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Best Nursing Homes in Fredericksburg, TX

Why trust this guide? Our editorial team analyzed 2 nursing homes in Fredericksburg, TX using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
Reviewed by
Last updated
Jul 2026
We analyzed
2 homes
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Video Tour: Top-rated Nursing Homes facilities in Fredericksburg, Texas.

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Avg Overall CMS Rating: 4.0/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Fredericksburg, TX. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 3.0/ 5The average Staffing Rating across all CMS-certified nursing homes in Fredericksburg, TX. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 4.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Fredericksburg, TX. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5
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 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

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
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home 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 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 2 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.