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Data / Nursing homes / Texas / Avir at Enchanted Rock

Avir at Enchanted Rock, Fredericksburg, TX: 1 star rating, fined $63,121 across 2 fines

Avir at Enchanted Rock in Fredericksburg, TX is owned by Uvalde County Hospital District, is rated 1 of 5 stars by Medicare, and was fined $63,121 across 2 fines in the three years to October 1, 2026. CMS lists 48 health citations from inspections in that time, the latest survey on June 22, 2026, and 5 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
210 West Windcrest St, Fredericksburg, TX 78624
Overall rating
1 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
120
Residents per day
44 on average
Ownership type
Government, Hospital district
Legal business name
Uvalde County Hospital Authority
Chain
Avir Health Group, 118 facilities
Fines
$63,121 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
48, of which 5 with actual harm or immediate jeopardy
Latest survey
June 22, 2026
CMS Certification Number
455941
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
January 19, 2025Fine$49,205Not listeddata.cms.gov
January 13, 2024Fine$13,916Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 22, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 24, 2026data.cms.gov
May 13, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 16, 2026data.cms.gov
May 2, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedMay 4, 2026data.cms.gov
May 2, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2026data.cms.gov
May 2, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2026data.cms.gov
May 2, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2026data.cms.gov
May 2, 2026F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2026data.cms.gov
May 2, 2026F727Have 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 4, 2026data.cms.gov
May 2, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2026data.cms.gov
May 2, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 4, 2026data.cms.gov
May 2, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 4, 2026data.cms.gov
May 2, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2026data.cms.gov
May 2, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2026data.cms.gov
January 8, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2026data.cms.gov
July 10, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2025data.cms.gov
July 10, 2025F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedJuly 11, 2025data.cms.gov
July 10, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2025data.cms.gov
February 12, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2025data.cms.gov
February 12, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2025data.cms.gov
February 12, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2025data.cms.gov
February 12, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2025data.cms.gov
February 12, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2025data.cms.gov
February 12, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2025data.cms.gov
February 12, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2025data.cms.gov
February 12, 2025F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2025data.cms.gov
February 12, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2025data.cms.gov
January 19, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K: pattern, immediate jeopardyCorrectedFebruary 9, 2025data.cms.gov
January 19, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2025data.cms.gov
January 19, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2025data.cms.gov
June 22, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 24, 2024data.cms.gov
January 13, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F610Respond appropriately to all alleged violations.J: isolated, immediate jeopardyCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.J: isolated, immediate jeopardyCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F803Ensure 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.B: pattern, minimal harm potentialCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F760Ensure that residents are free from significant medication errors.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F585Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 13, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 8 individual or personal trusts (3 managers, 3 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Uvalde County Hospital DistrictDirect owner100%March 1, 2025data.cms.gov
210 West Windcrest Street OPCO, LLCOperational or managerial controlNot listedMarch 1, 2025data.cms.gov
Welltower IncSecurity interestNot listedMarch 1, 2025data.cms.gov
Welltower NNN Group, LLCSecurity interestNot listedMarch 1, 2025data.cms.gov
Welltower OP LLCSecurity interestNot listedMarch 1, 2025data.cms.gov
Welltower IncAdditional disclosable partyNot listedMarch 1, 2025data.cms.gov
Welltower NNN Group, LLCAdditional disclosable partyNot listedMarch 1, 2025data.cms.gov
Welltower OP LLCAdditional disclosable partyNot listedMarch 1, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.