Best Assisted Living in Fredericksburg, TX

Overview of Knopp Healthcare & Rehab

Located in the neighborhood of Fredericksburg, TX, Knopp Healthcare & Rehab is a dependable senior care provider, offering skilled nursing care, hospice care, and palliative care. Residents here are guaranteed a comfortable recovery environment with access to an extensive array of services and therapies to ensure they are able to maintain or regain their strength, mobility, and functionality. A dependable and compassionate care team is always available to attend to residents’ needs and emergencies, giving them utmost comfort and peace of mind.

Committed to creating a vibrant environment that fosters both healing and enrichment, the community also offers a wide array of activities that are designed to give countless opportunities for interactions, entertainment, and stimulation. The community also features an array of partnerships with third-party organizations for entertainment and access to more care services, ensuring residents are provided with the services for their ever-changing needs without moving into another community.

Overview of The Villages of Windcrest

The Villages of Windcrest operates an 86-bed nursing home at 702 W Windcrest St in Fredericksburg’s Gillespie County, administered by Mr. Kraig A Turpen under Acron Windcrest Village LLC.

The two-story facility has provided nursing home, assisted living, and memory care (including 24 dedicated Alzheimer’s units) for seven years, serving a mixed payer population: 35% Medicare residents (typically short-term rehab), 22% Medicaid, and 43% private pay. Current occupancy is 59.6%, lower than the Texas average of 63.5%, with average resident stays extending to 202 days.

The facility holds a 1-star overall CMS rating, 66.8% below Texas average. This reflects a 1-star Health Inspection rating (65.4% below state average) and a 1-star Staffing rating (58.3% below state average).

Seven state inspections since 2022 resulted in 45 health citations; placing the facility at the 257th precentile among 292 Texas nursing homes, among the worst-performing in the state.

Citations average 6.43 per inspection, the second-worst rate statewide. Five deficiencies reached critical severity, 150% worse than the state average. The primary problems cluster in documentation and quality of life (8 deficiencies), resident rights (6), abuse and neglect safeguards (6), pharmacy services (5), and infection control (3).

The facility has incurred $94,000 in federal penalties across three assessments since 2024, culminating in a $49,000 civil money penalty in January 2025 and a $2,250 administrative penalty in October 2024 for failures in abuse and neglect protection.

Resident outcome measures reveal safety gaps. Falls with major injury occurred in 7.1% of long-stay residents; more than double the state average of 3.2%. Walking ability declined in 23.4% of residents, 44% worse than the state norm.

Staffing ratios exceed state average (1.82:1 vs. 1.48:1), though 47% of staff are contractors. Payroll represents 31.4% of revenue, significantly below the sustainable 51–63% range typical of well-run facilities.

The facility’s regulatory and clinical trajectory presents unresolved safety concerns and elevated risk across standard quality metrics.

Located in Fredericksburg, TX, Arbor House of Fredericksburg is a dependable senior living community that offers independent living, assisted living, and memory care. The community elevates seniors’ living experience by meeting their needs with the highest level of respect and sensitivity. Residents are welcomed into beautifully designed accommodations that they can decorate with their treasured mementos to make it feel more personal and their own. A team of hardworking personnel’s and compassionate licensed nurses and caregivers are available any time of the day to provide residents with various assistance and care.

The community provides a secure and home-like environment with a variety of services, activities, programs, and amenities to explore and enjoy. Lush courtyards with walking paths are perfect for enjoying relaxing walks alone or with friends. Delicious menu plans are prepared by registered dietitians to ensure residents are getting the nourishment they require to function at their best state all the time. Amenities like private dining rooms, engagement areas, and cozy common rooms add to the appeal of living in the community, making a more relaxing and enjoyable living experience.

Experience an exceptional stay with the Heritage Place of Fredericksburg located in Fredericksburg, TX, offering assisted living and respite care services. This community is accessible to nearby places and tourist spots like the National Museum on the Pacific War, Enchanted Rock State Natural Area, and Lyndon Baynes Johnson State Park. Here, residents can choose among spacious and well-appointed accommodations ranging from one-bedroom to studio. Short-term stays with diverse activities prepared are also available for respite care services.

Having a trained and dedicated team, residents can enjoy above-and-beyond amenities and services, including restaurant-style dining with signature dishes prepared by executive chefs. Meet new friends and create meaningful memories within its beautiful spaces. Participate in various activities and community events to boost social engagement. At the Heritage Place of Fredericksburg, seniors can enjoy a worry-free retirement.

Overview of Knopp Retirement Center

Knopp Retirement Center, situated on North Llano Street about a mile from downtown Fredericksburg, Texas, is a 119-bed skilled nursing facility. Owned by Jay Luchenbach, the single-story campus provides a continuum of care, including nursing home, assisted living, memory care, hospice, palliative care, and skilled nursing services, which allows residents to transition between levels of support without relocating. The facility accepts Medicare, Medicaid, and private pay.

The building maintains an occupancy rate of approximately 47 percent, and residents stay for an average of 90 days. Daily care is supported by an average of 3 hours and 31 minutes of nursing care per resident. For daily engagement, the community is a certified Music & Memory facility, offering personalized music programs alongside pet therapy, live music visits, and structured wellness initiatives like “Jay’s Time.”

Texas Health and Human Services Commission inspection reports highlight areas such as documentation, medication administration, and the upkeep of equipment and building systems, rather than direct clinical care. The facility has a citations-per-inspection rate of zero, though visiting families may still want to ask how staff monitor these administrative and operational processes.

The surrounding neighborhood has a Walk Score of 35, indicating that most errands require a car, though some destinations are reachable on foot.

Prospective residents looking for a comprehensive care setting with personalized cognitive programs near downtown Fredericksburg can schedule a visit to evaluate the community.