Memory careAssisted living
Avir at Enchanted Rock
0.00 reviews · 0 verifiedFredericksburg, TXLic. 455941
JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations
VBP-SLow SNF VBP readmission measure score (0.0)Source: CMS SNF VBP (PDC)
VBP-RElevated VBP readmission rate (22.4%)Source: CMS SNF VBP (PDC)
FINECMS fine: $49,205Source: CMS Penalties
FINECMS fine: $13,916Source: CMS Penalties
VBPLower SNF VBP program ranking (#12,522)Source: CMS SNF VBP (PDC)
Provided by facility
Avir at Enchanted Rock, located in Fredericksburg, TX, offers compassionate rehabilitative care aimed at helping patients regain their independence. The facility provides a range of services including short-term rehabilitation, long-term care, and specialized dementia care, all tailored to individual health goals. With a focus on personalized attention and a nurturing environment, residents benefit from a dedicated in-house therapy team and 24/7 skilled nursing care. Amenities include on-demand meal service, daily enrichment activities, and transportation services for medical appointments.
Transportation & ShoppingGeneral Transportation Services
TherapiesOn-Site Rehabilitation Services
Safety & SecuritySecured Memory Care Unit
CMS Care CompareView on Medicare.gov →
Medicare overall
1/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
2.68 total HPRDRN 0.33 · weekend 101%Oct 2025 – Dec 2025
Survey history
10 inspections55 deficiencies on record
Federal IDs
CCN 455941
Overall: 1/5 · Health: 2/5 · Staffing: 1/5 · QM: 4/5
Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.
Recent inspections
Fire safetyMay 2026 · STATE FIRE MARSHAL6 deficiencies
- K-211SS E — Keep aisles, corridors, and exits free of obstruction in case of emergency.
- K-281SS E — Install proper backup exit lighting.
- K-321SS E — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- K-345SS D — Have approved installation, maintenance and testing program for fire alarm systems.
- K-372SS E — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- K-374SS E — Install smoke barrier doors that can resist smoke for at least 20 minutes.
Health surveyJan 2026 · CMS1 deficiencies
- F-880SS E — Provide and implement an infection prevention and control program.
Health surveyJul 2025 · CMS3 deficiencies
- F-644SS D — Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- F-732SS C — Post nurse staffing information every day.
- F-755SS D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Fire safetyFeb 2025 · STATE FIRE MARSHAL2 deficiencies
- K-281SS E — Install proper backup exit lighting.
- K-511SS D — Have properly installed electrical wiring and gas equipment.
Health surveyFeb 2025 · CMS9 deficiencies
- F-558SS D — Reasonably accommodate the needs and preferences of each resident.
- F-578SS D — Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F-610SS D — Respond appropriately to all alleged violations.
- F-641SS D — Ensure each resident receives an accurate assessment.
- F-655SS E — Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- F-656SS D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-755SS D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F-880SS D — Provide and implement an infection prevention and control program.
Health surveyJan 2025 · CMS3 deficiencies
- F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F-656SS E — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-689SS K — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Health surveyJun 2024 · CMS1 deficiencies
- F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Fire safetyJan 2024 · STATE FIRE MARSHAL3 deficiencies
- K-211SS D — Keep aisles, corridors, and exits free of obstruction in case of emergency.
- K-293SS D — Have properly located and lighted "Exit" signs.
- K-511SS D — Have properly installed electrical wiring and gas equipment.
Health surveyJan 2024 · CMS18 deficiencies
- F-580SS D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F-584SS E — Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F-585SS D — Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- F-607SS J — Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F-610SS J — Respond appropriately to all alleged violations.
- F-656SS E — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-657SS E — Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F-686SS D — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F-689SS J — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-695SS D — Provide safe and appropriate respiratory care for a resident when needed.
- F-759SS E — Ensure medication error rates are not 5 percent or greater.
- F-760SS E — Ensure that residents are free from significant medication errors.
- F-761SS E — Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- F-803SS B — Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- F-812SS E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-880SS D — Provide and implement an infection prevention and control program.
- F-919SS E — Make sure that a working call system is available in each resident's bathroom and bathing area.
Health surveyNov 2022 · CMS9 deficiencies
- F-578SS E — Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- F-645SS D — PASARR screening for Mental disorders or Intellectual Disabilities
- F-656SS D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-657SS E — Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F-686SS D — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-842SS D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F-880SS D — Provide and implement an infection prevention and control program.
- F-921SS E — Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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Write a reviewOperated by AVIR HEALTH GROUP (independent) since 1991.
- Mar 2025
operator transition — UVALDE COUNTY HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST (100%) — UVALDE COUNTY HOSPITAL DISTRICT