Avir At Fredericksburg
1117 S. ADAMS 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 · Chain: Avir Health Group
- Certified beds
- 90
- Total nursing staff turnover
- 79.5% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 71.4% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $33,145 total
State licensing & capacity
- License number
- 307996
- Service type
- Medicare/medicaid
- Licensed capacity
- 90 beds
- Bed type breakdown
- 38 Medicare-only · 52 Medicaid/Medicare
- Current license effective
- March 12, 2025
- Current license expires
- November 1, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Val Verde County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 1117 S Adams Street Opco Llc
- Administrator
- Wanda Gayle Dennis
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 90 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (11 on record)
- John r Kothmann
Adp of The Snf · since 2025
- 1117 s Adams Street Opco, Llc
Operational/managerial Control · since 2025
- 1117 s Adams Street Property Owner, Llc
Adp of The Snf · since 2025
- Aaron Travitsky
Operational/managerial Control · since 2025
- Hccf Management Group xi Llc
Adp of The Snf · since 2025
- Nochum Freund
Operational/managerial Control · since 2025
+ 5 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 46)
- D0656·Dec 4, 2025Complaint
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.
- E0801·Jun 20, 2025Complaint
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- D0761·Jun 20, 2025Complaint
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E0755·Jun 20, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0690·Jun 20, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0641·Jun 20, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- B0912·Jun 20, 2025
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- E0880·Jun 20, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20231 fine · $33K
Most recent events
- Mar 26, 2023Fine · $33K
Fire-safety citations
16 Life-Safety-Code citations on file. Most recent: Jun 20, 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 Fredericksburg is a 90-bed nursing home in Fredericksburg, TX, part of the Avir Health Group chain and operated under a hospital district license. CMS rates it 4 stars overall, with a 5-star quality-of-care rating and a 3-star health inspection rating. One CMS fine of $33,145 has been issued. Nursing staff turnover runs very high — about 8 in 10 staff left in the past year — with no staffing rating currently available from CMS.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
About 8 in 10 nursing staff left in the past year — a very high turnover rate. RN turnover runs at roughly 7 in 10. Texas nursing homes at the 75th percentile of turnover sit at 60%; this facility is well above that. A long-stay resident will likely cycle through two or three primary caregivers over the course of a year.
CMS issued one fine totaling $33,145. About 30% of Texas nursing homes have received no fines; the state median for facilities that do have fines is $20,699, so this amount is above the typical fine for penalized facilities in the state.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing rating not available
CMS currently shows no staffing rating for this facility — ask management why staffing hours aren't being reported and when they expect that data to be filed.
High nursing staff turnover
About 8 in 10 nursing staff left in the past year — ask what's driving that rate and what steps are in place to retain staff on your parent's unit.
Recent $33,000 fine
CMS issued one fine of $33,145 — ask what the citation was for and what corrective actions have been completed since.
Resident council but no family council
There is a Resident Council but no Family Council — ask how the facility collects and responds to concerns raised by family members.
Licensee and operator are different entities
The license is held by Val Verde County Hospital District, but day-to-day operations run through a separate management company — ask who is responsible for staffing and care decisions.
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.