Starfile / Texas

AVIR AT FREDERICKSBURG

1117 S ADAMS ST, FREDERICKSBURG, TX 78624 · CCN 675169

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$33,145

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

AVIR HEALTH GROUP

Facilities in chain

90

Chain avg overall

2.30 / 5

Inspection citations (46)1 immediate jeopardy

1. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-04 · Health · corrected 2025-12-05

   Potential for more than minimal harm

2. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-06-20 · Health · corrected 2025-06-29

   Potential for more than minimal harm

3. EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-06-20 · Health · corrected 2025-06-29

   Potential for more than minimal harm

4. DF0641Ensure each resident receives an accurate assessment.2025-06-20 · Health · corrected 2025-06-29

   Potential for more than minimal harm

5. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-20 · Health · corrected 2025-06-29

   Potential for more than minimal harm

6. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-06-20 · Health · corrected 2025-06-29

   Potential for more than minimal harm

7. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-06-20 · Health · corrected 2025-06-29

   Potential for more than minimal harm

8. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-20 · Health · corrected 2025-06-29

   Potential for more than minimal harm

9. DF0761Ensure 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.2025-06-20 · Health · corrected 2025-06-29

   Potential for more than minimal harm

10. EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-06-20 · Health · corrected 2025-06-29

    Potential for more than minimal harm

11. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2025-06-20 · Health · corrected 2025-06-29

    Potential for more than minimal harm

12. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-20 · Health · corrected 2025-06-29

    Potential for more than minimal harm

13. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-20 · Health · corrected 2025-06-29

    Potential for more than minimal harm

14. EF0880Provide and implement an infection prevention and control program.2025-06-20 · Health · corrected 2025-06-29

    Potential for more than minimal harm

15. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-06-20 · Health · corrected 2025-06-29

    Potential for minimal harm

16. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

17. DF0641Ensure each resident receives an accurate assessment.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

18. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

19. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

20. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-05-17 · Health · corrected 2024-06-07

    Potential for more than minimal harm

21. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

22. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

23. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

24. DF0759Ensure medication error rates are not 5 percent or greater.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

25. DF0760Ensure that residents are free from significant medication errors.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

26. DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

27. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

28. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

29. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

30. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

31. EF0814Dispose of garbage and refuse properly.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

32. EF0880Provide and implement an infection prevention and control program.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

33. EF0908Keep all essential equipment working safely.2024-05-17 · Health · corrected 2024-06-17

    Potential for more than minimal harm

34. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-05-17 · Health · corrected 2024-06-17

    Potential for minimal harm

35. DF0880Provide and implement an infection prevention and control program.2024-03-07 · Health · corrected 2024-03-08

    Potential for more than minimal harm

36. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-26 · Health · corrected 2023-04-14

    Potential for more than minimal harm

37. DF0641Ensure each resident receives an accurate assessment.2023-03-26 · Health · corrected 2023-04-14

    Potential for more than minimal harm

38. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-26 · Health · corrected 2023-04-14

    Potential for more than minimal harm

39. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-26 · Health · corrected 2023-04-14

    Immediate jeopardy

40. EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-03-26 · Health · corrected 2023-04-14

    Potential for more than minimal harm

41. EF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-03-26 · Health · corrected 2023-04-14

    Potential for more than minimal harm

42. DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-03-26 · Health · corrected 2023-04-14

    Potential for more than minimal harm

43. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-26 · Health · corrected 2023-04-14

    Potential for more than minimal harm

44. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-26 · Health · corrected 2023-04-14

    Potential for more than minimal harm

45. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-03-26 · Health · corrected 2023-04-14

    Potential for minimal harm

46. EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2023-03-26 · Health · corrected 2023-04-14

    Potential for more than minimal harm

Ownership

Other facilities in FREDERICKSBURG

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.