nursing home in Fredericksburg, TX
Knopp Healthcare and Rehab Center INC
1208 N Llano, Fredericksburg, TX 78624 · (830) 997-3704
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Knopp Healthcare and Rehab Center INC at a glance
Knopp Healthcare and Rehab Center INC is a 119-bed for-profit nursing home in Fredericksburg, Texas (Gillespie County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 3.1 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (January 9, 2026) found 6 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 47.8% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 119
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- March 1, 1976
- Resident/family council
- Resident
- County
- Gillespie County
- CMS Certification Number
- 455278
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.15 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.47 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.87 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.04 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 47.8% | 55.3% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 0% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 33 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 119 | 113 | 107 | |
| Average residents per day | 59 | 76 | 86 | |
| Occupancy | 49.9% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.4% | 3.3% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 8.4% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 9.8% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 4.1% | 0.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 3% | 0.3% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 27.9% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 47.2% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.6% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.4% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.6% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 25.9% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 95.6% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.5% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 47.3% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.9% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 9, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected January 16, 2026 |
| January 9, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected January 16, 2026 |
| January 9, 2026 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected January 16, 2026 |
| January 9, 2026 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0801 | E Potential harm, pattern | Corrected February 20, 2026 |
| January 9, 2026 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected February 20, 2026 |
| January 9, 2026 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected February 20, 2026 |
| January 9, 2026 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | D Potential harm, isolated | Corrected February 20, 2026 |
| January 9, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 20, 2026 |
| January 9, 2026 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected February 20, 2026 |
| October 16, 2024 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected November 29, 2024 |
| October 16, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected November 29, 2024 |
| October 4, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected October 30, 2024 |
| October 4, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected November 29, 2024 |
| October 4, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected November 29, 2024 |
| October 4, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected November 29, 2024 |
| October 4, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected November 29, 2024 |
| October 4, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected October 17, 2024 |
| October 4, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | C No harm, widespread | Corrected October 17, 2024 |
| October 4, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected November 18, 2024 |
| October 4, 2024 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | E Potential harm, pattern | Corrected November 18, 2024 |
| October 4, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected November 18, 2024 |
| October 4, 2024 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected November 18, 2024 |
| October 4, 2024 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected November 18, 2024 |
| October 4, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected November 18, 2024 |
| September 20, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected October 23, 2024 |
| September 20, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 23, 2024 |
| August 24, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected September 25, 2023 |
| August 24, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected October 6, 2023 |
| August 24, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | C No harm, widespread | Corrected September 23, 2023 |
| August 24, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected September 20, 2023 |
| August 24, 2023 Standard | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Tag F0944 | F Potential harm, widespread | Corrected October 9, 2023 |
| August 24, 2023 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected September 20, 2023 |
| August 24, 2023 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected October 9, 2023 |
| August 24, 2023 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected September 20, 2023 |
| August 24, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected October 9, 2023 |
| August 24, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected October 9, 2023 |
| August 24, 2023 Standard | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected September 20, 2023 |
| August 24, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected October 9, 2023 |
| August 24, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected October 9, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LUCHENBACH, JAY Individual | 5% or greater direct ownership interest | 29% | 01/01/2013 |
| MONKHOUSE, MARY Individual | 5% or greater direct ownership interest | 9% | 05/01/2023 |
| PERRY, CHASE Individual | 5% or greater direct ownership interest | 5% | 01/01/2013 |
| PERRY, JANE Individual | 5% or greater direct ownership interest | 33% | 05/01/2023 |
| DIAZ, PAMELA Individual | adp of the snf | NOT APPLICABLE | 05/03/2010 |
| KOTHMANN, JOHN Individual | adp of the snf | NOT APPLICABLE | 04/27/2022 |
| PERRY, CHASE Individual | adp of the snf | NOT APPLICABLE | 01/01/2013 |
| PERRY, JANE Individual | adp of the snf | NOT APPLICABLE | 01/01/2013 |
| LUCHENBACH, JAY Individual | corporate director | NOT APPLICABLE | 05/01/2023 |
| MONKHOUSE, MARY Individual | corporate director | NOT APPLICABLE | 05/01/2023 |
| LUCHENBACH, JAY Individual | corporate officer | NOT APPLICABLE | 01/01/2013 |
| PERRY, CHASE Individual | corporate officer | NOT APPLICABLE | 05/01/2023 |
| PERRY, JANE Individual | corporate officer | NOT APPLICABLE | 05/01/2023 |
| DIAZ, PAMELA Individual | operational/managerial control | NOT APPLICABLE | 05/03/2010 |
| KOTHMANN, JOHN Individual | operational/managerial control | NOT APPLICABLE | 04/27/2022 |
| PERRY, CHASE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2013 |
| PERRY, JANE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2013 |
Other nursing homes near Knopp Healthcare and Rehab Center INC
Avir at Enchanted Rock
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★★★★★2Below averageAvir at Fredericksburg
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★★★★★3AverageKnopp Nursing & Rehab Center INC
202 Billie Dr, Fredericksburg, TX 78624 · 2.3 mi
For-profit · 60 beds
★★★★★1Much below averageAvir at Comfort
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★★★★★5Much above averageHilltop Village Nursing and Rehabilitation
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★★★★★2Below averageArbor View Nursing & Rehabilitation
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Frequently asked questions
What is Knopp Healthcare and Rehab Center INC's rating?
Knopp Healthcare and Rehab Center INC has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Knopp Healthcare and Rehab Center INC receive?
Its most recent standard health inspection found 6 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Knopp Healthcare and Rehab Center INC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Knopp Healthcare and Rehab Center INC?
It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Knopp Healthcare and Rehab Center INC and how do I contact it?
Knopp Healthcare and Rehab Center INC is at 1208 N Llano, Fredericksburg, TX 78624. Phone: (830) 997-3704.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.