nursing home in Fredericksburg, TX
Knopp Nursing & Rehab Center INC
202 Billie Dr, Fredericksburg, TX 78624 · (830) 997-8840
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Knopp Nursing & Rehab Center INC at a glance
Knopp Nursing & Rehab Center INC is a 60-bed for-profit nursing home in Fredericksburg, Texas (Gillespie County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.1 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (January 21, 2026) found 11 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $32,094.
Nursing staff turnover is 62.5% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- December 11, 1997
- Resident/family council
- Resident
- County
- Gillespie County
- CMS Certification Number
- 675740
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 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) | 3.09 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.25 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.73 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.92 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 62.5% | 55.3% | 45.8% | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 102.5 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $32,094 | $44,141 | $30,972 | Average |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 113 | 107 | |
| Average residents per day | 36 | 76 | 86 | |
| Occupancy | 60.5% | 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) | 4.1% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.5% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 24.4% | 9.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 5.9% | 0.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.6% | 0.3% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 17.6% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 24.1% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 4.4% | 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) | 34.1% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 31.4% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 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) | 1.8% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 62.3% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.8% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 34 health deficiencies and 15 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 21, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected March 9, 2026 |
| January 21, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected March 9, 2026 |
| January 21, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected March 9, 2026 |
| January 21, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 9, 2026 |
| January 21, 2026 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected March 9, 2026 |
| January 21, 2026 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected March 9, 2026 |
| January 21, 2026 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | E Potential harm, pattern | Corrected March 5, 2026 |
| January 21, 2026 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0728 | E Potential harm, pattern | Corrected March 5, 2026 |
| January 21, 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 March 5, 2026 |
| January 21, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected March 5, 2026 |
| January 21, 2026 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 | E Potential harm, pattern | Corrected March 5, 2026 |
| January 21, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 5, 2026 |
| January 21, 2026 Standard | Provide 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 Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected March 5, 2026 |
| January 21, 2026 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | D Potential harm, isolated | Corrected March 5, 2026 |
| January 21, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected March 5, 2026 |
| January 21, 2026 Standard | Create 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 Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected March 5, 2026 |
| January 21, 2026 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 | D Potential harm, isolated | Corrected March 5, 2026 |
| October 18, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected November 25, 2024 |
| October 18, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected November 25, 2024 |
| October 18, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected November 25, 2024 |
| October 18, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected November 25, 2024 |
| October 18, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected November 25, 2024 |
| October 18, 2024 Complaint | 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 | J Immediate jeopardy, isolated | Corrected November 19, 2024 |
| October 18, 2024 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 | E Potential harm, pattern | Corrected November 19, 2024 |
| October 18, 2024 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected November 19, 2024 |
| October 18, 2024 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected November 19, 2024 |
| October 18, 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 19, 2024 |
| October 18, 2024 Standard | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | D Potential harm, isolated | Corrected November 19, 2024 |
| October 18, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 19, 2024 |
| October 18, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected November 19, 2024 |
| September 9, 2024 Complaint | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | J Immediate jeopardy, isolated | Corrected September 13, 2024 |
| September 9, 2024 Complaint | 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 | E Potential harm, pattern | Corrected September 13, 2024 |
| September 9, 2024 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected September 13, 2024 |
| September 9, 2024 Complaint | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Tag F0635 | D Potential harm, isolated | Corrected September 13, 2024 |
| September 18, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected October 29, 2023 |
| September 18, 2023 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected October 29, 2023 |
| September 18, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected October 29, 2023 |
| September 18, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected October 29, 2023 |
| September 18, 2023 Standard | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | F Potential harm, widespread | Corrected November 13, 2023 |
| September 18, 2023 Standard | 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. Administration Deficiencies · Tag F0838 | F Potential harm, widespread | Corrected November 13, 2023 |
| September 18, 2023 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | F Potential harm, widespread | Corrected November 13, 2023 |
| September 18, 2023 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | E Potential harm, pattern | Corrected November 13, 2023 |
| September 18, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected November 13, 2023 |
| September 18, 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 | E Potential harm, pattern | Corrected November 13, 2023 |
| September 18, 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 | E Potential harm, pattern | Corrected November 13, 2023 |
| September 18, 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 | E Potential harm, pattern | Corrected November 13, 2023 |
| September 18, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 13, 2023 |
| September 18, 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 | D Potential harm, isolated | Corrected November 13, 2023 |
| September 18, 2023 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 November 13, 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 3 federal penalties in the past three years, including $32,094 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 18, 2024 | Payment Denial | 4 days from November 21, 2024 |
| October 18, 2024 | Fine | $16,448 |
| September 9, 2024 | Fine | $15,646 |
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 | 50% | 05/01/2023 |
| MONKHOUSE, MARY Individual | 5% or greater direct ownership interest | 9% | 05/01/2023 |
| PERRY, CHASE Individual | 5% or greater direct ownership interest | 9% | 05/01/2023 |
| PERRY, JANE Individual | 5% or greater direct ownership interest | 33% | 01/01/2013 |
| KOTHMANN, JOHN Individual | adp of the snf | NOT APPLICABLE | 04/27/2022 |
| 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 |
| PERRY, CHASE Individual | corporate director | NOT APPLICABLE | 05/01/2023 |
| PERRY, CHASE Individual | corporate officer | NOT APPLICABLE | 05/01/2023 |
| PERRY, JANE Individual | corporate officer | NOT APPLICABLE | 01/01/2013 |
| 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 |
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Frequently asked questions
What is Knopp Nursing & Rehab Center INC's rating?
Knopp Nursing & Rehab Center INC has 1 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 Nursing & Rehab Center INC receive?
Its most recent standard health inspection found 11 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Knopp Nursing & 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 Nursing & 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 Nursing & Rehab Center INC and how do I contact it?
Knopp Nursing & Rehab Center INC is at 202 Billie Dr, Fredericksburg, TX 78624. Phone: (830) 997-8840.
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.