Nursing homes in Fredericksburg, TX
Fredericksburg, TX has 4 Medicare-certified nursing homes. None has a 5-star overall rating, and 3 have been fined in the last three years.
Medicare data updated October 2026. Sorted by Medicare's overall rating.
| Nursing home | Overall rating | Health inspections | Staffing | Quality measures | Beds | Fines |
|---|---|---|---|---|---|---|
| Knopp Healthcare and Rehab Center Inc1208 N Llano · For profit - Corporation | ★★★★★ 3 out of 5 stars | ★★★★★ 4 out of 5 stars | ★★★★★ 3 out of 5 stars | ★★★★★ 1 out of 5 stars | 119 | None |
| Avir at Fredericksburg1117 S. Adams St. · For profit - Corporation | ★★★★★ 3 out of 5 stars | ★★★★★ 2 out of 5 stars | ★★★★★ 2 out of 5 stars | ★★★★★ 5 out of 5 stars | 90 | 1 ($15,288) |
| Avir at Enchanted Rock210 West Windcrest St · Government - Hospital district | ★★★★★ 2 out of 5 stars | ★★★★★ 2 out of 5 stars | ★★★★★ 2 out of 5 stars | ★★★★★ 4 out of 5 stars | 120 | 2 ($63,121) |
| Knopp Nursing & Rehab Center Inc202 Billie Dr · For profit - Corporation | ★★★★★ 1 out of 5 stars | ★★★★★ 2 out of 5 stars | ★★★★★ 1 out of 5 stars | ★★★★★ 2 out of 5 stars | 60 | 2 ($32,094) |
How to read the ratings. Medicare's overall rating starts from the health inspection rating, which compares each home with others in Texas, then moves up or down a star for very high or very low staffing and quality measure ratings. Ratings are one source among several: Medicare suggests visiting too. How to read a nursing home's star ratings
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Recent inspection problems in Fredericksburg
Citations from each home's latest standard inspection and from complaint inspections in the last three years, newest first. What an inspection citation means
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 26, 2026 · Avir at Fredericksburg · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 22, 2026 · Avir at Enchanted Rock · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.May 27, 2026 · Avir at Fredericksburg · F0760 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.May 13, 2026 · Avir at Enchanted Rock · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 2, 2026 · Avir at Enchanted Rock · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 2, 2026 · Avir at Enchanted Rock · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.May 2, 2026 · Avir at Enchanted Rock · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 2, 2026 · Avir at Enchanted Rock · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.May 2, 2026 · Avir at Enchanted Rock · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.May 2, 2026 · Avir at Enchanted Rock · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Questions about nursing homes in Fredericksburg
Which nursing home in Fredericksburg has the highest Medicare rating?
Knopp Healthcare and Rehab Center Inc and Avir at Fredericksburg share the highest overall rating in Fredericksburg: 3 stars out of 5.
How many nursing homes in Fredericksburg have been fined?
3 of the 4 have been fined in the last three years, $110,503 in all. The most was $63,121, at Avir at Enchanted Rock.
Does Medicare flag any nursing homes in Fredericksburg?
No. None of the 4 is a Special Focus Facility or carries Medicare's abuse icon.
Which nursing home in Fredericksburg is the largest?
Avir at Enchanted Rock, with 120 certified beds.
Data from Medicare (CMS), updated October 2026, from Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.