Hospice Support in Fredericksburg, TX: Caregivers at Home

Local figures

Hospice Support in Fredericksburg, TX: the local picture

19

Medicare-certified hospices serve Fredericksburg ZIP codes

388

residents 85 or older (3.4% of all residents)

37%

of residents 65+ in households live alone (25% in Gillespie County)

25%

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

Medicare lists 19 hospices whose service area includes Fredericksburg ZIP codes, the nearest offices being Votive Hospice LLC in Fredericksburg (1.1 mi) and Methodist Healthcare Hill Country Hospice & Family Care in Fredericksburg (1.1 mi).

1,275 Fredericksburg residents 65 or older live alone (37% of those in households). Someone on hospice who lives alone usually needs added hours of help between the hospice team’s visits.

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+ in households who live alone	37%	25%	25%
Residents 65+ with a disability	25%	26%	35%
Residents 65+ with difficulty dressing or bathing	6.3%	4.8%	8.0%
Residents 65 or older	32%	30%	13%
Residents 65+ below the poverty line (approx.)	13%	12%	12%
Median income, households headed by someone 65+	$54,771	$65,909	—

Older residents in towns around Fredericksburg

Town	Distance	Residents 65+	Live alone (65+)
Kerrville, TX	22 mi	6,992	36%
Boerne, TX	34 mi	3,516	27%
Horseshoe Bay, TX	35 mi	2,338	18%
Llano, TX	36 mi	927	37%
Kingsland, TX	37 mi	2,058	39%
Granite Shoals, TX	38 mi	1,031	19%

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
Peterson Hospice	Kerrville, TX	22 mi	(830) 258-7799
Alamo Hospice	Boerne, TX	28 mi	(830) 816-5024

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 caregiver for hospice support can help with

Comfort, company and a calm presence
Gentle personal care and repositioning
Small meals and fluids as the person wants
Telling the hospice nurse about changes

Cost

What hospice support 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 caregiver for hospice support

Under Medicare, hospice is for someone whose doctors certify a life expectancy of six months or less and who chooses comfort care instead of treatment to cure the illness. Medicare does not cover room and board for hospice care at home (Medicare.gov).

Questions worth asking: Have you cared for someone at the end of life? How do you work with a hospice nurse? Can you sit overnight in the last days if needed? More in our hospice support guide.

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

Questions

Hospice Support in Fredericksburg: common questions

How much does hospice support 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).

Who qualifies for hospice under Medicare?

Someone whose hospice doctor (and regular doctor, if they have one) certifies a life expectancy of six months or less, and who accepts comfort care instead of curative treatment (Medicare.gov).

More near Fredericksburg

More senior care near Fredericksburg

Hospice Support 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 Hospice Support in Fredericksburg, TX