Avir at Fredericksburg
Nursing home in Fredericksburg, Texas, CMS certification number 675169
1117 S. Adams St., Fredericksburg, TX 78624 · Gillespie County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 90
- Certified for
- Medicare and Medicaid
- Last standard inspection
- June 20, 2025
- Deficiencies at that inspection
- 17
- Fines in 3 years
- $15,288 (1)
Does Avir at Fredericksburg take Medicare and Medicaid?
Yes to both. Avir at Fredericksburg 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 | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 4 of 5 |
| Short-stay quality | 5 of 5 |
Nurse staffing hours and turnover
These are the hours Avir at Fredericksburg 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
- 2.86
- Registered nurse hours
- 0.54
- Licensed practical nurse hours
- 0.63
- Nurse aide hours
- 1.70
- Weekend total hours
- 2.53
- Nursing staff turnover
- 78.6%
- Registered nurse turnover
- 55.6%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on June 20, 2025 and cited 17 deficiencies, plus 8 from complaint visits.
The visit before, on May 17, 2024, found 19.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Avir at Fredericksburg 1 time in the past 3 years, for $15,288 in total.
Beds and residents
On an average day 48.4 residents live here, about 54% of its 90 certified beds.
- Certified beds
- 90
- Average residents per day
- 48.4
- Certified since
- August 12, 1993
- Resident or family council
- Resident
Who owns Avir at Fredericksburg
- Legal business name
- Val Verde County Hospital District
- Ownership type
- For profit - Corporation
- Chain
- 118 homes nationally under Avir Health Group, 2.2-star chain average
Other nursing homes near Avir at Fredericksburg
- Avir at Enchanted Rock210 West Windcrest 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 Fredericksburg, 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 Fredericksburg
What is the CMS star rating of Avir at Fredericksburg?
2 out of 5 stars overall.
Does Avir at Fredericksburg accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Avir at Fredericksburg?
17 cited at the last standard visit.
Who owns Avir at Fredericksburg?
Val Verde County Hospital District, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.