Avir at Enchanted Rock

210 West Windcrest St, Fredericksburg, TX 78624

Phone: 8306377885

CMS ratings and facility information

Avir at Enchanted Rock is a Medicare-certified nursing facility in Fredericksburg, Gillespie County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating2 of 5 stars
Health inspection rating2 of 5
Staffing rating2 of 5
Quality measures rating4 of 5
Certified beds120
OwnershipGovernment - Hospital district
CMS certification number455941

Staffing

Total nurse hours per resident day3.44
RN hours per resident day0.47
Nurse aide hours per resident day1.91
Total nursing staff turnover percent78.9
RN turnover percent80

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations1.01events_per_1000_resident_days20250101-20251231
Emergency-department visits3.66events_per_1000_resident_days20250101-20251231
Falls with major injury5.39percent2025Q2-2026Q1
Pressure ulcers1.72percent2025Q2-2026Q1
Urinary tract infections0.61percent2025Q2-2026Q1
Antipsychotic medication use4.59percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2026-05-020689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2026-05-020656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2026-05-020684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2026-05-020727Have 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
2026-05-020609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2026-05-020610Respond appropriately to all alleged violations.D
2026-05-020690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2026-05-020760Ensure that residents are free from significant medication errors.D
2026-05-020812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2026-05-020842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-05-020880Provide and implement an infection prevention and control program.D
2025-02-120655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE
2025-02-120558Reasonably accommodate the needs and preferences of each resident.D
2025-02-120578Honor 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
2025-02-120609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-02-120610Respond appropriately to all alleged violations.D
2025-02-120641Ensure each resident receives an accurate assessment.D
2025-02-120656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2025-02-120755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-02-120880Provide and implement an infection prevention and control program.D
2024-01-130607Develop and implement policies and procedures to prevent abuse, neglect, and theft.J
2024-01-130610Respond appropriately to all alleged violations.J
2024-01-130689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-01-130584Honor 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
2024-01-130656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2024-01-130657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E
2024-01-130759Ensure medication error rates are not 5 percent or greater.E
2024-01-130760Ensure that residents are free from significant medication errors.E
2024-01-130761Ensure 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
2024-01-130812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-01-130919Make sure that a working call system is available in each resident's bathroom and bathing area.E
2024-01-130580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2024-01-130585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D
2024-01-130609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-01-130686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2024-01-130695Provide safe and appropriate respiratory care for a resident when needed.D
2024-01-130880Provide and implement an infection prevention and control program.D
2024-01-130803Ensure 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.B

Penalties

DateTypeAmount
2025-01-19Fine,205
2024-01-13Fine,916

Ownership records

NameTypeRole
UVALDE COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
WELLTOWER INCOrganization5% OR GREATER SECURITY INTEREST
WELLTOWER NNN GROUP, LLCOrganization5% OR GREATER SECURITY INTEREST
WELLTOWER OP, LLCOrganization5% OR GREATER SECURITY INTEREST
APOLINAR, ADAMIndividualCORPORATE OFFICER
210 WEST WINDCREST STREET OPCO, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
FREUND, NOCHUMIndividualOPERATIONAL/MANAGERIAL CONTROL
PADILLA, ADRIANIndividualOPERATIONAL/MANAGERIAL CONTROL
TRAVITSKY, AARONIndividualOPERATIONAL/MANAGERIAL CONTROL
DAGAN, AMITAIIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
GOLDBERGER, ABRAHAMIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
WELLTOWER INCOrganizationADP OF THE SNF
WELLTOWER NNN GROUP, LLCOrganizationADP OF THE SNF
WELLTOWER OP, LLCOrganizationADP OF THE SNF
HERREN, RICHARDIndividualADP OF THE SNF
PADILLA, ADRIANIndividualADP OF THE SNF

Compare nursing homes in Gillespie County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.