Knopp Healthcare And Rehab Center INC
1208 N Llano, Fredericksburg, TX 78624 · Gillespie County
For-profit · 119 certified beds · 50% occupancy · (830) 997-3704
The U.S. government (CMS) rates Knopp Healthcare And Rehab Center INC 3 out of 5 stars overall — average. Its nurse staffing is 4% below the Texas median.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.15 nurse hours per resident per day. 4% below the Texas median of 3.27.
Nursing staff turnover: 47.8% · RN turnover: 0%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0801 · Jan 9, 2026Corrected Feb 20, 2026
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
- Potential for harmTag F0609 · Jan 9, 2026Corrected Feb 20, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0610 · Jan 9, 2026Corrected Feb 20, 2026
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0644 · Jan 9, 2026Corrected Feb 20, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0689 · Jan 9, 2026Corrected Feb 20, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0908 · Jan 9, 2026Corrected Feb 20, 2026
Keep all essential equipment working safely.
Environmental Deficiencies
- Potential for harmTag F0759 · Oct 4, 2024Corrected Nov 18, 2024
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
- Potential for harmTag F0908 · Oct 4, 2024Corrected Nov 18, 2024
Keep all essential equipment working safely.
Environmental Deficiencies
- Potential for harmTag F0812 · Oct 16, 2024ComplaintCorrected Nov 29, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0925 · Oct 16, 2024ComplaintCorrected Nov 29, 2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
Showing the 10 most recent and serious of 25 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
No federal fines are on record for this home in roughly the last three years, a good sign.
Ownership
This home is for-profit (for profit - corporation). It is independently operated, not part of a multi-facility chain.