Ellery Care
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Knopp Nursing & Rehab Center INC

202 Billie Dr, Fredericksburg, TX 78624 · Gillespie County

For-profit · 60 certified beds · 61% occupancy · (830) 997-8840

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Knopp Nursing & Rehab Center INC reviews: what the government record shows

The U.S. government (CMS) rates Knopp Nursing & Rehab Center INC 1 out of 5 stars overall, much below average. Its nurse staffing is 5% below the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
1 of 5 stars
Nurse staffing
3.09 hrs/resident/day (-5% vs TX median)
Antipsychotic drug use
24.4% of long-stay residents (TX median 8.3%)
Falls with major injury
4.1% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$32,094
Inspection findings
34 cited, 2 immediate-jeopardy
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

Several serious marks on its federal record. Look closely and ask hard questions before deciding.

Concerns

  • !CMS rates it just 1 of 5 stars overall.
  • !Nurse staffing of 3.09 hrs/resident/day is below the Texas median of 3.27.
  • !Cited for 2 immediate-jeopardy findings (the most serious category) in recent inspections.

Questions to ask on your visit

  • ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
  • ·Can we see the most recent inspection report and the plan of correction?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Knopp Nursing & Rehab Center INC

Is Knopp Nursing & Rehab Center INC a good nursing home?

Knopp Nursing & Rehab Center INC in Fredericksburg, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.

How is Knopp Nursing & Rehab Center INC staffed?

Knopp Nursing & Rehab Center INC reports 3.09 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

Has Knopp Nursing & Rehab Center INC been fined or flagged for abuse?

Knopp Nursing & Rehab Center INC has paid approximately $32,094 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. 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.

TX median 3.27

3.09 nurse hours per resident per day. 5% below the Texas median of 3.27.

Total nurse
3.09 hrs
RN
0.25 hrs
LPN
1.11 hrs
Aide
1.73 hrs

Nursing staff turnover: 62.5%

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.

34
total findings
2
immediate jeopardy
0
caused actual harm
6
from complaints
  • Potential for harmTag F0641 · Jan 21, 2026Corrected Mar 5, 2026

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0728 · Jan 21, 2026Corrected Mar 5, 2026

    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

  • Potential for harmTag F0730 · Jan 21, 2026Corrected Mar 5, 2026

    Observe each nurse aide's job performance and give regular training.

    Nursing and Physician Services Deficiencies

  • Potential for harmTag F0761 · Jan 21, 2026Corrected Mar 5, 2026

    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

  • Potential for harmTag F0801 · Jan 21, 2026Corrected Mar 5, 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 F0880 · Jan 21, 2026Corrected Mar 5, 2026

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0565 · Jan 21, 2026Corrected Mar 5, 2026

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Resident Rights Deficiencies

  • Potential for harmTag F0655 · Jan 21, 2026Corrected Mar 5, 2026

    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

  • Potential for harmTag F0690 · Jan 21, 2026Corrected Mar 5, 2026

    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

  • Potential for harmTag F0727 · Jan 21, 2026Corrected Mar 5, 2026

    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

Showing the 10 most recent and serious of 34 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.

24.4%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is above the national median. Ask how the home decides to start these medications and how often it reviews them.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
4.1%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
3.5%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore 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.

Total fines
$32,094
Number of fines
2
Payment denials
1

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas

Ownership

This home is for-profit (for profit - corporation). It is independently operated, not part of a multi-facility chain.