Respite Care in Fredericksburg, TX for Caregivers

Local figures

Respite Care in Fredericksburg, TX: the local picture

3,653

residents 65 or older (32% of Fredericksburg)

63%

of residents 65+ in households live with someone, often a family caregiver

25%

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

19

Medicare-certified hospices serve Fredericksburg ZIP codes

Most older adults in Fredericksburg live with someone: 63% of residents 65 and older in households do. When one of them needs care, the person they live with usually provides most of it, and respite is what keeps that sustainable.

About 873 Fredericksburg residents aged 65 or older report a disability (25%) (26% in Gillespie County). Many of them rely on a spouse or adult child day to day.

Medicare lists 19 hospices serving Fredericksburg ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.

Fredericksburg compared with Gillespie County and Texas

Census figure	Fredericksburg	Gillespie County	Texas
Residents 65+ with a disability	25%	26%	35%
Residents 65+ in households who live alone	37%	25%	25%
Residents 65 or older	32%	30%	13%
Residents 85 or older	3.4%	3.4%	1.4%
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+	65+ with a disability
Kerrville, TX	22 mi	6,992	33%
Boerne, TX	34 mi	3,516	40%
Horseshoe Bay, TX	35 mi	2,338	24%
Llano, TX	36 mi	927	32%
Kingsland, TX	37 mi	2,058	41%
Granite Shoals, TX	38 mi	1,031	29%

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

Nursing homes near Fredericksburg (ask about short stays)

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

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 respite caregiver can help with

Taking over the usual routine while you are away
Meals, medication reminders and personal care
Company and activities
Overnight cover for a weekend or a trip

Cost

What respite 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 respite caregiver

Family caregivers carry most long-term care in the U.S., and burnout is a common reason a home arrangement breaks down. The federal National Family Caregiver Support Program funds respite through local Area Agencies on Aging, and the ARCH National Respite Locator lists respite programs by state.

Questions worth asking: Can you do a short paid visit first, while I am home? Are you available at short notice if I am ill? Can you stay overnight, and what do you charge for it? More in our respite care guide.

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

Questions

Respite Care in Fredericksburg: common questions

Which hospices serve Fredericksburg?

Medicare lists 19 hospices for Fredericksburg ZIP codes, including Votive Hospice LLC, Methodist Healthcare Hill Country Hospice & Family Care, Ave Maria Hospice.

How much does respite 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).

Does Medicaid or Medicare pay for respite care?

Medicare pays for short inpatient respite stays only for people on its hospice benefit (Medicare.gov); the hospices on this page serve Fredericksburg. Many state Medicaid home and community-based programs, veterans’ programs and the National Family Caregiver Support Program fund respite. Our guide STAR+PLUS in Texas: using consumer directed services to pay a family caregiver covers Texas.

More near Fredericksburg

More senior care near Fredericksburg

Respite 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.

Respite Care in Fredericksburg, TX