Nursing homes › Texas › Avir at Enchanted Rock
210 West Windcrest St, Fredericksburg, TX 78624 · 8306377885 · 120 certified beds
Per CMS filings, this facility is affiliated with Avir Health Group, a group operating 119 facilities in 1 states. Group record: average rating 2.3/5, 21 abuse citation icons, 3 facilities on the Special Focus list, $7,752,055 in federal fines. This facility rates below its group average (2.3/5).
Total nurse staffing: 3.44 (Texas median: 3.27). RN hours: 0.47. Weekend total: 2.94. Nursing staff turnover: 79%.
All-time on record: 47 deficiency citations, including 5 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-13 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-05-16 |
| 2026-05-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Health | corrected 2026-05-04 |
| 2026-05-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2026-05-04 |
| 2026-05-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2026-05-04 |
| 2026-05-02 | 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 | Health | corrected 2026-05-04 |
| 2026-05-02 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2026-05-04 |
| 2026-05-02 | Respond appropriately to all alleged violations. | D | Health | corrected 2026-05-04 |
| 2026-05-02 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2026-05-04 |
| 2026-05-02 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2026-05-04 |
| 2026-05-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2026-05-04 |
| 2026-05-02 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-05-04 |
| 2026-05-02 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-05-04 |
| 2026-01-08 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2026-01-10 |
| 2025-07-10 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | corrected 2025-07-11 |
| 2025-07-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-07-11 |
| 2025-07-10 | Post nurse staffing information every day. | C | complaint | corrected 2025-07-11 |
| 2025-02-12 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Health | corrected 2025-02-13 |
| 2025-02-12 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-02-13 |
| 2025-02-12 | 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. | D | Health | corrected 2025-02-13 |
| 2025-02-12 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2025-02-13 |
| 2025-02-12 | Respond appropriately to all alleged violations. | D | Health | corrected 2025-02-13 |
| 2025-02-12 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-02-13 |
| 2025-02-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-02-13 |
| 2025-02-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-02-13 |
| 2025-02-12 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-02-13 |
| 2025-01-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | complaint | corrected 2025-02-09 |
| 2025-01-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2025-01-20 |
| 2025-01-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-01-20 |
| 2024-06-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-06-24 |
| 2024-01-13 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Health | corrected 2024-02-15 |
| 2024-01-13 | Respond appropriately to all alleged violations. | J | Health | corrected 2024-02-15 |
| 2024-01-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Health | corrected 2024-02-15 |
| 2024-01-13 | 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. | E | Health | corrected 2024-02-15 |
| 2024-01-13 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-02-15 |
| 2024-01-13 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2024-02-15 |
| 2024-01-13 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2024-02-15 |
| 2024-01-13 | Ensure that residents are free from significant medication errors. | E | Health | corrected 2024-02-15 |
| 2024-01-13 | 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. | E | Health | corrected 2024-02-15 |
| 2024-01-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-02-15 |
| 2024-01-13 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Health | corrected 2024-02-15 |
| Date | Type | Amount |
|---|---|---|
| 2025-01-19 | Fine | $49,205 |
| 2024-01-13 | Fine | $13,916 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| UVALDE COUNTY HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 03/01/2025 |
| APOLINAR, ADAM | Corporate Officer | Individual | NOT APPLICABLE | since 07/23/2015 |
| 210 WEST WINDCREST STREET OPCO, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2025 |
| FREUND, NOCHUM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2025 |
| PADILLA, ADRIAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2025 |
| TRAVITSKY, AARON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455941. Corrections: data@carerecords.org.