Knopp Nursing & Rehab Center IncCMS ratings, inspections and fines
- Address
- 202 Billie Dr, Fredericksburg, TX 78624
- CCN
- 675740
- Ownership type
- For-profit, corporation
- Certified beds
- 60
- Chain
- None in the CMS record
- Residents per day
- 36
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Knopp Nursing & Rehab Center Inc an overall rating of 1 of 5 stars. The last standard survey was on 21 Jan 2026. The latest survey cycle has 11 health citations. The median for nursing homes in Texas is 8. CMS lists 2 fines with a total of $32,094 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Gillespie County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 2 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 4 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 21 Jan 2026 | 11 | 8 |
| Cycle 2 | 18 Oct 2024 | 12 | 8 |
| Cycle 3 | No date | 11 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 Jan 2026 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 5 Mar 2026 |
| 21 Jan 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 5 Mar 2026 |
| 21 Jan 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 5 Mar 2026 |
| 21 Jan 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 5 Mar 2026 |
| 21 Jan 2026 | F0727 | 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. | D | Standard survey | 5 Mar 2026 |
| 21 Jan 2026 | F0728 | 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. | E | Standard survey | 5 Mar 2026 |
| 21 Jan 2026 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 5 Mar 2026 |
| 21 Jan 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 5 Mar 2026 |
| 21 Jan 2026 | F0761 | 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. | E | Standard survey | 5 Mar 2026 |
| 21 Jan 2026 | F0801 | 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. | E | Standard survey | 5 Mar 2026 |
| 21 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 5 Mar 2026 |
Survey cycle 2: 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Oct 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 19 Nov 2024 |
| 18 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 19 Nov 2024 |
| 18 Oct 2024 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 19 Nov 2024 |
| 18 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 19 Nov 2024 |
| 18 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 19 Nov 2024 |
| 18 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 19 Nov 2024 |
| 18 Oct 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 19 Nov 2024 |
| 18 Oct 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint investigation | 19 Nov 2024 |
| 9 Sep 2024 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Complaint investigation | 13 Sep 2024 |
| 9 Sep 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 13 Sep 2024 |
| 9 Sep 2024 | F0726 | 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. | D | Complaint investigation | 13 Sep 2024 |
| 9 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 13 Sep 2024 |
Survey cycle 3: 11 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Sep 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 13 Nov 2023 |
| 18 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 13 Nov 2023 |
| 18 Sep 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 13 Nov 2023 |
| 18 Sep 2023 | F0727 | 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. | D | Standard survey | 13 Nov 2023 |
| 18 Sep 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 13 Nov 2023 |
| 18 Sep 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | F | Standard survey | 13 Nov 2023 |
| 18 Sep 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 13 Nov 2023 |
| 18 Sep 2023 | F0761 | 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. | E | Standard survey | 13 Nov 2023 |
| 18 Sep 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 13 Nov 2023 |
| 18 Sep 2023 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 13 Nov 2023 |
| 18 Sep 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 13 Nov 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 18 Oct 2024 | Fine | $16,448 | |
| 18 Oct 2024 | Payment denial | 4 | |
| 9 Sep 2024 | Fine | $15,646 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.09 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.25 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 1.11 | 0.95 | |
| Nurse aides | 1.73 | 2.00 | |
| All nurse staff, weekends | 2.92 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 62.5%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- No data
- Administrators who left in a year
- No data
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.6% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.6% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.9% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 24.4% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Knopp Nursing & Rehabilitation Center Inc
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Gillespie County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Avir at Fredericksburg | Fredericksburg | 3 of 5 | 17 | $23,520 | 20 Jun 2025 | |
| Avir at Enchanted Rock | Fredericksburg | 2 of 5 | 14 | $63,121 | 2 May 2026 | |
| Knopp Healthcare and Rehab Center Inc | Fredericksburg | 3 of 5 | 6 | $0 | 9 Jan 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Knopp Nursing & Rehab Center Inc (CCN 675740). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/knopp-nursing-rehab-center-inc-fredericksburg-tx-675740/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Knopp Nursing & Rehab Center Inc last inspected?
- The latest inspection with a citation in the CMS record was on 21 Jan 2026. It was a standard survey. It gave 11 citations. The standard survey before the last one was on 18 Oct 2024.
- Who operates Knopp Nursing & Rehab Center Inc?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Knopp Nursing & Rehab Center Inc a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.