Avir at Fredericksburg

1117 S. Adams St., Fredericksburg, TX 78624

Phone: 8309974364

CMS ratings and facility information

Avir at Fredericksburg 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 rating3 of 5 stars
Health inspection rating2 of 5
Staffing rating2 of 5
Quality measures rating5 of 5
Certified beds90
OwnershipFor profit - Corporation
CMS certification number675169

Staffing

Total nurse hours per resident day2.86
RN hours per resident day0.45
Nurse aide hours per resident day1.64
Total nursing staff turnover percent87.8
RN turnover percent77.8

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations1.31events_per_1000_resident_days20250101-20251231
Emergency-department visits2.85events_per_1000_resident_days20250101-20251231
Falls with major injury1.59percent2025Q2-2026Q1
Pressure ulcers0.76percent2025Q2-2026Q1
Urinary tract infections0.81percent2025Q2-2026Q1
Antipsychotic medication use17.86percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-06-200604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.E
2025-06-200755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2025-06-200801Employ 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
2025-06-200809Ensure 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
2025-06-200812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-06-200880Provide and implement an infection prevention and control program.E
2025-06-200552Ensure that residents are fully informed and understand their health status, care and treatments.D
2025-06-200641Ensure each resident receives an accurate assessment.D
2025-06-200656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2025-06-200690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2025-06-200726Ensure 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
2025-06-200761Ensure 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
2025-06-200842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-06-200912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B
2024-05-170550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
2024-05-170656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2024-05-170657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E
2024-05-170726Ensure 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
2024-05-170803Ensure 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
2024-05-170806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E
2024-05-170809Ensure 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
2024-05-170814Dispose of garbage and refuse properly.E
2024-05-170880Provide and implement an infection prevention and control program.E
2024-05-170908Keep all essential equipment working safely.E
2024-05-170641Ensure each resident receives an accurate assessment.D
2024-05-170661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D
2024-05-170684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-05-170690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2024-05-170759Ensure medication error rates are not 5 percent or greater.D
2024-05-170760Ensure that residents are free from significant medication errors.D
2024-05-170801Employ 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
2024-05-170805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D
2024-05-170912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B
2023-03-260684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2023-03-260656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2023-03-260727Have 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
2023-03-260745Provide medically-related social services to help each resident achieve the highest possible quality of life.E
2023-03-260812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-03-260940Develop, implement, and/or maintain an effective training program for all new and existing staff members.E
2023-03-260609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2023-03-260641Ensure each resident receives an accurate assessment.D
2023-03-260801Employ 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
2023-03-260842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-03-260912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B

Penalties

DateTypeAmount
2026-05-27Fine,520

Ownership records

NameTypeRole
VAL VERDE COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
JURADO, JORGEIndividualCORPORATE OFFICER
1117 S ADAMS STREET OPCO, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
FREUND, NOCHUMIndividualOPERATIONAL/MANAGERIAL CONTROL
KOTHMANN, JOHNIndividualOPERATIONAL/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
1117 S ADAMS STREET PROPERTY OWNER, LLCOrganizationADP OF THE SNF
WELLTOWER INCOrganizationADP OF THE SNF
WELLTOWER NNN GROUP, LLCOrganizationADP OF THE SNF
WELLTOWER OP, LLCOrganizationADP OF THE SNF
DENNIS, WANDAIndividualADP OF THE SNF
KOTHMANN, JOHNIndividualADP 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.