Best Nursing Homes in Fredericksburg, TX, Graded A–F
All 4 graded Medicare-certified nursing homes in Fredericksburg, TX, scored from CMS Care Compare — nurse staffing, health inspections, quality measures and penalties — against Texas peers of the same size. Grades are computed, never edited, and every input is shown on the facility page.
CMS data as of Aug 2026 · graded Sep 11, 2026Grade distribution — Fredericksburg, TX
A0
B0
C0
D3
F1
Highest graded
Fredericksburg · Staffing 3.1 nurse hours per resident-da...See grade
4 facilitiesgraded in Fredericksburg, TX · 0 earned an A
All Texas
Houston (59)San Antonio (58)Dallas (33)Fort Worth (30)Austin (25)El Paso (21)Lubbock (14)Corpus Christi (13)Tyler (13)
Highest in Fredericksburg, TX 1
Knopp Healthcare And Rehab Center Inc - Fredericksburg, TX · 119 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.1 nurse hours per resident-day — below median in Texas
- 6 health deficiencies at the last standard survey (CMS severity score 28) — above median
- No fines or payment denials in 3 years
DScore 47 · Below averageSee Full Grade
8309973704
Fredericksburg, Gillespie County
Medicaid
2
Avir At Enchanted Rock - Fredericksburg, TX · 120 beds · government - hospital district CMS Care Compare · data as of Aug 2026
- Staffing 3.4 nurse hours per resident-day — above median in Texas
- 13 health deficiencies at the last standard survey (CMS severity score 139) — bottom quarter
- $63,121 in fines in 3 years
DScore 42 · Below averageSee Full Grade
8306377885
Fredericksburg, Gillespie County
Medicaid
3
Avir At Fredericksburg - Fredericksburg, TX · 90 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 2.9 nurse hours per resident-day — bottom quarter in Texas
- 17 health deficiencies at the last standard survey (CMS severity score 104) — bottom quarter
- $23,520 in fines in 3 years
DScore 38 · Below averageSee Full Grade
8309974364
Fredericksburg, Gillespie County
Medicaid
4
Knopp Nursing & Rehab Center Inc - Fredericksburg, TX · 60 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.1 nurse hours per resident-day — below median in Texas
- 11 health deficiencies at the last standard survey (CMS severity score 68) — below median
- $32,094 in fines in 3 years, 1 payment denials
FScore 25 · PoorSee Full Grade
8309978840
Fredericksburg, Gillespie County
Medicaid
Texas nursing homes by city
How we grade nursing homes
What data goes into a grade?
CMS Care Compare: Nurse staffing (30), Health inspections (30), Quality measures (25), Penalties (15). Each metric is percentile-ranked against Texas facilities in the same size band; A ≥ 80, B ≥ 65, C ≥ 50, D ≥ 35, F below. Facilities with under 60% of data are shown as "Not graded".
Can a facility pay to improve its grade?
No. Grades are computed from public data and have no editable field. Nothing on this page is sponsored.
Is a grade a substitute for visiting?
No. Use it to shortlist, then visit, ask for the latest inspection report, and talk to residents' families.