Avir At Fredericksburg faces challenges in its CMS ratings, earning a D grade with a score of 54/100. The facility ranks in the 61th percentile among Texas nursing homes, suggesting significant room for improvement.
Recent CMS inspections identified 46 deficiencies at Avir At Fredericksburg, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured..
Score Breakdown
🏥 Staffing Details
Staffing hours data not available for this facility.
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Dec 3, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0604 Severity EEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.Jun 19, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0809 Severity EEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative mealsJun 19, 2025 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jun 19, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jun 19, 2025 · Infection Control 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 | 0.0% | 4.5% | Better |
| Falls with major injury | 3.9% | 3.0% | Worse |
| On antipsychotic medication | 10.8% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 8.9% | 14.0% | Better |
| Excessive weight loss | 2.5% | 7.5% | Better |
| New/worsened incontinence | 5.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $33,145
How This Grade Was Calculated
This facility's grade of D is based on a score of 54 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 0★ → 0 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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