Avir at Fredericksburg
Nursing Home Facility
1117 S Adams St, Fredericksburg, TX 78624
Avir at Fredericksburg is a senior care community located in Fredericksburg, TX. It provides nursing home care and senior living for older adults in the Fredericksburg area. To learn more or schedule a tour, call (830) 997-4364.
Operated by Avir Health Group, which runs 88 communities in our directory.
Avir at Fredericksburg is licensed for 90 beds, about typical for the area, where senior care communities in Fredericksburg average about 74 beds.
Federal reporting puts occupancy at about 55% of its licensed beds, so availability is more likely here than at busier communities nearby.
Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Fredericksburg average about 2.2 stars. Its most recent standard health inspection was in June 2025 and recorded 17 deficiencies.
Residents receive about 2.9 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 88%, which is high and can affect continuity of care.
The community is located in Gillespie County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 48 problems at Avir at Fredericksburg. 2 findings involved harm to a resident, including 2 that put residents in immediate danger. 9 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $23,520.
Findings from the most recent inspection cycle
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Put residents in immediate danger, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
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.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
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.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Show 9 more
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Ensure that residents are fully informed and understand their health status, care and treatments.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
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.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Minimal harm or the potential for it, a pattern
Environmental
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Avir at Fredericksburg offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 90
- Occupancy 55%
- Nursing hours per resident/day 2.9
- Annual staff turnover 88%
- Last health inspection June 2025
Resident & family reviews
No one has shared a review of Avir at Fredericksburg yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.