Knopp Nursing & Rehab Center Inc
202 Billie Dr, Fredericksburg, TX 78624 · (830) 997-8840
For profit - Corporation · 60 certified beds
Knopp Nursing & Rehab Center Inc has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in January 2026, found 11 citations (the Texas average is 9.4). It was fined 2 times in the last three years, $32,094 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on January 21, 2026 found 11 citations. What an inspection citation means
- Ensure each resident receives an accurate assessment.January 21, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure 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.January 21, 2026 · F0728 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Observe each nurse aide's job performance and give regular training.January 21, 2026 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure 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 locked compartments, separately locked, compartments for controlled drugs.January 21, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.January 21, 2026 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.January 21, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to organize and participate in resident/family groups in the facility.January 21, 2026 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedJanuary 21, 2026 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.January 21, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have 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.January 21, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.January 21, 2026 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 6 citations.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 18, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.October 18, 2024 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide doctor's orders for the resident's immediate care at the time the resident was admitted.September 9, 2024 · F0635 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.September 9, 2024 · F0678 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.September 9, 2024 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.September 9, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $16,448October 18, 2024
- Fine of $15,646September 9, 2024
- Medicare payment denial for 4 daysStarting November 21, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.09 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.25 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 1.11 | 0.95 | 0.86 |
| Nurse aides | 1.73 | 2.01 | 2.32 |
| Total nursing staff turnover | 62.5% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 60 |
| Average residents per day | 36.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Knopp Healthcare and Rehab Center Inc Fredericksburg · ★★★★★ 3 out of 5 stars
- Avir at Fredericksburg Fredericksburg · ★★★★★ 3 out of 5 stars
- Avir at Enchanted Rock Fredericksburg · ★★★★★ 2 out of 5 stars
Compare every nursing home in Fredericksburg, TX · Nursing homes in Texas · Home health agencies in Fredericksburg, TX
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Data from Medicare (CMS), updated October 2026, from Knopp Nursing & Rehab Center Inc on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.