Nursing HomeInspections

Knopp Nursing & Rehab Center INC

Nursing home in Fredericksburg, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (830) 997-8840Send a messageMap ↗

Public-record details

Address
202 Billie Dr, Fredericksburg, TX 78624
Phone
(830) 997-8840
Listed under
For-profit
Medicare CCN
675740
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
2 of 5
Certified beds
60
Average residents per day
36
Ownership
For-profit, corporation
Legal business name
Knopp Nursing & Rehabilitation Center INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 11, 1997
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 675740. 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 21, 2026. CMS lists 34 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 18, 2023 to Jan 21, 2026): 6 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Jan 21, 2026Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights		D
Potential for more than minimal harm, isolated
Jan 21, 2026Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jan 21, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 21, 2026Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Jan 21, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jan 21, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Jan 21, 2026Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern
Jan 21, 2026Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern
Jan 21, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jan 21, 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
Jan 21, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Oct 18, 2024Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 34. 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 2 fines totalling $32,094 and 1 denial of Medicare payment for new admissions in the last three years.

Oct 18, 2024Fine: $16,448
Oct 18, 2024Payment denial for 4 days from Nov 21, 2024
Sep 9, 2024Fine: $15,646

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
3.09 hours
Registered nurse (RN) time per resident per day
0.25 hours
Nurse aide time per resident per day
1.73 hours
Total nurse staffing on weekends
2.92 hours
Nursing staff turnover (yearly)
63%

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)Knopp Healthcare and Rehab Center INC1208 N Llano · Fredericksburg, TX 78624 · (830) 997-3704 · For-profit25 health citations in 3 inspection cycles · last standard inspection Jan 9, 2026 · no CMS fines in 3 yrsMedicare & 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)

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