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Nursing Homes in Fredericksburg, TX

4 facilities — sorted by CMS rating (where available), then capacity

Knopp Healthcare And Rehab Center Inc

1208 N LLANO, Fredericksburg

4/5CMS overallStaff 3·Health 4

Nursing home · Medicare/medicaid · 119 beds · For-profit

Bed mix: 41 Medicare · 78 dual

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.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Avir At Fredericksburg

1117 S. ADAMS ST., Fredericksburg

4/5CMS overallHealth 3
$33K in fines · 1 fine

Nursing home · Medicare/medicaid · 90 beds · For-profit

Bed mix: 38 Medicare · 52 dual

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.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Avir At Enchanted Rock

210 WEST WINDCREST ST, Fredericksburg

1/5CMS overallStaff 1·Health 2
$63K in fines · 2 fines

Nursing home · Medicare/medicaid · 120 beds · For-profit

Bed mix: 33 Medicare · 87 dual

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.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Knopp Nursing & Rehab Center Inc

202 BILLIE DR, Fredericksburg

1/5CMS overallStaff 1·Health 2
$32K in fines · 2 fines

Nursing home · Medicare/medicaid · 60 beds · For-profit

Bed mix: 7 Medicare · 53 dual

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.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026