AVIR AT FREDERICKSBURG – FREDERICKSBURG, TX

CMS Verified | 2026-03-01

Avir At Fredericksburg

1117 S ADAMS ST, Fredericksburg, TX 78624
(830) 997-4364
90 beds
All Fredericksburg facilities
4.0*
Overall
3.0*
Health Inspection
5.0*
Quality Care
*
Staffing
84.17
Score /100
#1996
National Rank

#1996
of 14703 facilities
National
86.4% position
#67
of 1177 in TX
State Rank
#1
of 4 in Gillespie
County Rank
#1
City Rank
#1
of 4 in ZIP 78624
ZIP Rank






About Avir At FredericksburgAvir At Fredericksburg is located at 1117 S Adams St, Fredericksburg, TX, reachable at (830) 997-4364. This For profit – Corporation facility operates 90.0 certified beds and serves an unspecified number of residents. It is part of the Avir Health Group network (90 facilities nationwide). Medicare and Medicaid services have been provided since 1993-08-12. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Avir At Fredericksburg

Address

1117 S Adams St, Fredericksburg, TX 78624

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 90 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: AVIR HEALTH GROUP

Quick Verdict

Overall Quality
✅ Above Average (4★) overall rating
Health Inspection
⚠️ Average (3★) health inspection
Staffing
N/A staffing rating
Quality of Care
✅ Excellent (5★) quality of care
Compliance
❌ 9 fine(s) over 5 years
5-Year Trend
Improving over 5 years
84.17
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#1996 of 14703 nationally – #67 of 1177 in Texas

Who Is This Facility Best For?

Avir At Fredericksburg offers a mid-range care option in Fredericksburg, TX.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

4 / 5
Health Inspection

3 / 5
Staffing Rating

N/A
Quality Measures (QM)

5 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightAvir At Fredericksburg currently provides N/A of total nurse staffing per resident per day, including N/A of Registered Nurse (RN) coverage. RN staffing hours have fluctuated between 31 and 44 min/day over the past five years, indicating some instability in skilled nurse coverage. Total nursing staff turnover is high at 79.5%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing
Nurse Aide Hours
Licensed Practical Nurse (LPN) Hours
Registered Nurse (RN) Hours
Physical Therapist Hours

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours
Weekend Registered Nurse (RN) Hours

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $33,145. 7 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $33145.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 89.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#1,996
of 14,703
National
Top 14%
#67
TX State
Top 10% in TX
#1
of 4
️ Gillespie County
Best in county
#1
of 4
️ Fredericksburg
Best in city
#1
of 4
ZIP 78624
Best in ZIP

Nationally, Avir At Fredericksburg ranks 1996th out of 14,703 facilities (composite score: 84.2/100), placing it in the top 25% nationwide. Within TX, it ranks 67th out of 1,177 nursing homes. In Fredericksburg, it ranks 1st out of 4 facilities. Among facilities sharing its ZIP code, it ranks 1st of 4. For 2025 staffing: total nurse hours rank #6,728 nationally and RN hours rank #4,238 nationally (#69 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 3.22 #10,237 / 14,703 #601 / 1,177 Below average
2023 2.89 #12,566 / 14,703 #885 / 1,177 ⚠️ Bottom 25%
2024 3.44 #8,816 / 14,703 #325 / 1,177 Below average
2025 3.72 #6,728 / 14,703 #190 / 1,177 Above average
2026 #14,175 / 14,703 #1,121 / 1,177 ⚠️ Bottom 5%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.52 #8,397 / 14,703 #227 / 1,177 Below average
2023 0.39 #10,373 / 14,703 #354 / 1,177 Below average
2024 0.11 #14,147 / 14,703 #1,109 / 1,177 ⚠️ Bottom 5%
2025 0.74 #4,238 / 14,703 #69 / 1,177 Above average
2026 #14,175 / 14,703 #1,121 / 1,177 ⚠️ Bottom 5%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Avir At Fredericksburg is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1993-08-12. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (830) 997-4364 or your local Medicaid office to verify current eligibility.

Avir At Fredericksburg holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (N/A★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 84.2/100, placing it #1996 of 14703 facilities nationally and #67 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Avir At Fredericksburg receives a reported average of N/A of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — N/A; Licensed Practical Nurse (LPN) — N/A; Nurse Aide — N/A. On weekends, total nurse staffing is N/A per resident per day. The CMS Staffing Rating for this facility is N/A out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 79.5%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $33,145. 7 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $33,145, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 89.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Avir At Fredericksburg ranks 1996th out of 14,703 facilities (composite score: 84.2/100), placing it in the top 25% nationwide. Within TX, it ranks 67th out of 1,177 nursing homes. In Fredericksburg, it ranks 1st out of 4 facilities. Among facilities sharing its ZIP code, it ranks 1st of 4. For 2025 staffing: total nurse hours rank #6,728 nationally and RN hours rank #4,238 nationally (#69 in TX). Our composite quality score of 84.2/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Fredericksburg, visit: https://nursinghomesnearme.org/texas/fredericksburg/

Contact and Location

ADR
Address

1117 S ADAMS ST, Fredericksburg, TX 78624
Get directions on Google Maps

TEL
LLC
Legal Name

VAL VERDE COUNTY HOSPITAL DISTRICT

MAP
Browse by Location

All Texas ·
Gillespie County ·
Fredericksburg ·
ZIP 78624

Facility Details

Number of Certified Beds 90
Average Residents / Day N/A
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Gillespie County, TX
City Fredericksburg, TX
ZIP Code 78624
Approved Since August 12, 1993
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 675169
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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