CareSentinel

Federal Nursing-Home Survey Record

AVIR AT FREDERICKSBURG

CCN 675169 · 1117 S ADAMS ST, FREDERICKSBURG, TX, 78624 · Operated within the AVIR HEALTH GROUP chain

Does AVIR AT FREDERICKSBURG have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), AVIR AT FREDERICKSBURG (CCN 675169), in FREDERICKSBURG, TX, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 15 deficiencies; the most serious carries scope/severity E on CMS's A–L scale. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 4  ·  CMS state average: 2.7

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-12-04
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-06-20
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2025-06-20
CURRENT CYCLE
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-06-20
CURRENT CYCLE
F604S/S E

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

2025-06-20
CURRENT CYCLE
F809S/S E

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.

2025-06-20
CURRENT CYCLE
F755S/S E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-06-20
CURRENT CYCLE
F801S/S E

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.

2025-06-20
CURRENT CYCLE
F761S/S D

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.

2025-06-20
CURRENT CYCLE
F726S/S D

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.

2025-06-20
CURRENT CYCLE
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2025-06-20
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2025-06-20
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-06-20
CURRENT CYCLE
F552S/S D

Ensure that residents are fully informed and understand their health status, care and treatments.

2025-06-20
CURRENT CYCLE
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2025-06-20
CURRENT CYCLE
F912S/S B

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

2024-05-17
HISTORICAL
F814S/S E

Dispose of garbage and refuse properly.

2024-05-17
HISTORICAL
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-05-17
HISTORICAL
F657S/S E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-05-17
HISTORICAL
F726S/S E

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.

2024-05-17
HISTORICAL
F803S/S E

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.

2024-05-17
HISTORICAL
F806S/S E

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

2024-05-17
HISTORICAL
F809S/S E

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.

2024-05-17
HISTORICAL
F550S/S E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2024-05-17
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2024-05-17
HISTORICAL
F908S/S E

Keep all essential equipment working safely.

2024-05-17
HISTORICAL
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2024-05-17
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-05-17
HISTORICAL
F801S/S D

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.

2024-05-17
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2024-05-17
HISTORICAL
F805S/S D

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

2024-05-17
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2024-05-17
HISTORICAL
F661S/S D

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

2024-05-17
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2024-05-17
HISTORICAL
F912S/S B

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

2024-03-07
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2023-03-26
HISTORICAL
F684S/S J

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-03-26
HISTORICAL
F745S/S E

Provide medically-related social services to help each resident achieve the highest possible quality of life.

2023-03-26
HISTORICAL
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2023-03-26
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2023-03-26
HISTORICAL
F940S/S E

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

2023-03-26
HISTORICAL
F727S/S E

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.

2023-03-26
HISTORICAL
F801S/S D

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.

2023-03-26
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2023-03-26
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2023-03-26
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2023-03-26
HISTORICAL
F912S/S B

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at AVIR AT FREDERICKSBURG?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…