About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Nursing Homes in Gillespie County, TX

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Gillespie County is home to many senior care options, including nursing homes. The term “nursing home” is often used as a catchall for any type of senior care. But it can also refer to actual nursing homes, or skilled nursing facilities, which provide the highest level of medical and rehabilitative care outside of a hospital. Of the 40 nursing homes, assisted living, and memory care communities in Gillespie County, the best fit for your loved one will depend on their budget and needs. The cost of nursing home care in Gillespie County is about $4,602, but costs tend to increase as care needs increase. To learn more, browse our 419 reviews and explore the services and amenities available in your area.

 

As you consider nursing homes near you, you may also want to expand your search to areas like You may also consider nearby communities such as Bankersmith, Blumenthal and Stonewall.

Nursing Homes Facilities near Gillespie County, TX

Showing 36 communities
Last Updated: 12/5/25
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Photo of River Hills Health and Rehabilitation Center
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Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
River Hills Health & Rehabilitation Center has been recognized as a 2016 recipient of the Bronze – Commitment to Quality Award for its dedication to improving the lives of residents through quality care. The award is the first of three distinctions possible through the National Quality Award...
Photo of Hill Country Outreach Inc
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Mariner Post Acute Net Work
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Mountain Villa at Kerrville
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Mason Convalescent Care Center
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Henry House Assisted Living LLC
44 Photos available
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Town and Country Manor
Provides: Memory Care, Nursing Homes
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Town and Country Manor is located in the charming Hill Country town of Boerne. Awarded the 2009 National Quality Bronze Award by the American Health Care Association, Town and Country Manor is proud to be a leader in healthcare offering our community a variety of services. Patients of our...
Photo of Windchime at the Village
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Hilltop Nursing Home Care Choice
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of GRANITE MESA HEALTH CENTER
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
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Photo of Green D Inc
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.

Cost of nursing homes in Gillespie County, TX

The average cost of senior living in Gillespie County is $4,602 per month. Cheaper nearby regions include Cottonwood Shores, TX with an average of $4,304 per month.

Nursing homes costs in Gillespie County, TX, vs. nearby counties

Gillespie County, TX
$4,602/mo
$4,550/mo

Nursing homes costs in Gillespie County, TX, vs. state and national averages

Gillespie County, TX
$4,602/mo
$4,936/mo
U.S. national average
$4,946/mo

Nursing homes costs in Gillespie County, TX, vs. other senior living options

$4,556/mo
Nursing Homes
$4,602/mo

Nursing homes costs in Gillespie County, TX, by floor plan type

Semi-Private
$4,119/mo
Studio
$4,775/mo
1 Bedroom
$4,880/mo
2 Bedroom
$5,897/mo

Senior living costs in Gillespie County vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 4 rows of data across 4 columns.
Column communityType: Community type
Column destination: Gillespie County, TX
Column state: Texas
Column national: U.S.
Community typeGillespie County, TXTexasU.S.
Nursing Homes$4,602/mo$4,936/mo$4,946/mo
Assisted Living$4,376/mo$4,771/mo$4,698/mo
Memory Care$4,556/mo$4,936/mo$4,946/mo
Independent Living$4,282/mo$4,243/mo$4,153/mo
Nursing Homes
Gillespie County, TX:$4,602/mo
Texas:$4,936/mo
U.S.:$4,946/mo
Assisted Living
Gillespie County, TX:$4,376/mo
Texas:$4,771/mo
U.S.:$4,698/mo
Memory Care
Gillespie County, TX:$4,556/mo
Texas:$4,936/mo
U.S.:$4,946/mo
Independent Living
Gillespie County, TX:$4,282/mo
Texas:$4,243/mo
U.S.:$4,153/mo
Table showing 5 of 4 items. Click to show less.
Table showing 5 of 4 items. Click to show less.

Discover the many ways to pay for senior living

Planning ahead can better position you to make good choices for your loved one’s care in the future. But if your aging family member needs care now, there are ways to finance the cost of long-term care through a combination of approaches.

What families are saying about nursing homes in Gillespie County

Recent reviews for nursing homes in Gillespie County

Arbor House of Llano

4.0
The staff for the most part are very caring and professional. The location of the facility is great! That was the main reason we chose it over others. I highly recommend Celeste Care of Llano.

The Villages of Windcrest in Fredericksburg, TX

4.0
The Villages of Windcrest is very good at activities for the residents. Their food is good. They lack a little in nursing care-especially on the weekends. The staff communication with the family is fair. There are three meals a day and the residents have some choices.

Wholehearted Memory Care at Leon Springs in San Antonio, TX

4.7
We had hoped that dad’s stay would be temporary but it turned out to be his final days. While it was not his home Blossom Care provided a clean, caring, and safe place for dad to be. The manager and staff were always available any time and were always friendly. We were moved deeply when dad ...
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Gillespie County nursing homes services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Gillespie County nursing homes communities. They don’t represent all possible services and amenities available at assisted living communities in Gillespie County, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Gillespie County nursing homes

Nursing homes communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of nursing homes partners in Gillespie County that offer these care services compared to the percentage of partners that offer them nationally.
Gillespie County, TXNational
Full medication management
Full medication management
58.3%
2.5%
Doctor on call
Doctor on call
44.4%
9.8%
24-Hour awake staff
24-Hour awake staff
80.6%
23.5%
Diabetic care
Diabetic care
77.8%
23.9%
*Visiting health care professionals
*Visiting health care professionals
63.9%
10%
Home care agency on-site
Home care agency on-site
41.7%
0.8%
Non-ambulatory care
Non-ambulatory care
80.6%
20.3%
Respite or short term stays
Respite or short term stays
47.2%
7%
Hospice available on-site
Hospice available on-site
61.1%
17.5%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Gillespie County nursing homes

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Gillespie County Nursing Homes partners offer the selected dementia care services compared to the percentage of partners nationally.
Gillespie County, TXNational
Dementia behaviors care
Dementia behaviors care
52.8%
4%
Specialized memory care training for staff
Specialized memory care training for staff
25%
0.2%
Secured community and/or wander guard
Secured community and/or wander guard
38.9%
5.5%
Memory care only community
Memory care only community
19.4%
1.3%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Gillespie County nursing homes

Nursing homes communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Gillespie County partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Gillespie County, TXNational
Nutritionist / dietician
Nutritionist / dietician
19.4%
0.6%
Low / no sodium
Low / no sodium
47.2%
1.4%
No sugar
No sugar
44.4%
1.4%
Vegetarian
Vegetarian
30.6%
3.6%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Gillespie County nursing homes

Our nursing homes communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Gillespie County communities that offer dining options to their discerning residents compared to our partners nationally.
Gillespie County, TXNational
Professional chef
Professional chef
27.8%
0.2%
Restaurant style dining
Restaurant style dining
44.4%
0.5%
Room service
Room service
50%
0.4%
Anytime dining
Anytime dining
16.7%
0.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Gillespie County nursing homes

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered nursing homes communities in Gillespie County offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Gillespie County, TXNational
Activity director
Activity director
44.4%
0.4%
Pet-focused programs
Pet-focused programs
38.9%
0.3%
Community service programs
Community service programs
30.6%
0.3%
Devotional activities on-site
Devotional activities on-site
55.6%
6.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
55.6%
0.4%
Outings / off-site activities
Outings / off-site activities
50%
6.7%
Piano or organ
Piano or organ
47.2%
0.4%
Arts and crafts center
Arts and crafts center
27.8%
0.3%
Educational speakers / life long learning
Educational speakers / life long learning
30.6%
0.3%
Clubs / games / karaoke
Clubs / games / karaoke
55.6%
0.4%
Live performances
Live performances
55.6%
0.4%
Dances
Dances
19.4%
0.2%
Fitness center
Fitness center
11.1%
0.3%
Fitness classes
Fitness classes
55.6%
0.4%
0.0%20.0%40.0%60.0%80.0%100%
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