Avir At Enchanted Rock has received an F grade based on CMS data, with a score of 18/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Fredericksburg facility should carefully review its inspection history and quality metrics.
With 3.09 total nurse hours per resident per day, Avir At Enchanted Rock falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 44 deficiencies at Avir At Enchanted Rock, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: provide and implement an infection prevention and control program..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.09 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.39 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.00 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.70 | 2.4 | Below Average |
| Weekend Total Nursing | 2.71 | 3.8 | Below Average |
| Weekend RN Hours | 0.25 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jan 7, 2026 · Infection Control Deficiencies
- Tag 0644 Severity DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Jul 9, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Jul 9, 2025 · Pharmacy Service Deficiencies
- Tag 0655 Severity ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedFeb 11, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0558 Severity DReasonably accommodate the needs and preferences of each resident.Feb 11, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.8% | 4.5% | Better |
| Falls with major injury | 7.3% | 3.0% | Worse |
| On antipsychotic medication | 7.5% | 14.5% | Better |
| Urinary tract infections | 0.6% | 2.5% | Better |
| ADL decline (daily activities) | 15.6% | 14.0% | Worse |
| Excessive weight loss | 2.6% | 7.5% | Better |
| New/worsened incontinence | 17.0% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $63,121
How This Grade Was Calculated
This facility's grade of F is based on a score of 18 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -6 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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