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Nursing homes in Fredericksburg, TX

4 Medicare- or Medicaid-certified nursing homes, with ratings, staffing and inspection results from CMS.

Nursing homes
4
in Fredericksburg
Certified beds
389
across all 4
Adults 65+
3,653
Census estimate for Fredericksburg
Certified beds per 1,000 adults 65+
106.5
city total vs. Census 65+ estimate
Within 25 miles
9
of the center of Fredericksburg
Nursing HomesAssisted Living 7Memory Care 3Home Care 6Senior Apartments 3
Showing 1–4 of 4 nursing homes
Filters
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Source: CMS Care Compare, Nursing Home Provider Information, processed Sep 1, 2026. Distance is measured from the center of Fredericksburg (U.S. Census Bureau).

Nearby

Nursing homes near Fredericksburg

Counting neighboring towns, there are 9 nursing homes within 25 miles of the center of Fredericksburg, 5 more than in Fredericksburg itself. Distances are straight-line miles.

Closest outside Fredericksburg

See all 9 within 25 miles

Nearby cities

Within 25 miles, closest first

Local overview

Nursing home care in Fredericksburg at a glance

There are 4 nursing homes in Fredericksburg, TX, according to CMS Care Compare records. 2 of the 4 that report their size have 100 beds or more. Half were first licensed in 1971 or earlier.1

By certified beds

  • Under 50 beds0
  • 50 to 99 beds2
  • 100 beds or more2
Size is the certified beds on the public record.1

Licensing and oversight

How nursing home care is regulated in Texas

Nursing homes are licensed by the state and, to accept Medicare or Medicaid, certified by the federal Centers for Medicare & Medicaid Services (CMS). The Texas state survey agency inspects them for CMS, and the results are published on Medicare’s Care Compare.34

Report a problem
Call 800-458-9858 or file a complaint online.3
Inspection reports
Medicare Care Compare publishes each nursing home’s inspection findings, staffing and penalties.4

Paying for care

Ways to pay for nursing home care in Texas

Programs that can help, by name. Eligibility rules are set by each program, so confirm with the agency before you plan around one.

Medicaid
Texas Medicaid: STAR+PLUS (managed long-term services and supports).5 Texas Medicaid agency6
Medicare
Medicare Part A covers short-term skilled nursing care after a qualifying hospital stay of at least 3 days, for up to 100 days per benefit period. It does not pay for long-term custodial care.78
Veterans benefits
Wartime veterans and surviving spouses who need help with daily activities may qualify for the VA pension with Aid and Attendance.9 The Texas Veterans Commission helps with claims (512-463-6564).10
Medicare counseling
Texas’s State Health Insurance Assistance Program (SHIP) gives unbiased one-on-one help with Medicare and related coverage questions: 1-800-252-9240.11

Local resources

Local help for families in Fredericksburg

Official agencies and nonprofit helplines, with phone numbers and links taken from their own directories.

  • Area Agency on Aging

    Aging services for Gillespie County12

    1-800-677-1116

    The Eldercare Locator connects you with the Area Agency on Aging that serves Gillespie County.

    Website

  • Long-term care ombudsman

    AAA of Alamo Area13

    210-362-5209

    Free, independent advocate for residents of care facilities in Gillespie County.

  • Report abuse or neglect

    Texas Adult Protective Services

    800-252-5400

    Adult Protective Services takes reports about adults at risk.

    Website

  • Health facility complaints

    Texas state survey agency3

    800-458-9858

    Website

  • Medicare counseling (SHIP)

    Health Information, Counseling, and Advocacy Program (HICAP)11

    1-800-252-9240

    Website

  • Veterans benefits

    Texas Veterans Commission10

    512-463-6564

    Website

  • Medicaid

    Texas Medicaid agency6

    Website

Questions families ask

Frequently asked questions about nursing home care in Fredericksburg

How many nursing homes are in Fredericksburg, TX?

WeFoundCare lists 4 nursing homes in Fredericksburg, TX, from public licensing and certification records. Within 25 miles of the center of Fredericksburg there are 9.

How many beds can nursing homes in Fredericksburg serve?

4 of the 4 nursing homes report certified beds, for a combined 389 beds. The Census Bureau estimates 3,653 adults age 65 and older live in Fredericksburg.

Where can I see inspection results for nursing homes in Fredericksburg?

Medicare’s Care Compare publishes federal inspection and quality results. Each listing on this page links to its detail page with the figures we import from CMS.

Who can help if there is a problem with care in Fredericksburg?

The long-term care ombudsman is a free, independent advocate for residents. In Gillespie County, call 210-362-5209. To report suspected abuse or neglect, call Texas Adult Protective Services at 800-252-5400.

Are there nursing homes near Fredericksburg?

Nearby cities with listings include Comfort (1, 20.3 mi), Kerrville (4, 21.9 mi).

Guides

Guides for families choosing nursing home care

Other types of care

Other senior care in Fredericksburg

Methodology

About this data

How the figures on this page are built. Each number links to its source below.

  • Listings come from CMS Care Compare (Nursing Home Provider Information), Sep 1, 2026.1 A listing appears under the city on its license or certification address.
  • Adults 65+ is the Census Bureau’s 2020–2024 American Community Survey 5-year estimate for Fredericksburg (Census place). Census boundaries can differ from the mailing-address city used for listings, so per-1,000 figures are a guide, not a precise rate.14
  • Certified beds is the figure on the public record; 4 of 4 nursing homes report it.
  • Distances are straight-line miles from the center of Fredericksburg (U.S. Census Bureau place center). “Nearby” means within 25 miles and can include other states.
  • Agency contacts come from each program’s own directory and are checked when we rebuild the data. WeFoundCare does not rate or rank communities.

Sources and references

  1. Centers for Medicare & Medicaid Services: Nursing Home Provider Information. data.cms.gov/provider-data/dataset/4pq5-n9py Accessed Sep 1, 2026.
  2. Texas Health and Human Services Commission. apps.hhs.texas.gov/providers/directories Accessed .
  3. Centers for Medicare & Medicaid Services: State Survey Agency contact information. cms.gov/medicare/health-safety-standards/quality-safety-oversight-general-information/contact-information Accessed Oct 18, 2026.
  4. Centers for Medicare & Medicaid Services: Care Compare. medicare.gov/care-compare Accessed Oct 18, 2026.
  5. Texas HHSC: STAR+PLUS. hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-members/starplus Accessed Oct 17, 2026.
  6. National Association of Medicaid Directors: Medicaid Directors. medicaiddirectors.org/about/medicaid-directors Accessed Oct 18, 2026.
  7. CMS / Medicare.gov: Skilled nursing facility (SNF) care (2026 cost sharing). medicare.gov/coverage/skilled-nursing-facility-care Accessed Oct 17, 2026.
  8. CMS / Medicare.gov: Long-term care coverage. medicare.gov/coverage/long-term-care Accessed Oct 17, 2026.
  9. U.S. Department of Veterans Affairs: Aid and Attendance benefits and Housebound allowance. va.gov/pension/aid-attendance-housebound Accessed Oct 18, 2026.
  10. U.S. Department of Veterans Affairs: State Veterans Affairs Offices. discover.va.gov/external-resources Accessed Oct 18, 2026.
  11. SHIP National Technical Assistance Center (funded by the U.S. Administration for Community Living): Find your local SHIP. shiphelp.org/ships Accessed Oct 18, 2026.
  12. U.S. Administration for Community Living: Eldercare Locator. eldercare.acl.gov Accessed Oct 18, 2026.
  13. National Long-Term Care Ombudsman Resource Center / National Consumer Voice for Quality Long-Term Care: Find your Long-Term Care Ombudsman. theconsumervoice.org/get-help Accessed Oct 18, 2026.
  14. U.S. Census Bureau, American Community Survey 2020–2024 5-year estimates, table B01001. data.census.gov/table/ACSDT5Y2024.B01001 Accessed Oct 18, 2026.