Avir At Enchanted Rock
210 WEST WINDCREST ST, Fredericksburg, TX, 78624
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation
- Certified beds
- 120 · avg 47 residents/day
- Total nursing staff turnover
- 85.4% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 100% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $63,121 total
State licensing & capacity
- License number
- 308657
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 33 Medicare-only · 87 Medicaid/Medicare
- Current license effective
- June 1, 2025
- Current license expires
- June 1, 2028
- Initial license date
- July 26, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 210 West Windcrest Street Opco Llc
- Administrator
- Richard P Herren
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (10 on record)
- 210 West Windcrest Street Opco, Llc
Operational/managerial Control · since 2025
- Aaron Travitsky
Operational/managerial Control · since 2025
- Adrian Padilla
Operational/managerial Control · since 2025
- Hccf Management Group xi Llc
5% or Greater Security Interest · 100% · since 2025
- Nochum Freund
Operational/managerial Control · since 2025
- Richard Herren
Adp of The Snf · since 2025
+ 4 additional owners on the federal record.
Recent change of ownership
June 2022 (3 years ago) · acquired from Windcrest Nursing And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 44)
- E0880·Jan 8, 2026Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0755·Jul 10, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- C0732·Jul 10, 2025Complaint
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0644·Jul 10, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0880·Feb 12, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0755·Feb 12, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0656·Feb 12, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E0655·Feb 12, 2025
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Federal penalties
By year
- 20251 fine · $49K
- 20241 fine · $14K
Most recent events
- Jan 19, 2025Fine · $49K
- Jan 13, 2024Fine · $14K
Largest single fine on record: $49K.
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Feb 12, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Avir At Enchanted Rock is a 120-bed nursing home in Fredericksburg, Texas, licensed to Uvalde County Hospital Authority and managed by 210 West Windcrest Street Opco Llc. CMS rates it 1 star overall — the lowest tier — with 1-star staffing and a 4-star quality-measures rating. Two CMS fines total $63,121 since the last inspection cycle. The facility is currently operating at roughly 39% of its licensed beds, with about 47 residents on any given day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom rating, shared by about 38% of Texas nursing homes. Each resident receives roughly 185 minutes of total nursing care per day, about 56 minutes less than at a 4-star-staffing facility in Texas. Residents here tend to need more hands-on care than at a typical facility — more dependent or medically complex on average — so those 185 minutes stretch thinner than the number alone suggests. RN coverage averages about 23 minutes per resident per day, against a 37-minute threshold for a 4-star-staffing facility in Texas.
About 9 in 10 nursing staff left in the past year, and every RN on staff turned over within the same period. A long-stay resident will likely cycle through multiple primary caregivers repeatedly. Two administrators also left in the past year — leadership instability that compounds the staffing picture.
CMS issued 2 fines totaling $63,121. The Texas median for fined facilities is about $20,699, so this facility's total runs roughly three times that midpoint. About 30% of Texas nursing homes received no fines in the same period.
The facility holds a 4-star quality-measures rating for long-stay residents and a 3-star rating for short-stay residents. These scores reflect documented clinical outcomes — things like pressure wounds, falls with injury, and pain management — and are derived from resident health records submitted to Medicare, separate from staffing and inspection scores.
The facility is operating at roughly 39% of its 120 licensed beds, with about 47 residents on any given day. Low occupancy alongside safety flags and high turnover is a combination that warrants direct questions about current staffing levels and operational stability.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current RN coverage on each shift
CMS records show RN turnover at 100% over the past year — ask which shifts currently have a registered nurse on-site and how long the current RNs have been in their roles.
Two administrators in one year
Two administrators left in the past 12 months — ask who is leading the facility now, how long they have been in place, and whether a permanent hire is planned.
Why only 47 of 120 beds are filled
The facility is running at 39% of licensed capacity — ask what is driving the low census and whether that affects staffing levels or available services.
What the two CMS fines covered
Two fines totaling $63,121 were issued — ask what deficiencies triggered them and what specific changes were made in response.
Caregiver consistency for your parent
With roughly 9 in 10 nursing staff turning over in the past year, ask how the facility assigns consistent caregivers and what the current average tenure of direct-care staff is.
How the 4-star outcomes rating is maintained
Clinical outcome scores rate 4 stars for long-stay residents despite 1-star staffing — ask which specific measures drive that score and how care plans are reviewed when staffing changes frequently.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.