In-Home Dementia Care in Fredericksburg, TX

Local figures

Dementia Care in Fredericksburg, TX: the local picture

388

residents 85 or older (3.4% of all residents)

3,653

residents 65 or older (32% of Fredericksburg)

25%

of residents 65+ report a disability (26% in Gillespie County)

6+

Medicare-certified nursing homes within 25 miles

Fredericksburg has about 388 residents aged 85 or older among 3,653 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.

25% of residents 65 and older report a disability (26% in Gillespie County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

37% of older Fredericksburg residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.

Fredericksburg compared with Gillespie County and Texas

Census figure	Fredericksburg	Gillespie County	Texas
Residents 85 or older	3.4%	3.4%	1.4%
Residents 65 or older	32%	30%	13%
Residents 65+ with a disability	25%	26%	35%
Residents 65+ in households who live alone	37%	25%	25%
Residents 65+ below the poverty line (approx.)	13%	12%	12%
Residents 5+ who speak a language other than English at home	11%	17%	35%
Median income, households headed by someone 65+	$54,771	$65,909	—

Older residents in towns around Fredericksburg

Town	Distance	Residents 65+	Residents 85+
Kerrville, TX	22 mi	6,992	1,245
Boerne, TX	34 mi	3,516	738
Horseshoe Bay, TX	35 mi	2,338	247
Llano, TX	36 mi	927	94
Kingsland, TX	37 mi	2,058	326
Granite Shoals, TX	38 mi	1,031	76

Nursing homes near Fredericksburg

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Avir At Enchanted Rock	Fredericksburg, TX	0.4 mi	2 of 5	120	(830) 637-7885
Avir At Fredericksburg	Fredericksburg, TX	0.4 mi	3 of 5	90	(830) 997-4364
Knopp Nursing & Rehab Center Inc	Fredericksburg, TX	0.8 mi	1 of 5	60	(830) 997-8840
Knopp Healthcare And Rehab Center Inc	Fredericksburg, TX	1.5 mi	3 of 5	119	(830) 997-3704
Avir At Comfort	Comfort, TX	20 mi	5 of 5	76	(830) 995-3757
Hilltop Village Nursing And Rehabilitation	Kerrville, TX	21 mi	2 of 5	150	(830) 895-3200

Hospices serving Fredericksburg

Hospice	Office	Distance	Phone
Votive Hospice LLC	Fredericksburg, TX	1.1 mi	(512) 560-8604
Methodist Healthcare Hill Country Hospice & Family Care	Fredericksburg, TX	1.1 mi	(830) 997-1335
Ave Maria Hospice	Fredericksburg, TX	1.1 mi	(830) 997-1709
New Century Hospice Of San Antonio	Kerrville, TX	22 mi	(830) 955-5961

Straight-line miles from the center of Fredericksburg. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a dementia caregiver can help with

Keeping a predictable daily routine
Gentle help with bathing, dressing and toileting
Meals, hydration and medication reminders
Calming approaches for sundowning, agitation and repeated questions

Cost

What dementia care costs in Fredericksburg

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 22% of the $4,564 monthly median income of Fredericksburg households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see STAR+PLUS in Texas: using consumer directed services to pay a family caregiver.

Before you hire

What to know before hiring a dementia caregiver

An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.

Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Dementia Care in Fredericksburg: common questions

What nursing homes are near Fredericksburg?

The closest Medicare-certified nursing homes are Avir At Enchanted Rock in Fredericksburg (0.4 mi, 2 of 5 overall); Avir At Fredericksburg in Fredericksburg (0.4 mi, 3 of 5 overall); Knopp Nursing & Rehab Center Inc in Fredericksburg (0.8 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Fredericksburg?

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 22% of the $4,564 monthly median income of Fredericksburg households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

When does someone with dementia need care at home?

Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.

More near Fredericksburg

More senior care near Fredericksburg

Dementia Care in nearby cities

Other care in Fredericksburg

More for Fredericksburg families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

In-Home Dementia and Alzheimer's Care in Fredericksburg, TX