Avir at Enchanted Rock
Nursing Home Facility
210 West Windcrest St, Fredericksburg, TX 78624
Avir at Enchanted Rock 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) 637-7885.
Operated by Avir Health Group, which runs 88 communities in our directory.
With 120 beds, Avir at Enchanted Rock is one of the larger communities in the area, senior care communities in Fredericksburg average about 74 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 36% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Fredericksburg average of roughly 50%.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in May 2026 and recorded 13 deficiencies.
Residents receive about 3.4 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 79%, 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 Enchanted Rock. 5 findings involved harm to a resident, including 5 that put residents in immediate danger. 10 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $63,121.
Findings from the most recent inspection cycle
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Put residents in immediate danger, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
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, 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, a pattern
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
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
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.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
Show 6 more
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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
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
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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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
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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 Enchanted Rock offers nursing home care and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 120
- Occupancy 36%
- Nursing hours per resident/day 3.4
- Annual staff turnover 79%
- Last health inspection May 2026
Resident & family reviews
No one has shared a review of Avir at Enchanted Rock yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.