Avir at Fredericksburg
Avir at Fredericksburg is a 90-bed nursing home in FREDERICKSBURG, Texas. CMS has certified it for Medicare and Medicaid since 1993-08-12. It averages 49.1 residents a day.
What harm was found in the violations cited at Avir at Fredericksburg?
CMS lists 48 health-inspection deficiencies for Avir at Fredericksburg since 2023-03-26, 37 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-26.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-26 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-05-27 | F0760 | Ensure that residents are free from significant medication errors. | J |
| 2025-12-04 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-06-20 | F0604, F0755, F0801, F0809, F0812, F0880 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2025-06-20 | F0552, F0641, F0656, F0690, F0726, F0761, F0842 | Ensure that residents are fully informed and understand their health status, care and treatments. / 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 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 nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-06-20 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
| 2024-05-17 | F0550, F0656, F0657, F0726, F0803, F0806, F0809, F0814, F0880, F0908 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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 that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / 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. / Dispose of garbage and refuse properly. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely. | E |
| 2024-05-17 | F0641, F0661, F0684, F0690, F0759, F0760, F0801, F0805 | Ensure each resident receives an accurate assessment. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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 medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D |
| 2024-05-17 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
| 2024-03-07 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2023-03-26 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2023-03-26 | F0656, F0727, F0745, F0812, F0940 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E |
| 2023-03-26 | F0609, F0641, F0801, F0842 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2023-03-26 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
Why was Avir at Fredericksburg fined?
| Date | Type | Amount |
|---|---|---|
| 2026-05-27 | Fine | $23,520 |
How is Avir at Fredericksburg staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.86270 | 3.38539 |
| Total nursing staff turnover (%) | 87.8 | 55.3 |
| Average number of residents per day | 49.1 | 75.8 |
Who owns Avir at Fredericksburg, and what chain is it in?
Avir at Fredericksburg is registered with CMS as For profit - Corporation, operates under the legal business name VAL VERDE COUNTY HOSPITAL DISTRICT and belongs to the AVIR HEALTH GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | VAL VERDE COUNTY HOSPITAL DISTRICT | since 11/01/2020 |
| CORPORATE OFFICER | JURADO, JORGE | since 06/01/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | 1117 S ADAMS STREET OPCO, LLC, FREUND, NOCHUM, KOTHMANN, JOHN, TRAVITSKY, AARON | since 03/01/2025 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | DAGAN, AMITAI, GOLDBERGER, ABRAHAM | since 04/16/2025 |
| ADP OF THE SNF | 1117 S ADAMS STREET PROPERTY OWNER, LLC, WELLTOWER INC, WELLTOWER NNN GROUP, LLC, WELLTOWER OP, LLC, DENNIS, WANDA, KOTHMANN, JOHN | since 03/01/2025 |
Were you or a family member harmed at Avir at Fredericksburg?