★★★☆☆CMS 3/590 bedsFor-profitMedicaid
- Nurse hours
- 2.86 /day
- Staff turnover
- 88%
- Serious cites
- 0
Avir At Fredericksburg runs 90 certified beds under corporate ownership, and its nurse staffing sits at 2.86 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 10% below its own weekday coverage. The bigger red flag is turnover: 87.8% annually, nearly double the national 45.8%. On the quality measures the home scores well, but its health inspection rating is 2 out of 5 with 47 deficiencies on record, including 2 at harm or jeopardy level and 2 tied to abuse. One fine totaling $23,520 has been levied. The last inspection was June 20, 2025. Staffing consistency and inspection history are where the concerns live.
★★★☆☆CMS 3/5119 bedsFor-profitMedicaid
- Nurse hours
- 3.15 /day
- Staff turnover
- 48%
- Serious cites
- 0
Knopp Healthcare and Rehab Center runs 119 certified beds in Fredericksburg under corporate for-profit ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 19% under the national average of 3.86, with weekend coverage dipping about 3% below its own weekday levels. Staff turnover is 47.8%, a couple points above the national figure. The current record shows 25 deficiencies, none at the harm or jeopardy level but three tied to abuse, and the most recent inspection was January 9, 2026. What stands out is the split: a four-star health inspection rating next to a one-star quality measure score, meaning the care process itself is where the numbers look weakest.
★★☆☆☆CMS 2/5120 bedsGovernmentMedicaid
- Nurse hours
- 3.44 /day
- Staff turnover
- 79%
- Serious cites
- 0
Avir At Enchanted Rock runs on a hospital district's budget out in Gillespie County, and the numbers show where that leaves residents. Nurses provide 3.44 hours of care per resident each day, roughly 11 percent under the national average, and weekends dip about 15 percent below the home's own weekday staffing. The bigger red flag is turnover: 78.9 percent of staff leave within a year, against a national average of 45.8, so the people providing that already-thin care are constantly new. Inspectors have cited 47 deficiencies, including 5 at the harm level and 8 tied to abuse, with $63,121 in fines. Quality scores look good on paper, but staffing and inspections tell the harder story.
★☆☆☆☆CMS 1/560 bedsFor-profitMedicaid
- Nurse hours
- 3.09 /day
- Staff turnover
- 63%
- Serious cites
- 0
Knopp Nursing & Rehab Center runs on noticeably thinner nurse coverage than most homes, 3.09 hours per resident day against a national average of 3.86, and weekends dip even further below its own weekday level. That shortfall matters more when you consider the staff turnover of 62.5%, well above the 45.8% national figure, meaning the people providing that care are frequently new or on their way out. The record backs it up: 34 deficiencies, two serious enough to put residents in harm's way, three tied to abuse, and two fines totaling $32,094. With a for-profit corporate owner and the most recent inspection in January 2026, this is a home where the numbers themselves tell the story.