Home›Browse›Texas›Fredericksburg›Avir At Fredericksburg

Nursing homeFAID #13993

Avir At Fredericksburg

1117 S. Adams St., FREDERICKSBURG, TX, 78624

(830) 997-4364

90 licensed beds

★★★★★3/5CMS Five-Star overall2/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

1117 S. Adams St.

Fredericksburg, TX 78624

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

675169

Care type

Nursing home

County

Gillespie

Facility name

Avir At Fredericksburg

Street address

1117 S. Adams St.

City / state / ZIP

Fredericksburg, TX 78624

Phone

(830) 997-4364

About this facility — Avir At Fredericksburg

Avir At Fredericksburg is a Medicare/Medicaid-certified skilled nursing facility in Fredericksburg, Texas. It is licensed for 90 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 10 senior care facilities in Fredericksburg and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Avir At Fredericksburg 64 times across 11 inspections in the last three years, including 11 food-safety citations, and CMS has imposed $23,520 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 August 31, 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

For profit - Corporation

Registered owners & officers

Val Verde County Hospital District

Direct owner — 100% stake — since 2020

1117 S Adams Street Opco, Llc

Operational control — since 2025

1117 S Adams Street Property Owner, Llc

Additional disclosable party — since 2025

Dagan, Amitai

Owner of a disclosable party — since 2025

Dennis, Wanda

Additional disclosable party — since 2025

Freund, Nochum

Operational control — since 2025

Goldberger, Abraham

Owner of a disclosable party — since 2025

Jurado, Jorge

Officer — since 2022

Kothmann, John

Operational control · Additional disclosable party — since 2025

Travitsky, Aaron

Operational control — since 2025

Welltower Inc

Additional disclosable party — since 2025

Welltower Nnn Group, Llc

Additional disclosable party — since 2025

Welltower Op, Llc

Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

1993-08-12

CMS overall rating

3 of 5 stars

Health deficiencies

17 at the last standard inspection

Federal fines

$23,520 total

Last standard inspection

2025-06-20

Nurse staffing

2.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$282 per day (≈ $8,570/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

56% Medicaid · 16% Medicare · 28% private/other

Occupancy

36% (fiscal year 2023)

Vs. state median

2% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. 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 11 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-26Health 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 2026-07-11

2026-05-27Health inspectionComplaint-triggered1 citation

F-0760

J · Immediate jeopardyFrom a complaint

Ensure that residents are free from significant medication errors.

8 earlier / fire-safety inspections (62 citations)

2025-12-04Health inspectionComplaint-triggered1 citation

F-0656

D · 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 2025-12-05

2025-06-20Health inspectionComplaint-triggered14 citations

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-06-29

F-0604

E · No harm found

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2025-06-29

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2025-06-29

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 2025-06-29

F-0690

D · No harm foundFrom a complaint

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 2025-06-29

F-0726

D · No harm found

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.

Corrected 2025-06-29

F-0755

E · 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 2025-06-29

F-0761

D · No harm foundFrom a complaint

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 2025-06-29

F-0801

E · No harm foundFood safetyFrom a complaint

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.

Corrected 2025-06-29

F-0809

E · No harm foundFood safety

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.

Corrected 2025-06-29

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 2025-06-29

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 2025-06-29

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-06-29

F-0912

B · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2025-06-29

2024-05-17Health inspection19 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-06-17

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-06-17

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 2024-06-17

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 2024-06-17

F-0661

D · No harm found

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2024-06-07

F-0684

D · No harm found

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

Corrected 2024-06-17

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 2024-06-17

F-0726

E · No harm found

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.

Corrected 2024-06-17

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-06-17

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2024-06-17

F-0801

D · No harm foundFood safety

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.

Corrected 2024-06-17

F-0803

E · 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 2024-06-17

F-0805

D · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-06-17

F-0806

E · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-06-17

F-0809

E · No harm foundFood safety

Corrected 2024-06-17

F-0814

E · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2024-06-17

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-06-17

F-0908

E · No harm found

Keep all essential equipment working safely.

Corrected 2024-06-17

F-0912

B · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2024-06-17

2024-03-07Health inspectionComplaint-triggered1 citation

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-03-08

2023-03-26Health 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 2023-04-14

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-04-14

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 2023-04-14

F-0684

J · Immediate jeopardy

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

Corrected 2023-04-14

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 2023-04-14

F-0745

E · No harm found

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2023-04-14

F-0801

D · No harm foundFood safety

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.

Corrected 2023-04-14

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 2023-04-14

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 2023-04-14

F-0912

B · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2023-04-14

F-0940

E · No harm found

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2023-04-14

2025-06-20Fire-safety inspection4 citations

K-0211

E · No harm found

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

Corrected 2025-06-29

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2025-07-22

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2025-06-29

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

2024-05-17Fire-safety inspection7 citations

E-0020

F · No harm found

Establish policies and procedures including evacuation.

Corrected 2024-06-30

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-06-30

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-30

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-06-13

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-05-17

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-06-28

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-06-30

2023-03-26Fire-safety inspection5 citations

K-0111

D · No harm found

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2023-04-14

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2023-04-14

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-04-14

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-04-14

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2023-04-14

Federal penalties

2026-05-27Fine$23,520

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 675169.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 64 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

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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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 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered