Best Assisted Living in Fredericksburg, TX

Why trust this guide? Our editorial team analyzed 5 assisted living communities in Fredericksburg, TX using TX Health & Human Services Commission (HHSC) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in TX
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Last updated
We analyzed These are the facilities in Fredericksburg, TX our team has analyzed — not a count of every assisted living provider in Fredericksburg, TX.
5 homes
Other senior care options in Fredericksburg:

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Avg Walk Score: 28/ 100The average Walk Score across facilities in Fredericksburg, TX. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 70The average licensed bed capacity across facilities in Fredericksburg, TX. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Fredericksburg

Info below is compiled from the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Number of years the company has been in operation.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
Total count of citations (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
The average number of citations this facility receives each time it's inspected, calculated as total citations ÷ total inspections. A lower number suggests more consistent compliance with safety and care standards.
Citations tied to health-related standards (as categorized by the state). Subset of overall citation activity.
Citations tied to life safety or environmental standards (as categorized by the state). Often distinct from health-line citations.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
The Villages of Windcrest
AL
MC
Fredericksburg
86
Facility 86
TX AVG 73
Rank #335 / 874
No
13
Facility 13
TX AVG 42
Rank #1,088 / 1,232
7
Facility 7
TX AVG 19
Rank #422 / 517
A-Acron Windcrest Village LLC
12
Facility 12
TX AVG 6
Rank #680 / 839
-48Studio / 1 Bed / 2 Bed / Private Suite
Knopp Healthcare & Rehab
AL
HOS
MC
NH
PC
SNF
Fredericksburg
119
Facility 119
TX AVG 73
Rank #170 / 874
No
35
Facility 35
TX AVG 42
Rank #769 / 1,232
-A+-
27
Facility 27
TX AVG 6
Rank #815 / 839
5.4---
Arbor House of Fredericksburg
AL
MC
RC
Fredericksburg
16
Facility 16
TX AVG 73
Rank #682 / 874
No
4
Facility 4
TX AVG 42
Rank #1,204 / 1,232
8
Facility 8
TX AVG 19
Rank #396 / 517
-Hbfl Tx Arbor House LLC
10
Facility 10
TX AVG 6
Rank #640 / 839
--10-
Heritage Place of Fredericksburg
AL
Fredericksburg (Carriage Hills)
70
Facility 70
TX AVG 73
Rank #402 / 874
Yes
19
Facility 19
TX AVG 42
Rank #1,011 / 1,232
-------Studio / 1 Bed
Knopp Retirement Center
AL
HOS
MC
NH
PC
SNF
Fredericksburg
60
Facility 60
TX AVG 73
Rank #470 / 874
No
67
Facility 67
TX AVG 42
Rank #160 / 1,232
--Knopp Retirement Center Inc
9
Facility 9
TX AVG 6
Rank #602 / 839
-45-

Rank badges are statewide: each community is ranked against every TX community we track that reports that metric, not just the 5 analyzed for Fredericksburg. See how we rank facilities

Overview of The Villages of Windcrest

Located in Fredericksburg, TX, The Villages of Windcrest provides assisted living and memory care. The community is dedicated to adults 55+, including those living with Alzheimer’s and other forms of dementia.

The community has 86 beds, with studios, one-bedroom, two-bedroom layouts, and private suites. Housekeeping and transportation services are provided, along with beauty services. Moreover, recreational activities and exercise programs are conducted to help residents live actively.

Its location is also car-dependent, requiring transportation to access most errands. This also suggests that residents have limited options within walking distance. It is owned by Acron Windcrest Village LLC and administered by Kraig A. Turpen.

Contact The Villages of Windcrest

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.

Contact Knopp Healthcare & Rehab

Overview of Arbor House of Fredericksburg

Arbor House of Fredericksburg is an assisted living, memory care, and respite care community in Fredericksburg, TX. Assisted living includes help with daily tasks such as dressing, bathing, and medication while allowing a resident to keep a private suite. Memory care provides a secured setting with supervision for someone at risk of wandering, while respite care offers a short stay when a usual caregiver needs to travel or recover.

Multiple care levels may allow a resident’s needs to change without requiring a move to another community. With 16 beds, Arbor House is a smaller setting where staff and residents can get to know each other, which may suit someone who prefers a more intimate community. Private suites provide designated personal living spaces, and the courtyard offers an outdoor area on site.

Meals are prepared within the community with individualized needs in mind. Residents can join the Life in Motion engagement program, a named program for activities and engagement. Lytane Bolzle serves as administrator, Shirley Robinson is the director, and Hbfl Tx Arbor House operates the community.

Contact Arbor House of Fredericksburg

Overview of Heritage Place of Fredericksburg

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.

Contact Heritage Place of Fredericksburg

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.

Contact Knopp Retirement Center

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Assisted Living in Fredericksburg, TX

What is the average cost of assisted living in Fredericksburg, TX?

The average monthly cost of assisted living in Fredericksburg, TX is approximately $3,600. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in Fredericksburg, TX?

Assisted living in Fredericksburg, TX typically ranges from $3,300–$5,100 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in Fredericksburg, TX?

Assisted living facilities in Fredericksburg, TX typically operate with a staff-to-resident ratio in the range of 1:6 to 1:15.

What's the difference between assisted living and memory care in Texas?

Assisted living in Texas supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Texas?

Assisted living in Texas is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Texas Medicaid cover assisted living?

Texas Medicaid does not directly pay room-and-board for assisted living, but most states (including Texas) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.