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SOURCE DATA JUL 2026

Nursing Homes · Medicare certified

Knopp Nursing & Rehab Center INC

202 Billie Dr · Fredericksburg, TX 78624 · 60 certified beds

8309978840

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1427044585. Look this up in the CMS NPPES registry (opens in a new tab)

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About Knopp Nursing & Rehab Center INC

Knopp Nursing & Rehab Center INC is a nursing home in Fredericksburg, Texas, in Gillespie County. Its reported capacity is 60 beds. It is recorded as a for-profit operator. Federal records list it as Medicare certified. Our copy of the inspection record holds 37 citations, the newest dated 21 January 2026. Federal enforcement records add 3 fine or payment denial actions. Staffing reports put it at 3.09 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated July 2026.

Public record

CMS Care Compare · Source data August 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

1.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

23

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

1.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

23

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

1.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

23

Inspection history (37)

Records from July 2022 to January 2026.

  • January 21, 2026 · D

    Citation F0565

    Federal surveyors cited this nursing home on 2026-01-21 under CMS tag F0565 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to organize and participate in resident/family groups in the facility. The deficiency was recorded as corrected on 2026-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-21.GOV
  • January 21, 2026 · E

    Citation F0728

    Federal surveyors cited this nursing home on 2026-01-21 under CMS tag F0728 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-21.GOV
  • January 21, 2026 · D

    Citation F0759

    Federal surveyors cited this nursing home on 2026-01-21 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2026-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-21.GOV
  • January 21, 2026 · E

    Citation F0641

    Federal surveyors cited this nursing home on 2026-01-21 under CMS tag F0641 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2026-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-21.GOV
  • January 21, 2026 · E

    Citation F0801

    Federal surveyors cited this nursing home on 2026-01-21 under CMS tag F0801 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-21.GOV
  • January 21, 2026 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2026-01-21 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-21.GOV
  • January 21, 2026 · E

    Citation F0761

    Federal surveyors cited this nursing home on 2026-01-21 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-21.GOV
  • January 21, 2026 · D

    Citation F0690

    Federal surveyors cited this nursing home on 2026-01-21 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2026-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-21.GOV
  • January 21, 2026 · D

    Citation F0655

    Federal surveyors cited this nursing home on 2026-01-21 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2026-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-21.GOV
  • January 21, 2026 · D

    Citation F0727

    Federal surveyors cited this nursing home on 2026-01-21 under CMS tag F0727 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-21.GOV
  • January 21, 2026 · E

    Citation F0730

    Federal surveyors cited this nursing home on 2026-01-21 under CMS tag F0730 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Observe each nurse aide's job performance and give regular training. The deficiency was recorded as corrected on 2026-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-21.GOV
  • October 18, 2024 · E

    Citation F0609

    Federal surveyors cited this nursing home on 2024-10-18 under CMS tag F0609 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-18.GOV
  • October 18, 2024 · E

    Citation F0610

    Federal surveyors cited this nursing home on 2024-10-18 under CMS tag F0610 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2024-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-18.GOV
  • October 18, 2024 · J

    Citation F0689

    Federal surveyors cited this nursing home on 2024-10-18 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-18.GOV
  • October 18, 2024 · D

    Citation F0553

    Federal surveyors cited this nursing home on 2024-10-18 under CMS tag F0553 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow resident to participate in the development and implementation of his or her person-centered plan of care. The deficiency was recorded as corrected on 2024-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-18.GOV
  • October 18, 2024 · D

    Citation F0677

    Federal surveyors cited this nursing home on 2024-10-18 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2024-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-18.GOV
  • October 18, 2024 · D

    Citation F0656

    Federal surveyors cited this nursing home on 2024-10-18 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-18.GOV
  • October 18, 2024 · E

    Citation F0759

    Federal surveyors cited this nursing home on 2024-10-18 under CMS tag F0759 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2024-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-18.GOV
  • October 18, 2024 · D

    Citation F0758

    Federal surveyors cited this nursing home on 2024-10-18 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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 l…. The deficiency was recorded as corrected on 2024-11-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-18.GOV
  • September 9, 2024 · J

    Citation F0678

    Federal surveyors cited this nursing home on 2024-09-09 under CMS tag F0678 (CMS scope/severity J: isolated, immediate jeopardy) for Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. The deficiency was recorded as corrected on 2024-09-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-09.GOV

Penalties (3)

Total fines on file: $32,094

  • October 18, 2024 · Fine

    Citation FINE-113302

    CMS recorded a civil money penalty of $16,448 against this nursing home on 2024-10-18 (Fine ID: 113302). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-18.GOV
  • October 18, 2024 · Payment Denial

    Citation PAYDEN-2024-11-21

    CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-11-21, lasting 4 days (triggered by inspection on 2024-10-18). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-18.GOV
  • September 9, 2024 · Fine

    Citation FINE-113187

    CMS recorded a civil money penalty of $15,646 against this nursing home on 2024-09-09 (Fine ID: 113187). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-09.GOV

Staffing

Latest: 3.09 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q42.99 hrs/resident/day
  2. 2026-06-012.99 hrs/resident/day
  3. 2026-07-013.09 hrs/resident/day
  4. 2026-08-013.09 hrs/resident/day
  5. 2026Q13.09 hrs/resident/day

Most recent period is higher than 2025Q4 (+0.10 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit - Corporation

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Jul 23, 2026First appeared in our data

    This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.

    Reported by CMS nursing homes (provider info)

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth CareScout Cost of Care Survey · 2025

This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · TX$5,627/mo
See full TX cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Fredericksburg, with their own public records.

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day
CMS nursing homes (provider info)as of June 2026
City, County, Licensed capacity, Map location, Medicare certification number, Name, Ownership type, Phone number, State, Street address, ZIP code

Read how we handle every file on the data sources page.

Knopp Nursing & Rehab Center INC in Fredericksburg, TX · ElderCareCosts