Nursing homes in Gillespie County, Texas

All 4 Medicare/Medicaid-certified nursing homes across 1 cities in Gillespie County, with the government's own quality ratings, nurse staffing versus the state median, and any federal safety flags. We take no money from any facility.

nursing homes

carry an abuse flag

rated 1 star

3.12

median nurse hrs/day (TX: 3.27)

Among 4 rated homes in Gillespie, 0 have a five-star CMS overall rating and 1 have one star. Local median nurse staffing is 3.12 hours per resident per day, compared with the Texas median of 3.27. None carry a federal abuse-warning flag. Open the report cards to compare staffing, inspections, fines, drug use, and preventable-harm measures before deciding.

What the CMS records show in Gillespie County

Gillespie County ranks 102 of 146 Texas counties we cover for median nurse staffing.
3 of 4 homes report fewer nurse hours than the Texas median of 3.27. The range runs from 2.86 hours per resident per day at Avir At Fredericksburg to 3.44 at Avir At Enchanted Rock.
3 of 4 homes paid federal fines in roughly the last three years, about $118,735 in total; the most, $63,121, was at Avir At Enchanted Rock.
The largest operator here is Avir Health Group, with 2 of the 4 homes.
2 homes give long-stay residents antipsychotic drugs at twice the Texas median (8.3%) or more, highest at Knopp Nursing & Rehab Center INC (24.4%).

Cities:Fredericksburg (4)

How to narrow 4 homes down

·The 4 homes below are ordered best-first by CMS overall rating, so start at the top. 0 of them are rated 4 or 5 stars.

Once you have a shortlist, our free nursing-home tour checklist covers the 30 questions to ask and the red flags to watch for on a visit.

All 4 homes in Gillespie County

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-10-05. Educational information only, not advice. See our methodology.