Avir at Enchanted Rock

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 16, 2026

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

  Severity J of L: immediate jeopardy, isolatedCorrected May 4, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 4, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 4, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 4, 2026

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 4, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 4, 2026

• Install proper backup exit lighting.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 4, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 4, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 4, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 4, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 4, 2026

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 4, 2026

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 4, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 4, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 4, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 4, 2026

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 4, 2026

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jan 10, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 11, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 11, 2025

• Post nurse staffing information every day.

  Severity C of L: potential for minimal harm, widespreadFound during a complaint inspectionCorrected Jul 11, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 13, 2025

• Install proper backup exit lighting.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 12, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 13, 2025

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 13, 2025

• Have properly installed electrical wiring and gas equipment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2025

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 13, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 13, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 13, 2025

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 13, 2025

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 13, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 13, 2025

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

  Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Feb 9, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jan 20, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 20, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 24, 2024

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

  Severity J of L: immediate jeopardy, isolatedCorrected Feb 15, 2024

• Respond appropriately to all alleged violations.

  Severity J of L: immediate jeopardy, isolatedCorrected Feb 15, 2024

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

  Severity J of L: immediate jeopardy, isolatedCorrected Feb 15, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 15, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 15, 2024

• Ensure that residents are free from significant medication errors.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 15, 2024

• Ensure medication error rates are not 5 percent or greater.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 15, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 15, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 15, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 15, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 15, 2024

• Have properly installed electrical wiring and gas equipment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 15, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 15, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 15, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 15, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 15, 2024

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 15, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 15, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 15, 2024

• Have properly located and lighted "Exit" signs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 15, 2024

• 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.

  Severity B of L: potential for minimal harm, patternCorrected Feb 15, 2024

Avir at Enchanted Rock offers Skilled Nursing / Long Term Care.

Avir at Enchanted Rock is located at 210 West Windcrest St in Fredericksburg, Texas.

Families describe Avir at Enchanted Rock as a skilled nursing and rehab community where reviewers often praise the caring staff, effective therapy, and notably good food. A few reviewers raised concerns about staffing levels in the evenings and one troubling account of a staff member's odd nighttime behavior, suggesting care and oversight can vary by shift.

Avir at Enchanted Rock had 9 government inspection visits in the last three years, with 58 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Avir at Enchanted Rock and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.