Avir At Enchanted Rock
Fredericksburg, TX · Medicare and Medicaid-certified nursing home (CCN 455941) · 120 certified beds
Health inspection: 2 · Quality measures: 4 · Staffing: 2
Federal fines: 2 totaling $63,121
Phone: (830) 637-7885 · Verify on Medicare Care Compare ↗
CMS gives Avir At Enchanted Rock in Fredericksburg, TX an overall rating of 2 out of 5 stars, below the Texas state average of 2.65. Its health inspection rating is 2 stars and its staffing rating is also 2 stars.
Avir At Enchanted Rock reports 3.44 total nurse hours per resident per day, including 0.47 RN hours per resident per day, with a CMS staffing rating of 2 stars. Nursing staff turnover is reported at 78.9%, which is high.
Avir At Enchanted Rock has 2 federal fines on record totaling $63,121.00, with no payment denials. CMS does not list an abuse icon or Special Focus status for this facility in the available data.
About this facility
Avir At Enchanted Rock is a government (hospital district) owned nursing home in Fredericksburg, Gillespie County, Texas, certified for Medicare and Medicaid since July 26, 1991. The facility is certified for 120 beds, though its average daily census is 42.6 residents.
According to CMS Care Compare, Avir At Enchanted Rock holds an overall rating of 2 out of 5 stars, below the Texas state average of 2.65. Its component ratings are: health inspection 2 stars, staffing 2 stars, and quality measures 4 stars.
Nurse staffing totals 3.44 hours per resident per day, including 0.47 RN hours per resident per day. Nursing staff turnover is reported at 78.9%.
CMS records show 2 federal fines against this facility totaling $63,121.00. There are no payment denials on record. No abuse icon is flagged for this facility in the data provided, and no Special Focus status is listed.
Avir At Enchanted Rock is part of the Avir Health Group chain, which operates 116 facilities nationally with an average CMS rating of 2.3 stars. There has been no change in ownership within the last 12 months, so current ratings reflect the current operator.
Families evaluating this facility should note the below-average overall rating, elevated nursing turnover, and the fines on record when comparing options. Data source: CMS Medicare Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Avir At Enchanted Rock has an overall CMS rating of 2 out of 5 stars, which is below the Texas state average of 2.65.
Does this facility accept Medicare, Medicaid, or both?
Yes, it is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.44 hours per resident per day, including 0.47 RN hours, with a staffing rating of 2 stars; nursing turnover is 78.9%.
Does this facility have federal fines or penalties on record?
Yes, CMS records 2 fines totaling $63,121.00, and there are no payment denials on record.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The available CMS data does not indicate an abuse icon or Special Focus status for this facility.
How large is this facility and how many residents live there?
It is certified for 120 beds, with an average of 42.6 residents in care.
Who owns this facility — and is it part of a chain?
It is owned by a government hospital district and is part of the Avir Health Group chain, which operates 116 facilities with an average rating of 2.3 stars.
How long has this facility been Medicare/Medicaid certified?
It has been certified since July 26, 1991.
What do the four different CMS star ratings mean?
CMS rates health inspections (2 stars here), staffing (2 stars), quality measures (4 stars), and combines them into an overall rating (2 stars) for this facility.
Does this facility offer short-term rehabilitation as well as long-term care?
The provided CMS data does not specify service lines; contact the facility at 8306377885 or verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at 8306377885 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review the latest details at https://www.medicare.gov/care-compare/details/nursing-home/455941?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.