Certified Nursing Assistants (CNAs) for Home Care in Fredericksburg, TX
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Fredericksburg for free and hire a caregiver directly, with no agency mark-up.
Nursing Assistants in Fredericksburg, TX: the local picture
The nearest Medicare-certified nursing homes to Fredericksburg are Avir At Enchanted Rock in Fredericksburg (0.4 mi), Avir At Fredericksburg in Fredericksburg (0.4 mi), Knopp Nursing & Rehab Center Inc in Fredericksburg (0.8 mi). Nursing homes employ many of the area’s CNAs, and CNAs who want home care work often come from them.
Aides in Texas earn a median $11.65 an hour (BLS, May 2025, home health and personal care aides). Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).
Fredericksburg has about 388 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
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+ with a disability | 25% | 26% | 35% |
| Residents 65 or older | 32% | 30% | 13% |
| Residents 65+ in households who live alone | 37% | 25% | 25% |
| Residents 65+ below the poverty line (approx.) | 13% | 12% | 12% |
| Households with no vehicle | 7.3% | 5.5% | 5.4% |
| 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 |
Home health agencies serving Fredericksburg
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Adoration Home Health | San Antonio, TX | 53 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (830) 216-7111 |
| Capitol Home Health | San Antonio, TX | 54 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 538-9090 |
| Christus Vna Homecare San Antonio | San Antonio, TX | 54 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 785-5200 |
| Peterson Home Care | Kerrville, TX | 22 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (830) 258-7400 |
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 a nursing assistant can help with
- Bathing, dressing, grooming and toileting
- Safe transfers, repositioning and walking
- Help with eating and fluids
- Taking and noting vital signs if asked
What CNAs 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.
What to know before hiring a nursing assistant
To be certified, a nurse aide completes a state-approved training program of at least 75 hours, including 16 hours of supervised practical training, and passes a competency exam (42 CFR 483.152). The state then lists them on its nurse aide registry, which you can search online in most states.
Questions worth asking: Which state certified you, and is it current? Where have you worked as a CNA? Are you comfortable with lifts, catheters and incontinence care? More in our nursing assistants guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Nursing Assistants 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 CNAs 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).
Can a CNA give medication?
Generally no. A CNA can remind someone to take medication. Giving medication is usually reserved for licensed nurses, or for aides with a separate state medication certification.
More senior care near Fredericksburg
Nursing Assistants in nearby cities
- Nursing Assistants in Kerrville, TX
- Nursing Assistants in Boerne, TX
- Nursing Assistants in Horseshoe Bay, TX
- Nursing Assistants in Llano, TX
- Nursing Assistants in Kingsland, TX
- Nursing Assistants in Granite Shoals, TX
- Nursing Assistants in Fair Oaks Ranch, TX
- Nursing Assistants in Scenic Oaks, TX
- Nursing Assistants in Marble Falls, TX
- Nursing Assistants in Bulverde, TX
- Nursing Assistants in Lakehills, TX
- Nursing Assistants in Cross Mountain, TX
- Nursing Assistants in Timberwood Park, TX
- Nursing Assistants in Canyon Lake, TX
- Nursing Assistants in Dripping Springs, TX
- Nursing Assistants in Helotes, TX
Other care in Fredericksburg
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.
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