CCN 675169 · Gillespie County, Texas
Avir at Fredericksburg
1117 S. Adams St., Fredericksburg, TX 78624
Avir at Fredericksburg is a 90-bed for-profit nursing home in Fredericksburg, Texas, first certified for Medicare or Medicaid in 1993. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 49.1 residents a day, about 55% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 90
- Average residents per day
- 49.1 (54.6% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Val Verde County Hospital District
- Certified since
- Aug 12, 1993
- Chain or affiliated group
- Avir Health Group (118 facilities, chain average 2.3 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Texas median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 2.86 | 3.27 | 3.68 |
| RN hours per resident per day | 0.45 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 2.57 | ||
| Nursing staff turnover | 87.8% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 54.6% | 68.6% | 85.7% |
| Fines reported by CMS | 1 totaling $15,288 | ||
| Health deficiencies, latest standard survey | 17 (Jun 20, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Avir at Fredericksburg meets that part today: 3 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Val Verde County Hospital DistrictOrganization | Direct Ownership Interest | 100% | 11/01/2020 |
| 1117 S Adams Street Opco, LLCOrganization | Operational / Managerial Control | n/a | 03/01/2025 |
| Freund, NochumIndividual | Operational / Managerial Control | n/a | 03/01/2025 |
| Kothmann, JohnIndividual | Operational / Managerial Control | n/a | 03/01/2025 |
| Travitsky, AaronIndividual | Operational / Managerial Control | n/a | 03/01/2025 |
In its Medicare enrollment record, the facility reported a real estate investment trust owner: Welltower Inc. Those flags are self-reported to CMS and many PE and REIT ties go unflagged.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Nov 1, 2020 | Val Verde County Hospital District | Fredericksburg Nursing and Rehabilitation LP |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.