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D
Poor

Avir at Enchanted Rock

210 WEST WINDCREST ST · FREDERICKSBURG, TX 78624

8306377885 · For profit - Corporation

120 beds47.1 residents127 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Avir at Enchanted Rock receives an overall staffing grade of D (Poor). With 3.0958 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3871 HPRD, below the recommended 0.75. It is 0.80 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.35% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

⚠️Had 3 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0958 HPRD — needs 0.38 more hours per resident per day.
⚠️RN staffing (0.3871 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.0958hrs/resident/day▼ 0.80
CMS benchmark: 3.48
RN HPRD
0.3871hrs/resident/day▼ 0.30
Recommended: 0.75
Weekend Drop-off
16.35%
3.2459 weekday → 2.7151 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
3days this quarter
4+ days = auto 1-star
CNA HPRD
1.7041hrs/resident/day
Direct care aides
LPN HPRD
0.9993hrs/resident/day
Licensed practical nurses
Consistency
0.3905std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Gillespie County Average+0.06 HPRD
3.03
03.10 HPRD
vs. Texas State Average-0.31 HPRD
3.40
03.10 HPRD
vs. National Average-0.80 HPRD
3.90
03.10 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Avir at Enchanted Rock ★
FREDERICKSBURG · This facility
—
D
3.09580.3871★☆☆☆☆
KNOPP HEALTHCARE AND REHAB CENTER INC
FREDERICKSBURG
1.9 mi
C
3.11750.5038★★★★☆
HILLTOP VILLAGE NURSING AND REHABILITATION
KERRVILLE
20.9 mi
F
3.06440.152★☆☆☆☆
Arbor View Nursing & Rehabilitation
KERRVILLE
21.6 mi
D
3.62990.2737★☆☆☆☆
Town and Country Nursing and Rehabilitation Center
Boerne
33.3 mi
C
3.20030.4913★☆☆☆☆
Deer Creek Nursing and Rehabilitation
Wimberley
50.6 mi
D
2.6960.5221★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
43
Total Deficiencies
$63,121
Fines Assessed
Jul 10, 2025Health
3 deficiencies cited
▼
Feb 12, 2025Health
9 deficiencies cited
▼
Jan 19, 2025Health
3 deficiencies cited· Includes actual harm
▼
Jun 22, 2024Health
1 deficiency cited
▼
Jan 13, 2024Health
18 deficiencies cited· Includes actual harm
▼
Nov 18, 2022Health
9 deficiencies cited
▼

Penalty History

Jan 19, 2025Fine
$49,205
Jan 13, 2024Fine
$13,916
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.