Avir at Enchanted Rock: Staffing, Turnover, and Inspection Record
Avir at Enchanted Rock is a 120-bed government-run nursing home in Fredericksburg, Texas, part of Avir Health Group. In the CMS August 2026 release it reported 1.91 nurse aide hours per resident per day, 5% below the Texas average of 2.00, and 78.9% nursing staff turnover (Texas average 55.3%).
Avir at Enchanted Rock
210 West Windcrest StFredericksburg, TX 78624
Gillespie County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avir at Enchanted Rock, nurse aides logged 1.91 hours per resident per day, 5% below the Texas average. With about 43 residents a day, that works out to roughly 81 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.91 | 2.00 | 2.32 |
| Licensed practical nurses | 1.06 | 0.95 | 0.86 |
| Registered nurses | 0.47 | 0.43 | 0.69 |
| All nursing staff | 3.44 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.94 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
78.9% of nursing staff at Avir at Enchanted Rock left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 80.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 2, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 13 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $63,121 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 19, 2025 | Fine | $49,205 |
| Jan 13, 2024 | Fine | $13,916 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avir at Enchanted Rock holds 2 of 5 overall; the Texas average is 2.6.
About Avir at Enchanted Rock
- Ownership: Government - Hospital district
- Chain: Avir Health Group, 116 homes
- Legal name: Uvalde County Hospital Authority
- Medicare and Medicaid certified since: Jul 26, 1991
- Councils: resident council
- Area: rural
Nursing homes near Avir at Enchanted Rock
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Fredericksburg Fredericksburg | 0.3 | 90 | 1.64 | 2.86 | 87.8% | 3 | $23,520 |
| Knopp Nursing & Rehab Center Inc Fredericksburg | 0.5 | 60 | 1.73 | 3.09 | 62.5% | 1 | $32,094 |
| Knopp Healthcare and Rehab Center Inc Fredericksburg | 1.9 | 119 | 1.87 | 3.15 | 47.8% | 3 | None |
| Avir at Comfort Comfort | 20.2 | 76 | 1.89 | 3.77 | 59.4% | 5 | None |
| Hilltop Village Nursing and Rehabilitation Kerrville | 20.9 | 150 | 2.03 | 3.04 | 78.3% | 2 | None |
| Arbor View Nursing & Rehabilitation Kerrville · SFF candidate · abuse citation | 21.7 | 179 | 2.10 | 3.39 | 81.5% | 1 | $154,617 |
| Avir at Kerrville Kerrville | 22.4 | 130 | 1.98 | 3.37 | 64.4% | 1 | $20,467 |
| River Hills Health and Rehabilitation Center Kerrville | 22.5 | 150 | 1.83 | 3.11 | 75.9% | 1 | $112,133 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.