Avir at Enchanted Rock
Avir at Enchanted Rock is a 120-bed nursing home in Fredericksburg, Texas. CMS has certified it for Medicare and Medicaid since 1991-07-26. It averages 42.6 residents a day.
What harm was found in the violations cited at Avir at Enchanted Rock?
CMS lists 48 health-inspection deficiencies for Avir at Enchanted Rock, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-22.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-22 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2026-05-13 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-05-02 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2026-05-02 | F0656, F0684, F0727 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. | E |
| 2026-05-02 | F0609, F0610, F0690, F0760, F0812, F0842, F0880 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure that residents are free from significant medication errors. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2026-01-08 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2025-07-10 | F0644, F0755 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-07-10 | F0732 | Post nurse staffing information every day. | C |
| 2025-02-12 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E |
| 2025-02-12 | F0558, F0578, F0609, F0610, F0641, F0656, F0755, F0880 | Reasonably accommodate the needs and preferences of each resident. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. | D |
| 2025-01-19 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| 2025-01-19 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2025-01-19 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-06-22 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-01-13 | F0607, F0610, F0689 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-01-13 | F0584, F0656, F0657, F0759, F0760, F0761, F0812, F0919 | 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2024-01-13 | F0580, F0585, F0609, F0686, F0695, F0880 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. | D |
| 2024-01-13 | F0803 | 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. | B |
Why was Avir at Enchanted Rock fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-01-19 | Fine | $49,205 |
| 2024-01-13 | Fine | $13,916 |
How is Avir at Enchanted Rock staffed?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.44222 | 3.38539 |
| Total nursing staff turnover (%) | 78.9 | 55.3 |
| Average number of residents per day | 42.6 | 75.8 |
Who owns Avir at Enchanted Rock, and what chain is it in?
Avir at Enchanted Rock is registered with CMS as Government - Hospital district, operates under the legal business name UVALDE COUNTY HOSPITAL AUTHORITY and belongs to the AVIR HEALTH GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | UVALDE COUNTY HOSPITAL DISTRICT | since 03/01/2025 |
| 5% OR GREATER SECURITY INTEREST | WELLTOWER INC, WELLTOWER NNN GROUP, LLC, WELLTOWER OP, LLC | since 03/01/2025 |
| CORPORATE OFFICER | APOLINAR, ADAM | since 07/23/2015 |
| OPERATIONAL/MANAGERIAL CONTROL | 210 WEST WINDCREST STREET OPCO, LLC, FREUND, NOCHUM, PADILLA, ADRIAN, TRAVITSKY, AARON | since 03/01/2025 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | DAGAN, AMITAI, GOLDBERGER, ABRAHAM | since 04/25/2025 |
| ADP OF THE SNF | WELLTOWER INC, WELLTOWER NNN GROUP, LLC, WELLTOWER OP, LLC, HERREN, RICHARD, PADILLA, ADRIAN | since 03/01/2025 |
Were you or a family member harmed at Avir at Enchanted Rock?