Fredericksburg Nursing and Rehabilitation

    1117 S Adams St, Fredericksburg, TX 78624
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Mom thrived, excellent, caring staff

    My mom did very well in rehab - the therapy team was excellent and the nurses/aides were caring and involved. The facility is cozy, spotless, and well maintained; the food is delicious and activities are engaging. Staff are friendly, personal, and professional - I highly recommend this place for loved ones.

    Loved one of resident
    Jul 2026

    Schedule a Tour

    Date of Tour
    Time Window
    Tour Type

    You selected in-person tour on in the

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.38·(8)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.2
    • Staff

      3.5
    • Meals

      5.0
    • Amenities

      3.5
    • Value

      3.4

    Pros

    • Caring, personal, professional nursing staff
    • Friendly, involved caregiving team
    • Clean, well-maintained facility
    • Comfortable, cozy resident accommodations
    • Engaging daily activities and programming
    • High-quality, appealing dining

    Cons

    • Inconsistent staffing levels and coverage
    • Delayed responsiveness to call bells and care requests
    • Gaps in medication administration and pain management
    • Inconsistent personal-care scheduling (bathing/ADLs)
    • Variable staff communication and professional conduct
    • Insufficient in-room amenities and supply consistency
    • Clinical-assessment and acuity-placement gaps

    Summary of reviews

    Reviewer feedback for Fredericksburg Nursing and Rehabilitation shows a mix of strong positive experiences alongside several operational concerns. Many families and visitors describe the facility as clean, well maintained, and comfortable, with a pleasant residential atmosphere. Positive remarks center on the caregiving staff, who are frequently characterized as caring, personal, and professional, and on the facility’s dining and activities offerings, which several reviewers found appealing.

    Care quality appears uneven. While some families report attentive, professional care, other accounts point to lapses that affect resident comfort and symptom control — for example, delays in responding to call bells, missed or late administration of pain medication, and inconsistent bathing or ADL schedules. There are also comments suggesting that residents’ clinical needs are not always optimally matched to staff assessment or placement decisions, which can increase risk of unmet needs.

    Staff behavior and communication are another mixed area. Many reviewers praise individual staff members for being engaged and compassionate; at the same time, there are reports of confrontational or unprofessional interactions and inconsistency in staff tone. Several comments link these communication issues to staffing variability, implying that coverage levels and team continuity may influence the day-to-day resident experience.

    Dining, activities, and the physical environment receive generally positive feedback: food quality is described as good, programming is considered engaging, and common areas are described as pleasant. That said, there are isolated concerns about in-room conditions and basic amenities — for example, some rooms described as bleak and inconsistent provision of simple supplies (tissues, water pitchers) — signaling unevenness in room readiness and supply practices.

    Taken together, the pattern suggests a facility with clear strengths in cleanliness, amenities, and many individual caregivers, but with operational weaknesses that affect reliability of care: staffing variability, responsiveness, medication and ADL scheduling, and occasional lapses in communication and in-room supply consistency. Prospective residents and families should consider on-site visits, ask about current staffing ratios and coverage, inquire about medication-administration and pain-management protocols, and review how the facility handles acuity assessment and room provisioning to ensure expectations align with practice.

    Reviews written on Mirador

    We have no reviews to show about Fredericksburg Nursing and Rehabilitation.

    Help other families by writing a review about your experience with this community.

    Medicare Ratings

    4·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Fredericksburg Nursing and Rehabilitation

    Fredericksburg Nursing and Rehabilitation is located at 1117 S Adams St, Fredericksburg, TX, 78624.

    About Fredericksburg Nursing and Rehabilitation

    Fredericksburg Nursing And Rehabilitation offers long-term care services for residents in need of specialized care and assistance. As a facility that prioritizes the well-being of its residents, they have a long-term care ombudsman available to help address any concerns or complaints that may arise during a resident's stay. The ombudsman is there to provide support, guidance, and assistance in resolving any issues that may come up, ensuring that the residents' voices are heard and their rights are protected.

    Residents living in the nursing facility or assisted living facility can rest assured knowing that the ombudsman is there to provide confidential and free assistance. Whether it's a matter of quality of care, living conditions, or any other concern that may arise, the ombudsman is committed to advocating on behalf of the residents to ensure that their needs are met and their well-being is prioritized. By calling the toll-free number provided, residents can easily reach out to the ombudsman and expect to receive prompt assistance.

    The dedicated team at Fredericksburg Nursing And Rehabilitation understands the importance of ensuring a safe and comfortable environment for all residents. With the support of the ombudsman, residents can feel empowered to address any issues or concerns they may have, knowing that they have someone on their side to help navigate and resolve any challenges that may arise. The ombudsman serves as a valuable resource for residents, offering assistance and advocacy to ensure that they receive the care and support they deserve during their time at the facility.

    People often ask...

    Fredericksburg Nursing and Rehabilitation offers assisted living, memory care, and skilled nursing.

    There are 9 photos of Fredericksburg Nursing and Rehabilitation on Mirador.

    The full address for this community is 1117 S Adams St, Fredericksburg, TX 78624.

    No, Fredericksburg Nursing and Rehabilitation does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Fredericksburg Nursing and Rehabilitation. The information above has not been verified or approved by the owner or operator. For exact information, please contact Fredericksburg Nursing and Rehabilitation directly. There is no cost for this service. We are compensated by the community you select.

    Are you an owner or operator of this community?

    Claim this listing to receive messages from prospective customers and manage your community page.

    Nearby Communities

    Assisted Living in Nearby Cities

    1. 4 facilities
    2. 24 facilities$5,032/mo
    3. 10 facilities$4,182/mo
    4. 2 facilities
    5. 2 facilities$4,546/mo
    6. 26 facilities$5,516/mo
    7. 2 facilities$3,683/mo
    8. 4 facilities$4,603/mo
    9. 5 facilities
    10. 6 facilities$4,603/mo
    11. 4 facilities$5,217/mo
    12. 2 facilities
    © 2026 Mirador Living