Avir at Enchanted Rock
Nursing home in Fredericksburg, Texas, CMS certification number 455941
210 West Windcrest St, Fredericksburg, TX 78624 · Gillespie County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 120
- Certified for
- Medicare and Medicaid
- Last standard inspection
- May 2, 2026
- Deficiencies at that inspection
- 13
- Fines in 3 years
- $63,121 (2)
Does Avir at Enchanted Rock take Medicare and Medicaid?
Yes to both. Avir at Enchanted Rock is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 2 of 5 |
Nurse staffing hours and turnover
These are the hours Avir at Enchanted Rock reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.17
- Registered nurse hours
- 0.35
- Licensed practical nurse hours
- 1.11
- Nurse aide hours
- 1.71
- Weekend total hours
- 2.69
- Nursing staff turnover
- 75%
- Registered nurse turnover
- 71.4%
- Administrators who left
- 2
Health inspections and complaints
Inspectors last made a standard visit on May 2, 2026 and cited 13 deficiencies, plus 3 from complaint visits.
The visit before, on February 12, 2025, found 9.
Infection control citations: 0.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Avir at Enchanted Rock 2 times in the past 3 years, for $63,121 in total.
Beds and residents
On an average day 44.5 residents live here, about 37% of its 120 certified beds.
- Certified beds
- 120
- Average residents per day
- 44.5
- Certified since
- July 26, 1991
- Resident or family council
- Resident
Who owns Avir at Enchanted Rock
- Legal business name
- Uvalde County Hospital Authority
- Ownership type
- Government - Hospital district
- Chain
- 118 homes nationally under Avir Health Group, 2.2-star chain average
Other nursing homes near Avir at Enchanted Rock
- Avir at Fredericksburg1117 S. Adams St., Fredericksburg 78624
- Knopp Nursing & Rehab Center Inc202 Billie Dr, Fredericksburg 78624
- Knopp Healthcare and Rehab Center Inc1208 N Llano, Fredericksburg 78624
- Avir at Comfort615 Faltin St., Comfort 78013
- Hilltop Village Nursing and Rehabilitation1400 Hilltop Rd, Kerrville 78028
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Avir at Enchanted Rock, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Avir at Enchanted Rock
What is the CMS star rating of Avir at Enchanted Rock?
1 out of 5 stars overall.
Does Avir at Enchanted Rock accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Avir at Enchanted Rock?
13 cited at the last standard visit.
Who owns Avir at Enchanted Rock?
Uvalde County Hospital Authority, government - hospital district.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.