All states › Texas › Fredericksburg › Knopp Healthcare and Rehab Center
1208 N Llano Fredericksburg, TX 78624 · Gillespie County
All 4 nursing homes in Fredericksburg, TX (4 take Medicaid)
CMS certification number 455278 · See this home on Medicare Care Compare
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.
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%).
About this nursing home
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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DKeep all essential equipment working safely.
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.
DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
October 4, 2024 · 6 citations
EEnsure medication error rates are not 5 percent or greater.
EKeep all essential equipment working safely.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DProvide safe and appropriate respiratory care for a resident when needed.
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.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
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.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
FConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
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.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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.
Questions to ask on a tour of Knopp Healthcare and Rehab Center
- CMS cited the home under its abuse and neglect rules on January 9, 2026. How are staff trained, and how are concerns reported?
- The home averages about 44% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
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1.9 mi
Hill Country Memorial Hospital INC FredericksburgEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 36m for patients treated and sent home
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24.0 mi
Peterson Regional Medical Center KerrvilleEmergency room ★★★★☆ Medicare overall 4 of 5Median 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
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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.