nursing home in Fredericksburg, TX

Avir at Fredericksburg

1117 S. Adams St., Fredericksburg, TX 78624 · (830) 997-4364

★★★★★3
Average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★2
  • Quality measures★★★★★5

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Avir at Fredericksburg at a glance

Avir at Fredericksburg is a 90-bed for-profit nursing home in Fredericksburg, Texas (Gillespie County).

CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.

Residents receive about 2.9 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.4 hours.

Its most recent standard health inspection (June 20, 2025) found 17 health citations. The Texas average is 9.4.

Federal regulators fined it 1 time in the past three years, totaling $15,288.

Nursing staff turnover is 87.8% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
90
Certified for
Medicare and Medicaid
Chain / affiliated entity
Avir Health Group
Medicare-certified since
August 12, 1993
Resident/family council
Resident
County
Gillespie County
CMS Certification Number
675169

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)3 / 52.7 / 53 / 5Average
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)2 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)5 / 53.7 / 53.6 / 5Better
Long-stay quality rating (higher is better)4 / 54 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)5 / 53.2 / 53.3 / 5Better

Staffing

This facility2.86 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)2.86 hrs3.39 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.45 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.64 hrs2.01 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.57 hrs2.98 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)87.8%55.3%45.8%Worse
Registered nurse turnover (yearly) (lower is better)77.8%54.6%42.9%Worse
Administrators who left in the past year (lower is better)011Better

Inspections

This facility17Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1799Worse
Citations from complaint investigations (latest cycle) (lower is better)843Worse
Weighted health inspection score ⓘ (lower is better)10710280.6Worse

Penalties

This facility1Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$15,288$44,141$30,972Better
All federal penalties in the past 3 years (lower is better)121Average

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds90113107
Average residents per day497686
Occupancy54.6%67.6%80.9%

Long-stay residents

This facility1.6%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)1.6%3.3%3.2%Better
Long-stay residents with pressure ulcers (lower is better)0.8%3.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)17.9%9.6%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0.8%0.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)12.1%15.8%13.9%Better
Long-stay residents whose walking worsened (lower is better)13.9%14%14.1%Average
Long-stay residents who lose too much weight (lower is better)2.9%3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)1.7%2.4%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)24.8%18%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)12%13.4%19%Better
Long-stay residents given a flu vaccine (higher is better)100%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)77%96.6%93.6%Worse

Short-stay residents

This facility0%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%1.5%1.6%Better
Short-stay residents given a pneumonia vaccine (higher is better)87.9%88.9%82%Better

Inspection citations

State inspectors cited this home for 48 health deficiencies and 16 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".

DateCitationSeverityStatus
June 26, 2026
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected July 11, 2026
May 27, 2026
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
J
Immediate jeopardy, isolated
Past Non-Compliance
December 4, 2025
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected December 5, 2025
June 20, 2025
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected July 22, 2025
June 20, 2025
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
E
Potential harm, pattern
Corrected June 29, 2025
June 20, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected June 29, 2025
June 20, 2025
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
No revisit needed
June 20, 2025
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected June 29, 2025
June 20, 2025
Complaint
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · Tag F0801
E
Potential harm, pattern
Corrected June 29, 2025
June 20, 2025
Standard
Ensure 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.
Nutrition and Dietary Deficiencies · Tag F0809
E
Potential harm, pattern
Corrected June 29, 2025
June 20, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected June 29, 2025
June 20, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected June 29, 2025
June 20, 2025
Standard
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604
E
Potential harm, pattern
Corrected June 29, 2025
June 20, 2025
Complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected June 29, 2025
June 20, 2025
Standard
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Tag F0726
D
Potential harm, isolated
Corrected June 29, 2025
June 20, 2025
Complaint
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected June 29, 2025
June 20, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected June 29, 2025
June 20, 2025
Complaint
Ensure 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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected June 29, 2025
June 20, 2025
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected June 29, 2025
June 20, 2025
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected June 29, 2025
June 20, 2025
Standard
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Tag F0912
B
No harm, pattern
Corrected June 29, 2025
May 17, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected June 30, 2024
May 17, 2024
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
F
Potential harm, widespread
Corrected June 13, 2024
May 17, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected June 30, 2024
May 17, 2024
Fire safety
Establish policies and procedures including evacuation.
Emergency Preparedness Deficiencies · Tag E0020
F
Potential harm, widespread
Corrected June 30, 2024
May 17, 2024
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected June 28, 2024
May 17, 2024
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
D
Potential harm, isolated
Corrected June 30, 2024
May 17, 2024
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Corrected May 17, 2024
May 17, 2024
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
E
Potential harm, pattern
Corrected June 17, 2024
May 17, 2024
Standard
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Tag F0814
E
Potential harm, pattern
Corrected June 17, 2024
May 17, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected June 17, 2024
May 17, 2024
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
E
Potential harm, pattern
Corrected June 17, 2024
May 17, 2024
Standard
Ensure 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.
Nutrition and Dietary Deficiencies · Tag F0809
E
Potential harm, pattern
Corrected June 17, 2024
May 17, 2024
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
E
Potential harm, pattern
Corrected June 17, 2024
May 17, 2024
Standard
Ensure 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.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected June 17, 2024
May 17, 2024
Standard
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Tag F0726
E
Potential harm, pattern
Corrected June 17, 2024
May 17, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected June 17, 2024
May 17, 2024
Standard
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
E
Potential harm, pattern
Corrected June 17, 2024
May 17, 2024
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
D
Potential harm, isolated
Corrected June 17, 2024
May 17, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected June 17, 2024
May 17, 2024
Standard
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · Tag F0661
D
Potential harm, isolated
Corrected June 7, 2024
May 17, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected June 17, 2024
May 17, 2024
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected June 17, 2024
May 17, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected June 17, 2024
May 17, 2024
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected June 17, 2024
May 17, 2024
Standard
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · Tag F0801
D
Potential harm, isolated
Corrected June 17, 2024
May 17, 2024
Standard
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Tag F0912
B
No harm, pattern
Corrected June 17, 2024
March 7, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected March 8, 2024
March 26, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
F
Potential harm, widespread
Corrected April 14, 2023
March 26, 2023
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
F
Potential harm, widespread
Corrected April 14, 2023
March 26, 2023
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
D
Potential harm, isolated
Corrected April 14, 2023
March 26, 2023
Fire safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Construction Deficiencies · Tag K0111
D
Potential harm, isolated
Corrected April 14, 2023
March 26, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Corrected April 14, 2023
March 26, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
J
Immediate jeopardy, isolated
Corrected April 14, 2023
March 26, 2023
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected April 14, 2023
March 26, 2023
Standard
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · Tag F0940
E
Potential harm, pattern
Corrected April 14, 2023
March 26, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected April 14, 2023
March 26, 2023
Standard
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Tag F0745
E
Potential harm, pattern
Corrected April 14, 2023
March 26, 2023
Standard
Have 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.
Nursing and Physician Services Deficiencies · Tag F0727
E
Potential harm, pattern
Corrected April 14, 2023
March 26, 2023
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected April 14, 2023
March 26, 2023
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected April 14, 2023
March 26, 2023
Standard
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · Tag F0801
D
Potential harm, isolated
Corrected April 14, 2023
March 26, 2023
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected April 14, 2023
March 26, 2023
Standard
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Tag F0912
B
No harm, pattern
Corrected April 14, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 1 federal penalty in the past three years, including $15,288 in fines.

DatePenaltyAmount / length
May 27, 2026Fine$15,288

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
VAL VERDE COUNTY HOSPITAL DISTRICT
Organization
5% or greater direct ownership interest100%11/01/2020
1117 S ADAMS STREET PROPERTY OWNER, LLC
Organization
adp of the snfNOT APPLICABLE03/01/2025
DENNIS, WANDA
Individual
adp of the snfNOT APPLICABLE03/01/2025
KOTHMANN, JOHN
Individual
adp of the snfNOT APPLICABLE04/16/2025
WELLTOWER INC
Organization
adp of the snfNOT APPLICABLE03/01/2025
WELLTOWER NNN GROUP, LLC
Organization
adp of the snfNOT APPLICABLE03/01/2025
WELLTOWER OP, LLC
Organization
adp of the snfNOT APPLICABLE03/01/2025
JURADO, JORGE
Individual
corporate officerNOT APPLICABLE06/01/2022
DAGAN, AMITAI
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE04/16/2025
GOLDBERGER, ABRAHAM
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE04/16/2025
1117 S ADAMS STREET OPCO, LLC
Organization
operational/managerial controlNOT APPLICABLE03/01/2025
FREUND, NOCHUM
Individual
operational/managerial controlNOT APPLICABLE03/01/2025
KOTHMANN, JOHN
Individual
operational/managerial controlNOT APPLICABLE03/01/2025
TRAVITSKY, AARON
Individual
operational/managerial controlNOT APPLICABLE03/01/2025

Other nursing homes near Avir at Fredericksburg

  1. Avir at Enchanted Rock

    210 West Windcrest St, Fredericksburg, TX 78624 · under 1 mi

    Government · 120 beds · Part of Avir Health Group

    ★★★★★2Below average
  2. Knopp Nursing & Rehab Center INC

    202 Billie Dr, Fredericksburg, TX 78624 · under 1 mi

    For-profit · 60 beds

    ★★★★★1Much below average
  3. Knopp Healthcare and Rehab Center INC

    1208 N Llano, Fredericksburg, TX 78624 · 1.9 mi

    For-profit · 119 beds

    ★★★★★3Average
  4. Avir at Comfort

    615 Faltin St., Comfort, TX 78013 · 20 mi

    For-profit · 76 beds · Part of Avir Health Group

    • CMS high performer
    ★★★★★5Much above average
  5. Hilltop Village Nursing and Rehabilitation

    1400 Hilltop Rd, Kerrville, TX 78028 · 21 mi

    For-profit · 150 beds · Part of Cross Healthcare Management

    ★★★★★2Below average
  6. Arbor View Nursing & Rehabilitation

    1213 Water St, Kerrville, TX 78028 · 21.7 mi

    For-profit · 179 beds

    • Special Focus candidate
    • Abuse citation
    ★★★★★1Much below average

All nursing homes in Fredericksburg, TX · Compare side by side

Frequently asked questions

What is Avir at Fredericksburg's rating?

Avir at Fredericksburg has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did Avir at Fredericksburg receive?

Its most recent standard health inspection found 17 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Avir at Fredericksburg accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Avir at Fredericksburg?

It is for profit - corporation and part of Avir Health Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Avir at Fredericksburg and how do I contact it?

Avir at Fredericksburg is at 1117 S. Adams St., Fredericksburg, TX 78624. Phone: (830) 997-4364.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.