Fredericksburg Nursing and Rehabilitation

    1117 S Adams St, Fredericksburg, TX, 78624
    3.0 · 4 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Clean facility but understaffed care

    The building is clean, nicely maintained, with good food, activities and some genuinely caring staff, but it's chronically understaffed. Call bells go unanswered, charts and meds get overlooked, basic comforts (water, tissues) are often missing, and delays in bathing left my mom distressed - management was defensive when I raised concerns, so I can't fully recommend it for those needing reliable hands-on care.

    Pricing

    Schedule a Tour

    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

    3.00 · 4 reviews

    Overall rating

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

      2.3
    • Staff

      2.3
    • Meals

      5.0
    • Amenities

      3.3
    • Value

      3.0

    Pros

    • Clean facility (pleasant smell)
    • Pleasant residential environment
    • Daily activities program
    • Tasty / delicious food
    • Recommended for loved ones by some reviewers
    • Caring and involved staff (according to some reviewers)
    • Well-maintained facility

    Cons

    • Understaffed
    • Unresponsive to call bells
    • Missed or failed to administer pain medication
    • Staff not reading charts / poor coordination
    • Bleak or sparsely furnished rooms
    • Lack of basic supplies (no tissues, no water bottles or pitcher)
    • Resident acuity not properly understood or assessed
    • Residents distressed (cried all night) or fled the facility
    • Unprofessional, arrogant, or confrontational staff/management
    • Overall poor quality of care reported by some reviewers
    • Delays in bathing

    Summary review

    Overall sentiment across these review summaries is mixed, with a set of clear strengths reported by some reviewers alongside several recurring and serious concerns. Positively, multiple summaries praise the facility's cleanliness and pleasant smell, a well-maintained physical environment, an active daily activities program, and enjoyable food. Several reviewers explicitly recommended the facility for loved ones and described staff as caring and involved, and there are reports of family members feeling their relative was well cared for. These positive points suggest the facility can and does provide a comfortable, engaging, and hygienic setting for many residents.

    However, the reviews also reveal significant and repeated deficiencies in clinical care and staffing. Understaffing is a dominant theme and is directly tied in reviewers' descriptions to delayed assistance (unresponsive call bells), delays in bathing, and poor coordination of care (staff not reading charts). Most alarmingly, there are reports of missed or failed administration of pain medication and instances where resident acuity was not properly understood or assessed. These kinds of lapses can lead to distress and harm; the summaries include stark examples such as a resident crying through the night and one account of a resident fleeing the facility. Such reports indicate potential safety and supervision problems when staffing levels or clinical processes are inadequate.

    Staff behavior and management style are another area of mixed feedback. Some reviewers describe staff as caring and involved, while others report unprofessional, arrogant, or confrontational interactions with staff or management. This inconsistency suggests variability in staff training, culture, or situational pressures (for example, effects of understaffing). Confrontational or unprofessional behavior reported by families can erode trust and complicate care coordination, particularly when families are trying to escalate issues like missed medications or staffing concerns.

    The physical facility receives generally favorable comments for cleanliness and maintenance, but reviewers also noted environmental shortcomings: descriptions of bleak rooms and the absence of basic supplies such as tissues, water bottles, or a water pitcher. These deficiencies are more logistical than structural, but they materially affect resident comfort and dignity. The combination of a generally clean environment with occasional lapses in basic supply provision points to inconsistent operational practices—areas that may be correctable with process and supply-chain improvements.

    Dining and activities are clear strengths in the reviewer summaries. Multiple mentions of delicious food and an active daily activities schedule indicate the facility invests in resident quality of life beyond clinical needs. For many families, these aspects contribute positively to overall impressions and are specifically cited when reviewers recommend the facility.

    In summary, the reviews paint a complex picture: a facility capable of providing a clean, engaging, and comfortable living experience for some residents, but one that also shows repeated and serious concerns around staffing, medication administration, responsiveness, and interpersonal professionalism. The pattern suggests variability in the resident experience—some residents and families receive attentive, compassionate care, while others encounter lapses that have significant consequences. Prospective residents and families should weigh the positive environment, food, and activities against the documented risks around staffing and clinical reliability. For the facility, priorities should include addressing staffing levels and training, improving medication and chart-review protocols, ensuring consistent availability of basic supplies, and reinforcing professional communication practices with families to reduce the incidents that led to the most serious complaints.

    Location

    Map showing location of Fredericksburg Nursing and Rehabilitation

    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...

    Nearby Communities

    • Exterior view of Belmont Village Senior Living West Lake Hills building with a covered entrance, stone and beige facade, trees, and a partly cloudy blue sky.
      $8,000+4.4 (117)
      1 Bedroom
      independent, assisted living, memory care

      Belmont Village Senior Living West Lake Hills

      4310 Bee Caves Rd, West Lake Hills, TX, 78746
    • Exterior view of a single-story brick building with a covered entrance, surrounded by landscaped greenery and trees under a blue sky with scattered clouds.
      $2,625 – $3,050+3.9 (110)
      Studio • 1 Bedroom • 2 Bedroom
      independent, assisted living, memory care

      Truewood by Merrill, River Park

      3201 River Park Drive, Fort Worth, TX, 76116
    • Exterior view of Texas Star Assisted Living facility showing a stone sign with the facility name and a building entrance with stone pillars and a covered driveway under a clear blue sky.
      $4,450 – $5,025+4.3 (76)
      Semi-private • Studio
      independent, assisted living, memory care

      Vitality Court Texas Star

      650 S Greenville Ave, Allen, TX, 75002
    • Front exterior view of the American House Town and Country senior living facility with a circular driveway, landscaped greenery, and an American flag on a flagpole under a wooden entrance canopy.
      $5,000+3.9 (61)
      suite
      assisted living, memory care

      American House Town and Country

      1020 Woods Mill Rd, Town and Country, MO, 63017
    • Exterior view of Amber Lights senior living community with a large sign displaying the name and address, surrounded by landscaped greenery, palm trees, and desert plants under a clear blue sky.
      $3,530+3.8 (57)
      1 Bedroom
      independent living, assisted living

      Amber Lights

      6231 N Montebella Rd, Tucson, AZ, 85704
    • Exterior view of McDowell Village senior living facility showing a building with a covered entrance supported by brick columns, surrounded by palm trees, colorful flower beds, and well-maintained landscaping under a clear blue sky.
      $5,200 – $6,500+4.7 (107)
      1 Bedroom • 2 Bedroom
      independent living, assisted living

      McDowell Village

      8300 East McDowell Road, Scottsdale, AZ, 85257

    Assisted Living in Nearby Cities

    0 facilities
    4 facilities
    24 facilities$5,032/mo
    0 facilities
    10 facilities$4,182/mo
    2 facilities
    2 facilities$4,546/mo
    28 facilities$5,516/mo
    6 facilities$4,026/mo
    2 facilities$3,683/mo
    © 2025 Mirador Living