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Nursing homes in Gillespie County, Texas
Gillespie County, Texas, has 4 Medicare-certified nursing homes with 389 certified beds.
50% of them are rated 1 or 2 stars overall, about the same share as the state (48%). Inspectors recorded 155 health deficiencies over three cycles, 39.8 per 100 beds against 24.4 statewide.
Fines in the period covered total $119K across 5 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Gillespie County | Texas | US |
|---|---|---|---|
| Facilities | 4 | 1177 | 14690 |
| Rated 1–2 stars overall | 50% | 48% | 41% |
| Median overall rating | 3 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 39.8 | 24.4 | 26.8 |
| Median nurse hours per resident day | 3.1 | 3.3 | 3.7 |
| Fines listed | $119K | $54M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Fredericksburg | Fredericksburg | 90 | 3 | 2 | 2 | 48 | 53.3 | $24K | 26 Jun 2026 |
| Knopp Healthcare and Rehab Center Inc | Fredericksburg | 119 | 3 | 4 | 3 | 25 | 21.0 | — | 9 Jan 2026 |
| Avir At Enchanted Rock | Fredericksburg | 120 | 2 | 2 | 2 | 48 | 40.0 | $63K | 22 Jun 2026 |
| Knopp Nursing & Rehab Center Inc | Fredericksburg | 60 | 1 | 2 | 1 | 34 | 56.7 | $32K | 21 Jan 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 10 |
| F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 9 |
| F0880 | Provide and implement an infection prevention and control program. | 8 |
| F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 7 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 7 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 3 |
| Government | 1 |
Chains present: Avir Health Group (2).
Questions and answers
How many nursing homes are in Gillespie County, Texas?
4 Medicare-certified nursing homes with 389 certified beds.
Which nursing homes in Gillespie County have the highest CMS ratings?
Avir At Fredericksburg (3 stars), Knopp Healthcare and Rehab Center Inc (3 stars), Avir At Enchanted Rock (2 stars)
How do Gillespie County nursing homes compare with Texas?
50% are rated 1–2 stars overall against 48% statewide; citations run at 39.8 per 100 beds against 24.4 statewide.