Home›Browse›Texas›Fredericksburg›Avir At Enchanted Rock

Nursing homeFAID #12248

Avir At Enchanted Rock

210 WEST WINDCREST ST, FREDERICKSBURG, TX, 78624

(830) 637-7885

120 licensed beds

CMS rates Avir At Enchanted Rock 1 out of 5 overall. Federal inspectors issued 59 citations across 13 inspections in the last three years, with $63,121 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Avir at Enchanted Rock

Address

210 West Windcrest St

Fredericksburg, TX 78624

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Public record summary

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Bed capacity

120

CMS facility ID

455941

Care type

Nursing home

County

Gillespie

Facility name

Avir At Enchanted Rock

Street address

210 WEST WINDCREST ST

City / state / ZIP

Fredericksburg, TX 78624

Phone

(830) 637-7885

Website

enchantedrockcare.com

About this facility — Avir At Enchanted Rock

Avir At Enchanted Rock is a Medicare/Medicaid-certified skilled nursing facility in Fredericksburg, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 10 senior care facilities in Fredericksburg and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Avir Health Group, a group of 118 facilities on this site.

Federal inspectors have cited Avir At Enchanted Rock 59 times across 13 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $63,121 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Avir Health Group

Ownership type

Government - Hospital district

Registered owners & officers

Uvalde County Hospital District

Direct owner — 100% stake — since 2025

210 West Windcrest Street Opco, Llc

Operational control — since 2025

Apolinar, Adam

Officer — since 2015

Dagan, Amitai

Owner of a disclosable party — since 2025

Freund, Nochum

Operational control — since 2025

Goldberger, Abraham

Owner of a disclosable party — since 2025

Herren, Richard

Additional disclosable party — since 2025

Padilla, Adrian

Operational control · Additional disclosable party — since 2025

Travitsky, Aaron

Operational control — since 2025

Welltower Inc

Security-interest holder · Additional disclosable party — since 2025

Welltower Nnn Group, Llc

Security-interest holder · Additional disclosable party — since 2025

Welltower Op Llc

Security-interest holder · Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

1991-07-26

CMS overall rating

1 of 5 stars

Health deficiencies

13 at the last standard inspection

Federal fines

$63,121 total

Last standard inspection

2026-05-02

Nurse staffing

3.2 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$553 per day (≈ $16,810/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

40% Medicaid · 17% Medicare · 42% private/other

Occupancy

60% (fiscal year 2024)

Vs. state median

100% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

120

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-22Health inspectionComplaint-triggered1 citation

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-06-24

2026-05-13Health inspectionComplaint-triggered1 citation

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-05-16

10 earlier / fire-safety inspections (57 citations)

2026-05-02Health inspection11 citations

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-05-04

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2026-05-04

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-05-04

F-0684

E · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-05-04

F-0689

J · Immediate jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-05-04

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-05-04

F-0727

E · No harm found

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.

Corrected 2026-05-04

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2026-05-04

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-05-04

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-05-04

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-05-04

2026-01-08Health inspectionComplaint-triggered1 citation

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-01-10

2025-07-10Health inspectionComplaint-triggered3 citations

F-0644

D · No harm foundFrom a complaint

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-07-11

F-0732

C · No harm foundFrom a complaint

Post nurse staffing information every day.

Corrected 2025-07-11

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-07-11

2025-02-12Health inspection9 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-02-13

F-0578

D · No harm found

Honor 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.

Corrected 2025-02-13

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-02-13

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2025-02-13

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-02-13

F-0655

E · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-02-13

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-02-13

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-13

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-02-13

2025-01-19Health inspectionComplaint-triggered3 citations

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-01-20

F-0656

E · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-01-20

F-0689

K · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-02-09

2024-06-22Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-06-24

2024-01-13Health inspection18 citations

F-0580

D · No harm found

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-02-15

F-0584

E · No harm found

Honor 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.

Corrected 2024-02-15

F-0585

D · No harm found

Honor 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.

Corrected 2024-02-15

F-0607

J · Immediate jeopardy

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-02-15

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-02-15

F-0610

J · Immediate jeopardy

Respond appropriately to all alleged violations.

Corrected 2024-02-15

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-02-15

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-02-15

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-02-15

F-0689

J · Immediate jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-02-15

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-02-15

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-02-15

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2024-02-15

F-0761

E · No harm found

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.

Corrected 2024-02-15

F-0803

B · No harm foundFood safety

Ensure 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.

Corrected 2024-02-15

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-02-15

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-02-15

F-0919

E · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-02-15

2026-05-02Fire-safety inspection6 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-05-04

K-0281

E · No harm found

Install proper backup exit lighting.

Corrected 2026-05-04

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-05-04

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-05-04

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-05-04

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2026-05-04

2025-02-12Fire-safety inspection2 citations

K-0281

E · No harm found

Install proper backup exit lighting.

Corrected 2025-02-12

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-02-12

2024-01-13Fire-safety inspection3 citations

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-02-15

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2024-02-15

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-02-15

Federal penalties

2025-01-19Fine$49,205

2024-01-13Fine$13,916

Total fines$63,121

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455941.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 88% of nursing homes in the state

State median: 33

Federal fines, 3 years

$63,121

More than 80% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.2

Higher than 35% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

75%

Higher than 95% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 8 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	12.9%	15.8%	13.5%	Better than state
Lose too much weight	4.4%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	0.7%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	3.1%	3.2%	3.2%	Near state average
Assessed and appropriately given the pneumococcal vaccine	93.8%	96.4%	93.7%	Near state average
Ability to walk independently worsened	11.6%	12.9%	12.7%	Near state average
Received an antianxiety or hypnotic medication	24.3%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	65.9%	97.0%	95.3%	Worse than state
With pressure ulcers	1.8%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	12.1%	12.5%	18.3%	Near state average
Received an antipsychotic medication	6.4%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.51	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	3.62	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	36.8%	88.7%	82.3%	Worse than state
Newly received an antipsychotic medication	1.7%	1.4%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	40.0%	85.4%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	42.8%	25.5%	23.4%	Worse than state
Had an outpatient emergency department visit	25.7%	12.2%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0609 4 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-0656 4 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 4 inspections. Provide and implement an infection prevention and control program.
F-0755 3 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0610 3 inspections. Respond appropriately to all alleged violations.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Hill Country Memorial Hospital, about 0.2 miles. CMS rating 4 of 5.
Peterson Regional Medical Center, about 22 miles. CMS rating 4 of 5.
Mid Coast Medical Center - Central, about 35 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Avir At Fredericksburg, Fredericksburg, about 0.3 miles. CMS rating 2 of 5.
Knopp Nursing & Rehab Center, Fredericksburg, about 0.5 miles. CMS rating 2 of 5.
Knopp Healthcare and Rehab Center, Fredericksburg, about 1.9 miles. CMS rating 3 of 5.
Avir At Comfort, Comfort, about 20 miles. CMS rating 4 of 5.
Hilltop Village Nursing and Rehabilitation, Kerrville, about 21 miles. CMS rating 2 of 5.

Visitor reviews

What people say on Google.

4.485 ratings on Google

★★★★★Cardinal 1945 · 2025-12-02 · via Google
“We have had a wonderful experience with Enchanted Rock! My husband was here for rehab and he had excellent care, the staff were so caring and therapy was great and now my long time friend is here and we love the care she is getting. She is so happy here. The thanksgiving feast was so wonderful! The food was amazing! We look forward to the Christmas dinner, we know it's going to be fabulous!”

★★★★★jim rogers · 2025-01-31 · via Google
“I think the staff was very helpful and professional. Nurses were kind and thorough in handling my care and medications. The therapists were very good and helpful. I ha issues with low blood pressure and they monitored it closely while working with me. The food served was varied and tasty. I would definitely return if I need rehabilitation again and I recommend this facility to all who are in need…”

★★★Walter Williams · 2023-09-08 · via Google
“This facility is very well maintained and well staffed and has very good food options. The layout is nice and my Dad was well cared for. I was at the facility on a very frequent basis during my Dads time there and can say that the staff does a excellent job of caring for their residents. Based on my experiences I would highly recommend Windcrest Nursing to anyone looking for a comfortable, wel…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

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The 59 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

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PACER federal dockets

pacer.uscourts.gov

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