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Other Senior care options in Fredericksburg:

Best Nursing Homes in Fredericksburg, TX

Reviewed by Dr. Jordan Weiss
Updated May 2026

Sources: CMS Centers for Medicare and Medicaid Services, and Texas Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Nursing Homes facilities in Fredericksburg, Texas.

Watch this Video to see Fredericksburg's Top-rated Senior Communities

Compare Nursing Homes around Fredericksburg

The information below is reported by the Texas Health and Human Services Commission.

2 facilities compared · CMS & TX Dept. of Health data

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The Villages of Windcrest
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Fredericksburg
86
Facility 86
TX AVG 117
59.6%
Facility 59.6%
TX AVG 63.5%
-6%
3.72
Facility 3.72
TX AVG 3.63
-71%+2%
$94.0k
Facility $94.0k
TX AVG $81.8k
45
Facility 45
TX AVG 25.9
6.4
Facility 6.4
TX AVG 3.7
5
Facility 5
TX AVG 2.5
50-
13
Facility 13
TX AVG 45
Operators Of Fredericksburg
$15.9M
Facility $15.9M
TX AVG $8.4M
$5.0M
Facility $5.0M
TX AVG $3.5M
31.4%
Facility 31.4%
TX AVG 47%
455941
Knopp Healthcare & Rehab
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Fredericksburg (North Llano Street)
132
Facility 132
TX AVG 117
Rank #53 / 248
29.3%
Facility 29.3%
TX AVG 63.5%
Rank #217 / 248
-54%
3.52
Facility 3.52
TX AVG 3.63
Rank #118 / 237
-24%-3%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 242
26
Facility 26
TX AVG 25.9
Rank #158 / 240
6.5
Facility 6.5
TX AVG 3.7
Rank #235 / 240
-
Facility -
TX AVG 2.5
57A+
35
Facility 35
TX AVG 45
Rank #165 / 246
Jay Luchenbach
$4.3M
Facility $4.3M
TX AVG $8.4M
Rank #241 / 248
$3.2M
Facility $3.2M
TX AVG $3.5M
Rank #218 / 248
75.2%
Facility 75.2%
TX AVG 47%
Rank #4 / 248
455278
Overview of The Villages of Windcrest

Enjoy a serene yet dynamic retirement experience with The Villages of Windcrest, an upscale senior living community in Fredericksburg, Texas, offering assisted living and memory care services. Residents here benefit from receiving compassionate assistance with their daily living activities in the comfort of their spacious and comfortable apartments without the worries of home maintenance, yard cleaning, and household chores. Meanwhile, memory care residents are offered with a specially trained team and access to the community’s award-winning Spark® program that provides an array of initiatives designed to help them achieve their full potential.

In addition to its extensive array of activities and health & wellness initiatives, the community offers various amenities that are designed to provide various conveniences, such as a salon, and fitness center. Gourmet dining is also available to give residents an enjoyable dining experience that nourishes their body and mind. Here, residents are guaranteed to thrive with access to all the tools they need to live full lives.

What does this home offer?

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Minimum age icon

Minimum Age: 55 Years Old

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Housing Options: Studio / 1 Bed / 2 Bed / Private Suite

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Building Type: 2-story

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Dining Services

Beauty services icon
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Beauty Services

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Transportation Services

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Housekeeping Services

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Recreational Activities

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Exercise Programs

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.

What does this home offer?

Total residents icon
Total residents icon

Total Residents: Yes

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Building type icon

Building Type: Single-story

Contact Knopp Healthcare & Rehab

Overview of Knopp Retirement Center
Knopp Retirement Center is located in Fredericksburg, Texas, and has been providing exceptional senior care since 1965. The facility offers a range of services including assisted living, long-term care, and specialized therapy. It is family-owned and operated, focusing on compassion, respect, and integrity in care.

Contact Knopp Retirement Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in Fredericksburg, TX

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 nursing home care?

Yes — Texas Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 3 nursing homes in Fredericksburg, TX. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Fredericksburg, TX?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Fredericksburg, TX, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Fredericksburg, TX?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.