NectaLinkAvir at Fredericksburg
Public license record1117 S. Adams St., Fredericksburg, TX, 78624
Nursing Facility · 90 licensed beds
Key facts
- Trust status
- Public license record
- License type
- Nursing Facility
- Licensed capacity
- 90 beds
Care offered
- Skilled Nursing
Costs
This facility has not published pricing. As a market baseline, Texas assisted living typically runs $3,500–$5,500/mo and skilled nursing is usually higher — ask for current rates when you contact them. Baseline is a state-level estimate, not this facility’s price.
CMS star ratings
CMS five-star rating from the Medicare.gov Provider Information dataset · data as of June 1, 2026. Not a NectaLink rating.
Inspection history
46 citations across 5 inspections on record · 46 with a documented correction date.
December 4, 2025 — Health inspection · complaint-related
- Potential for harmDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Corrected December 5, 2025.
June 20, 2025 — Health inspection · complaint-related
- Potential for harmEnsure that residents are fully informed and understand their health status, care and treatments. Corrected June 29, 2025.
- Potential for harmEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment. Corrected June 29, 2025.
- Potential for harmEnsure each resident receives an accurate assessment. Corrected June 29, 2025.
- Potential for harmDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Corrected June 29, 2025.
- Potential for harmProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Corrected June 29, 2025.
- Potential for harmEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Corrected June 29, 2025.
- Potential for harmProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Corrected June 29, 2025.
- Potential for harmEnsure 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. Corrected June 29, 2025.
- Potential for harmEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Corrected June 29, 2025.
- Potential for harmEnsure 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. Corrected June 29, 2025.
- Potential for harmProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Corrected June 29, 2025.
- Potential for harmSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Corrected June 29, 2025.
- Potential for harmProvide and implement an infection prevention and control program. Corrected June 29, 2025.
- Minimal harm potentialProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Corrected June 29, 2025.
May 17, 2024 — Health inspection
- Potential for harmHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Corrected June 17, 2024.
- Potential for harmEnsure each resident receives an accurate assessment. Corrected June 17, 2024.
- Potential for harmDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Corrected June 17, 2024.
- Potential for harmDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Corrected June 17, 2024.
- Potential for harmEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Corrected June 7, 2024.
- Potential for harmProvide appropriate treatment and care according to orders, resident’s preferences and goals. Corrected June 17, 2024.
- Potential for harmProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Corrected June 17, 2024.
- Potential for harmEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Corrected June 17, 2024.
- Potential for harmEnsure medication error rates are not 5 percent or greater. Corrected June 17, 2024.
- Potential for harmEnsure that residents are free from significant medication errors. Corrected June 17, 2024.
- Potential for harmEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Corrected June 17, 2024.
- Potential for harmEnsure 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. Corrected June 17, 2024.
- Potential for harmEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Corrected June 17, 2024.
- Potential for harmEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Corrected June 17, 2024.
- Potential for harmEnsure 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. Corrected June 17, 2024.
- Potential for harmDispose of garbage and refuse properly. Corrected June 17, 2024.
- Potential for harmProvide and implement an infection prevention and control program. Corrected June 17, 2024.
- Potential for harmKeep all essential equipment working safely. Corrected June 17, 2024.
- Minimal harm potentialProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Corrected June 17, 2024.
+ 12 earlier citations on record.
Source: CMS Health Deficiencies dataset / Medicare Care Compare · data as of June 1, 2026. Descriptions are reproduced verbatim from federal survey records; correction dates are as reported to CMS.
Location
1117 S. Adams St., Fredericksburg, TX 78624
What to verify before a tour
- Current room availability and waitlist timing
- Whether the quoted rate includes care fees and medication support
- Night and weekend staffing coverage
- How family updates, incidents, and care-plan changes are communicated
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