Avir at Fredericksburg

Nursing Home · Fredericksburg, TX

CMS overall rating 3/5 For profit - Corporation

CMS certification number675169

Contact & location

1117 S. Adams St.
Fredericksburg, TX 78624
Gillespie County
Phone
(830) 997-4364
ZIP code
78624 – all care providers

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Facility details

Certified beds
90
Residents per day
49.1 (55% occupied)
Ownership
For profit - Corporation
Legal name
Val Verde County Hospital District
Chain
Avir Health Group (116 facilities, avg 2.3★)
Medicare certified since
August 12, 1993
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 1.9
Quality measures★★★★★ 5/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.86 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.45 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.77 (state 0.95 · U.S. 0.86)
Nurse aides
1.64 (state 2.00 · U.S. 2.32)
Weekend total
2.57 (state 2.98 · U.S. 3.42)
Nursing staff turnover
87.8 (state 55.3 · U.S. 45.8)%
RN turnover
77.8 (state 54.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 20, 2025
Health deficiencies (last cycle)
17.0 (state 9.3 · U.S. 9.3)
From complaints
8
Citations on record (3 years)
48 health · 16 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-26 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-11
2026-05-27 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Past Non-Compliance
2025-12-04 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-05
2025-06-20 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-29
2025-06-20 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-29
2025-06-20 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-29
2025-06-20 Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
F0809 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-29
2025-06-20 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-29
2025-06-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-29
2025-06-20 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-29
2025-06-20 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-29
2025-06-20 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-29
2025-06-20 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-29
2025-06-20 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-29
2025-06-20 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-29
2025-06-20 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-29
2025-06-20 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F0912 · Environmental Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-06-29
2024-05-17 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 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.
F0803 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
F0809 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
F0661 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-07
2024-05-17 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-05-17 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F0912 · Environmental Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2024-06-17
2024-03-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2023-03-26 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-04-14
2023-03-26 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-04-14
2023-03-26 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.
F0727 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-04-14
2023-03-26 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-04-14
2023-03-26 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-04-14
2023-03-26 Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F0940 · Administration Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-04-14
2023-03-26 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-04-14
2023-03-26 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-04-14
2023-03-26 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-04-14
2023-03-26 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-04-14
2023-03-26 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F0912 · Environmental Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2023-04-14

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $23,520 in fines.

DateTypeAmount
2026-05-27Fine$23,520

Ownership & management

NameRoleSince
Val Verde County Hospital District (organization)5%+ Direct Ownership Interest · 100%
1117 S Adams Street Property Owner, LLC (organization)Administrator · NOT APPLICABLE
Dennis, Wanda (individual)Administrator · NOT APPLICABLE
Kothmann, John (individual)Administrator · NOT APPLICABLE
Welltower INC (organization)Administrator · NOT APPLICABLE
Welltower NNN Group, LLC (organization)Administrator · NOT APPLICABLE
Welltower Op, LLC (organization)Administrator · NOT APPLICABLE
Jurado, Jorge (individual)Corporate Officer · NOT APPLICABLE
Dagan, Amitai (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Goldberger, Abraham (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
1117 S Adams Street Opco, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Freund, Nochum (individual)Operational/managerial Control · NOT APPLICABLE
Kothmann, John (individual)Operational/managerial Control · NOT APPLICABLE
Travitsky, Aaron (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Avir at Fredericksburg?

Avir at Fredericksburg has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Avir at Fredericksburg have?

It has 90 certified beds and cares for about 49 residents per day.

Has Avir at Fredericksburg been fined?

Yes. CMS lists 1 penalty totaling $23,520 in the last three years.

Who owns Avir at Fredericksburg?

It is part of Avir Health Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Avir at Fredericksburg?

(830) 997-4364. The facility is located at 1117 S. Adams St., Fredericksburg, TX 78624.

Other nursing homes in Fredericksburg

Compare all nursing homes in Fredericksburg, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.