Avir At Fredericksburg
1117 S Adams St, Fredericksburg, TX, 78624
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Avir Health Group
- Certified beds
- 90 · avg 43 residents/day
- Total nursing staff turnover
- 87.9% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 75% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 675169
- Certified beds
- 90 beds · avg 43 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Val Verde County Hospital District
- Chain affiliation
- Avir Health Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 117 facilities. Chain-wide average overall rating 2.2 / 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
- Nochum Freund
Operational/managerial Control · since 2025
- Wanda Dennis
Adp of The Snf · since 2025
+ 5 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 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.
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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Avir At Fredericksburginto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.