Avir at Fredericksburg: Staffing, Turnover, and Inspection Record
Avir at Fredericksburg is a 90-bed for-profit nursing home in Fredericksburg, Texas, part of Avir Health Group. In the CMS August 2026 release it reported 1.64 nurse aide hours per resident per day, 18% below the Texas average of 2.00, and 87.8% nursing staff turnover (Texas average 55.3%).
Avir at Fredericksburg
1117 S. Adams St.Fredericksburg, 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 Fredericksburg, nurse aides logged 1.64 hours per resident per day, 18% below the Texas average. With about 49 residents a day, that works out to roughly 80 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.64 | 2.00 | 2.32 |
| Licensed practical nurses | 0.77 | 0.95 | 0.86 |
| Registered nurses | 0.45 | 0.43 | 0.69 |
| All nursing staff | 2.86 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.57 | 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
87.8% of nursing staff at Avir at Fredericksburg left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 77.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 20, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 17 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $23,520 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 27, 2026 | Fine | $23,520 |
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 Fredericksburg holds 3 of 5 overall; the Texas average is 2.6.
About Avir at Fredericksburg
- Ownership: For profit - Corporation
- Chain: Avir Health Group, 116 homes
- Legal name: Val Verde County Hospital District
- Medicare and Medicaid certified since: Aug 12, 1993
- Councils: resident council
- Area: rural
Nursing homes near Avir at Fredericksburg
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Enchanted Rock Fredericksburg | 0.3 | 120 | 1.91 | 3.44 | 78.9% | 2 | $63,121 |
| Knopp Nursing & Rehab Center Inc Fredericksburg | 0.4 | 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 | 20.0 | 76 | 1.89 | 3.77 | 59.4% | 5 | None |
| Hilltop Village Nursing and Rehabilitation Kerrville | 21.0 | 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.
Explore next
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.