Senior Care in Fredericksburg, TX

Knopp Healthcare and Rehab Center is a 119-bed for-profit nursing home in Fredericksburg, Gillespie County, Texas, licensed since 1971 and currently active through 2027. CMS rates it 4 stars overall and 4 stars on health inspections, with no fines on record. Quality-of-care outcomes for long-stay residents are rated 1 star — the lowest tier — and staffing rates 3 stars, with residents receiving about 187 minutes of nursing care per day. The facility is running at roughly 50% of licensed capacity.

Avir At Fredericksburg is a 90-bed nursing home in Fredericksburg, TX, part of the Avir Health Group chain and operated under a hospital district license. CMS rates it 4 stars overall, with a 5-star quality-of-care rating and a 3-star health inspection rating. One CMS fine of $33,145 has been issued. Nursing staff turnover runs very high — about 8 in 10 staff left in the past year — with no staffing rating currently available from CMS.

Avir At Enchanted Rock is a 120-bed nursing home in Fredericksburg, Texas, licensed to Uvalde County Hospital Authority and managed by 210 West Windcrest Street Opco Llc. CMS rates it 1 star overall — the lowest tier — with 1-star staffing and a 4-star quality-measures rating. Two CMS fines total $63,121 since the last inspection cycle. The facility is currently operating at roughly 39% of its licensed beds, with about 47 residents on any given day.

Knopp Nursing & Rehab Center is a 60-bed for-profit nursing home in Fredericksburg, Gillespie County, TX, licensed since 1974 and currently accepting Medicare and Medicaid. CMS rates it 1 star overall — the lowest tier — with 1-star staffing and 2-star health inspection and quality-of-care ratings. Two CMS fines totaling $32,094 have been issued, and about 65% of beds are occupied.

The Villages of Windcrest is a Type B assisted-living facility in Fredericksburg (Gillespie County, TX) licensed for 86 residents. It includes a 24-bed memory-care unit with current state certification, effective March 2026 through March 2029. The facility is operated under license 313021 by Windcrest Opco, LLC and managed by Juniper Management LLC. The license was originally issued in May 2019.

Heritage Place of Fredericksburg is a 70-bed Type B assisted-living community in Fredericksburg, TX, operated by Morada Senior Living LLC under licensee Fredericksburg TX SLC Tenant LLC. It does not offer memory care. The active state license runs through April 2028. All 70 beds are licensed only — no Medicaid or Medicare beds are listed.

Knopp Retirement Center is a Type B assisted living facility in Fredericksburg (Gillespie County), licensed for 60 residents with no memory-care program. It operates as a for-profit corporation under licensee Knopp Retirement Center Inc, with Danielle Lovalvo listed as administrator. The current license is active through June 2027.

Knopp Assisted Living Center Inc is a 53-bed Type B assisted living facility in Fredericksburg, Gillespie County, Texas, licensed under a for-profit corporation of the same name. It holds state memory-care certification for 11 residents, effective September 2025 through September 2028. The active state license runs through June 2027. Administrator of record is Nataly Diaz.

Arbor House of Fredericksburg is a 16-bed Type B assisted-living facility in Fredericksburg, TX, licensed under Hbfl Tx Arbor House Llc and managed by Celeste Care Llc. At 16 beds, it operates at a residential scale. The current license is active through January 2027, first issued in August 2017. No memory-care certification is in place.

Arbor House of Fredericksburg is a 16-bed Type B assisted-living facility in Fredericksburg, Texas, licensed under Hbfl Tx Arbor House Llc and managed by Celeste Care Llc. Its current license runs through January 2027. The facility carries no Medicaid or Medicare beds — all 16 beds are private-pay only. State licensing records do not indicate memory-care certification.

A 16-bed memory care assisted living facility in Fredericksburg, Texas, licensed as a Type B assisted living home. All 16 beds are dedicated to memory care, and the state has certified the memory care program through April 2026. The license has been active since 2011 and is current through 2026. Administrator of record is Michael J. Stork.