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Knopp Healthcare and Rehab Center

All states › Texas › Fredericksburg › Knopp Healthcare and Rehab Center

1208 N Llano Fredericksburg, TX 78624 · Gillespie County

(830) 997-3704

All 4 nursing homes in Fredericksburg, TX (4 take Medicaid)

Accepts Medicare Accepts Medicaid 119 certified beds For profit

CMS certification number 455278 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Knopp Healthcare and Rehab Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Knopp Healthcare and Rehab Center as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8. Inspectors issued 25 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 1 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.61 hours per resident per day at Knopp Healthcare and Rehab Center, above the Texas median of 3.30 (US median: 3.72). About 0.55 of those hours are from registered nurses. Weekend staffing is close to its all-week average. 53.4% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 3.61 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.55 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.49 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 53.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 16.7% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds119
Residents per day 53 About 44% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceMarch 1976
Legal business nameKNOPP HEALTHCARE & REHAB CENTER INC

Paying for care at Knopp Healthcare and Rehab Center: Medicare and Medicaid

Knopp Healthcare and Rehab Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on January 9, 2026 and found 6 deficiencies. In total, inspectors issued 25 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 25 citations at Knopp Healthcare and Rehab Center across 5 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 25 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (5) and environmental (4). The most serious was cited under the CMS rule to "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" (tag F0727, level F, August 24, 2023). 3 citations were under CMS's abuse, neglect and exploitation rules.

January 9, 2026 · 6 citations

EEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0801 · Deficient, Provider has date of correction (Feb 20, 2026)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Feb 20, 2026)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Feb 20, 2026)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Feb 20, 2026)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Feb 20, 2026)

DKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Deficient, Provider has date of correction (Feb 20, 2026)

October 16, 2024 · 2 citations · includes complaint inspection

DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Nov 29, 2024)

DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Complaint inspection · Deficient, Provider has date of correction (Nov 29, 2024)

October 4, 2024 · 6 citations

EEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Nov 18, 2024)

EKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Deficient, Provider has date of correction (Nov 18, 2024)

DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0640 · Deficient, Provider has date of correction (Nov 18, 2024)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Nov 18, 2024)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Nov 18, 2024)

DMake sure that a working call system is available in each resident's bathroom and bathing area.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0919 · Deficient, Provider has date of correction (Nov 18, 2024)

September 20, 2024 · 2 citations · includes complaint inspection

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Oct 23, 2024)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Oct 23, 2024)

August 24, 2023 · 9 citations

FHave 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Sep 20, 2023)

FConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Potential for more than minimal harm · Administration Deficiencies · Tag F0944 · Deficient, Provider has date of correction (Oct 9, 2023)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Oct 9, 2023)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Oct 9, 2023)

ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Sep 20, 2023)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Oct 9, 2023)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Oct 9, 2023)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Oct 9, 2023)

DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Potential for more than minimal harm · Administration Deficiencies · Tag F0849 · Deficient, Provider has date of correction (Sep 20, 2023)

Questions to ask on a tour of Knopp Healthcare and Rehab Center

  1. CMS cited the home under its abuse and neglect rules on January 9, 2026. How are staff trained, and how are concerns reported?
  2. The home averages about 44% of its beds filled. Are any units closed?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 4/5 4/5 1/5
August 2026 3/5 4/5 3/5 1/5
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Location

Hospitals near Knopp Healthcare and Rehab Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 1.9 mi
    Hill Country Memorial Hospital INC Fredericksburg
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 36m for patients treated and sent home
  • 24.0 mi
    Peterson Regional Medical Center Kerrville
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 42m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Avir at Enchanted Rock Fredericksburg · 1.9 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 120 beds · Medicaid
Avir at Fredericksburg Fredericksburg · 1.9 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 90 beds · Medicaid
Knopp Nursing & Rehab Center Fredericksburg · 2.3 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 60 beds · Medicaid
Avir at Comfort Comfort · 21.7 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 76 beds · Medicaid
Hilltop Village Nursing and Rehabilitation Kerrville · 22.8 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 150 beds · Medicaid

More nursing homes near Knopp Healthcare and Rehab Center ›   All nursing homes in Fredericksburg ›

Compare Knopp Healthcare and Rehab Center with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/fredericksburg/knopp-healthcare-and-rehab-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.