Nursing homes › Texas › Avir at Fredericksburg
1117 S Adams St, Fredericksburg, TX 78624 · 8309974364 · 90 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 above its group average (2.3/5).
Total nurse staffing: 2.86 (Texas median: 3.27). RN hours: 0.45. Weekend total: 2.57. Nursing staff turnover: 88%.
All-time on record: 47 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-27 | Ensure that residents are free from significant medication errors. | J | complaint | Past Non-Compliance |
| 2025-12-04 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-12-05 |
| 2025-06-20 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Health | corrected 2025-06-29 |
| 2025-06-20 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2025-06-29 |
| 2025-06-20 | 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. | E | complaint | corrected 2025-06-29 |
| 2025-06-20 | 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. | E | Health | corrected 2025-06-29 |
| 2025-06-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-06-29 |
| 2025-06-20 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-06-29 |
| 2025-06-20 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-06-29 |
| 2025-06-20 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2025-06-29 |
| 2025-06-20 | 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 2025-06-29 |
| 2025-06-20 | 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 | complaint | corrected 2025-06-29 |
| 2025-06-20 | 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. | D | Health | corrected 2025-06-29 |
| 2025-06-20 | 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. | D | complaint | corrected 2025-06-29 |
| 2025-06-20 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-06-29 |
| 2025-06-20 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Health | corrected 2025-06-29 |
| 2024-05-17 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2024-06-17 |
| 2024-05-17 | 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 2024-06-17 |
| 2024-05-17 | 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 2024-06-17 |
| 2024-05-17 | 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. | E | Health | corrected 2024-06-17 |
| 2024-05-17 | 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. | E | Health | corrected 2024-06-17 |
| 2024-05-17 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Health | corrected 2024-06-17 |
| 2024-05-17 | 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. | E | Health | corrected 2024-06-17 |
| 2024-05-17 | Dispose of garbage and refuse properly. | E | Health | corrected 2024-06-17 |
| 2024-05-17 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-06-17 |
| 2024-05-17 | Keep all essential equipment working safely. | E | Health | corrected 2024-06-17 |
| 2024-05-17 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-06-17 |
| 2024-05-17 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Health | corrected 2024-06-07 |
| 2024-05-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-06-17 |
| 2024-05-17 | 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 2024-06-17 |
| 2024-05-17 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-06-17 |
| 2024-05-17 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2024-06-17 |
| 2024-05-17 | 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. | D | Health | corrected 2024-06-17 |
| 2024-05-17 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Health | corrected 2024-06-17 |
| 2024-05-17 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Health | corrected 2024-06-17 |
| 2024-03-07 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-03-08 |
| 2023-03-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Health | corrected 2023-04-14 |
| 2023-03-26 | 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 2023-04-14 |
| 2023-03-26 | 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 2023-04-14 |
| 2023-03-26 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Health | corrected 2023-04-14 |
| Date | Type | Amount |
|---|---|---|
| 2026-05-27 | Fine | $23,520 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| VAL VERDE COUNTY HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 11/01/2020 |
| JURADO, JORGE | Corporate Officer | Individual | NOT APPLICABLE | since 06/01/2022 |
| 1117 S ADAMS 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 |
| KOTHMANN, JOHN | 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 675169. Corrections: data@carerecords.org.