Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
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.
Who we are
Your Senior Care Partner, Every Step of the Way
We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.
Contact us Today
Frequently Asked Questions about Memory Care in Fredericksburg, TX
What is the average cost of memory care in Fredericksburg, TX?
The average monthly cost of memory care in Fredericksburg, TX is approximately $4,500. Actual rates vary by community, level of care, and floorplan.
What is the price range for memory care in Fredericksburg, TX?
Memory care in Fredericksburg, TX typically ranges from $3,500–$6,000 per month, depending on the community, room type, and care needs.
What is the typical staff-to-resident ratio at memory care communities in Fredericksburg, TX?
Memory care communities in Fredericksburg, TX typically operate with a staff-to-resident ratio in the range of 1:5–1:8.
How many licensed memory care communities are there in Fredericksburg, TX?
According to state licensing records, there are approximately 1+ (Heritage Place) licensed memory care communities in Fredericksburg, TX.
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.
Does Texas Medicaid cover memory care?
Texas Medicaid does not directly pay room-and-board for memory care, 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 memory care?
Memory care is a specialized form of assisted living for residents living with Alzheimer's disease or other forms of dementia, with secured environments, dementia-trained staff, and routines built to reduce confusion and wandering.
Published on
Updated on
Feedback
