Gillespie County, Texas
County inventory for Gillespie County, Texas is drawn from U.S. Centers for Medicare & Medicaid Services (CMS) Nursing Home Compare / Home Health Compare (14,710 Medicare-certified nursing homes nationwide) with cost context from the private CareScout 2025 Cost of Care Survey - see our methodology. Home-health agency signature
2 Medicare-certified home-health agencies map into Gillespie County (upper tercile, ≥2) beside 4 nursing homes - CareScout 2025 Texas medians + CMS Five-Star.
County care plate
Sheet TX-GILLESPIE-TEXAS · Gillespie, TX
NH-SMALL · BEDS-SMALL · STAR-LOW · HH-SMALL · RANK-MID · PHOTO-NONE · AL-MID · BOOK-FULL
- NH-SMALL 4 homes
- BEDS-SMALL 389 beds
- STAR-LOW 2.5★ avg
- HH-SMALL 2 HH
- RANK-MID #852/2,851
- PHOTO-NONE No peer
- AL-MID $5,666/mo
- BOOK-FULL 4/4 NH · 2/2 HH
Stamps lead with home-health agency tercile (high) plus nursing-home inventory, licensed beds, Five-Star county average, corpus NH-count rank, photo-finish peer, and CareScout assisted-living medians.
What a dense home-health map shows for Gillespie County
Home-health coverage is the standout for Gillespie County: 2 Medicare-certified agencies (upper tercile) sit beside 4 nursing homes and 389 licensed beds. CMS nursing-home stars average 2.5/5 on rated homes.
CareScout 2025 Texas medians frame mid-pack counties like this: assisted living $5,666/mo, semi-private nursing $5,627/mo, private nursing $7,604/mo, home health aide $5,720/mo, adult day $1,950/mo. Local Gillespie County providers may sit above or below those state medians.
Star counts run softer here (2 at 1★, 2 at 4★). Ownership leans For profit - Corporation (100% of 4 homes). Named 4★+ examples include Avir at Fredericksburg, Knopp Healthcare and Rehab Center Inc. Pair the ladder with inspection notes, staffing, distance, and specialty units before treating any single home as a fit.
Sources: CMS Nursing Home Compare + CareScout 2025 Cost of Care Survey. See methodology.
Top facilities in Gillespie, TX
Ranked by CMS overall star rating, not an editorial "best of" pick. Visit in person and consult a care professional before choosing.
- 1 4★
- 2 4★
- 3 1★
- 4 1★
Nursing Homes in Gillespie County
4 CMS-certified homes in this county book, ordered by overall star rating.
| Facility | City | Rating | Beds | Ownership |
|---|---|---|---|---|
| Avir at Fredericksburg | Fredericksburg | 4/5 | 90 | For profit - Corporation |
| Knopp Healthcare and Rehab Center Inc | Fredericksburg | 4/5 | 119 | For profit - Corporation |
| Avir at Enchanted Rock | Fredericksburg | 1/5 | 120 | For profit - Corporation |
| Knopp Nursing & Rehab Center Inc | Fredericksburg | 1/5 | 60 | For profit - Corporation |
Home Health Agencies in Gillespie County
Medicare-certified agencies from CMS Home Health Compare, zip-joined into this county inventory.
| Agency | City | Quality Rating |
|---|---|---|
| Encompass Health Home Health | Fredericksburg | 4.0 |
| Methodist Healthcare Hill Country Healthcare at Home | Fredericksburg | 3.0 |
Read next for home-health-dense Gillespie
Continue on the Texas elder-care overview or the highest-rated states ranking. Costs shown are Texas state-level medians from CareScout 2025 (county-level cost data is not available).
Read our methodology - how CMS Care Compare and CareScout 2025 are joined for Gillespie County.