Nursing HomeInspections

Knopp Healthcare and Rehab Center INC

Nursing home in Fredericksburg, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (830) 997-3704Send a messageMap ↗

Public-record details

Address
1208 N Llano, Fredericksburg, TX 78624
Phone
(830) 997-3704
Listed under
For-profit, No fines in 3 years
Medicare CCN
455278
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
1 of 5
Certified beds
119
Average residents per day
59
Ownership
For-profit, corporation
Legal business name
Knopp Healthcare & Rehab Center INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 1, 1976
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455278. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 9, 2026. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 24, 2023 to Jan 9, 2026): 6 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jan 9, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jan 9, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jan 9, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jan 9, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 9, 2026Keep all essential equipment working safely.
Environmental		D
Potential for more than minimal harm, isolated
Jan 9, 2026Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Oct 16, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 16, 2024Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 4, 2024Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Oct 4, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Oct 4, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Oct 4, 2024Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 25. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.15 hours
Registered nurse (RN) time per resident per day
0.47 hours
Nurse aide time per resident per day
1.87 hours
Total nurse staffing on weekends
3.04 hours
Nursing staff turnover (yearly)
48%
RN turnover (yearly)
0%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Fredericksburg

Avir at Fredericksburg1117 S. Adams St. · Fredericksburg, TX 78624 · (830) 997-4364 · For-profit48 health citations in 3 inspection cycles · last standard inspection Jun 20, 2025 · $23,520 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Avir at Enchanted Rock210 West Windcrest St · Fredericksburg, TX 78624 · (830) 637-7885 · Government-owned48 health citations in 3 inspection cycles · last standard inspection May 2, 2026 · $63,121 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Knopp Nursing & Rehab Center INC202 Billie Dr · Fredericksburg, TX 78624 · (830) 997-8840 · For-profit34 health citations in 3 inspection cycles · last standard inspection Jan 21, 2026 · $32,094 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

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