
ChainAVIR HEALTH GROUP (118 facilities)
CountyGillespie
Provider typeMedicare and Medicaid
First certified for Medicare & Medicaid1991-07-26
CMS certification number (CCN)455941
Health deficiencies in the latest inspection cycle13

Staffing and turnover

Staffing hours and turnover are among the most predictive measures CMS publishes.

Adjusted total nurse staffing hours per resident per day3.67
Reported total nurse staffing hours per resident per day3.44
Registered nurse turnover80.0%
Total nursing staff turnover78.9%
Resident and family councilNo

Fines and penalties

Civil money penalties and payment denials on record, as published by CMS.

Fines (count)2
Fines (total value)$63,121
Payment denials0
Total penalties2
This facility has $63,121 in federal fines on record. Penalties are not proof of poor care on any given day, but a pattern of fines and inspections is the strongest public signal of a compliance record.

Other nursing homes in Fredericksburg

Compare this facility with others in the same city, highest rated first.

Questions to ask Avir at Enchanted Rock

  • What are the staffing levels on the specific unit my relative would be admitted to, and how do they compare with the figures above?
  • How many residents were transferred to hospital in the last year, and for what reasons?
  • What was cited at the most recent inspection, and what has changed since?
  • Does this facility accept Medicaid on admission, and what happens when private funds are exhausted?
  • What is the all-in monthly cost, including therapy, pharmacy, and any ventilator or dialysis surcharges?

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Is Avir at Enchanted Rock highly rated?

CMS rates it 2 out of 5 overall, which CMS labels "Below average". Health inspections rate 2, staffing 2, and quality measures 4.

How many beds does Avir at Enchanted Rock have?

CMS certifies 120 beds; the facility reports an average of 42.6 residents per day (about 36% occupancy).

Does Avir at Enchanted Rock have any fines or citations?

Yes. CMS records $63,121 in fines and 0 payment denials for this facility.

Has Avir at Enchanted Rock been cited for abuse?

CMS does not record an abuse citation or Special Focus designation for this facility in the current data.