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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.

  • September 9, 2024 · D

    Citation F0726

    Federal surveyors cited this nursing home on 2024-09-09 under CMS tag F0726 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. 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
  • September 9, 2024 · D

    Citation F0635

    Federal surveyors cited this nursing home on 2024-09-09 under CMS tag F0635 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide doctor's orders for the resident's immediate care at the time the resident was admitted. 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
  • September 9, 2024 · E

    Citation F0755

    Federal surveyors cited this nursing home on 2024-09-09 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 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
  • September 18, 2023 · F

    Citation F0838

    Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0838 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. The deficiency was recorded as corrected on 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOV
  • September 18, 2023 · F

    Citation F0756

    Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0756 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOV
  • September 18, 2023 · E

    Citation F0761

    Federal surveyors cited this nursing home on 2023-09-18 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 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOV
  • September 18, 2023 · E

    Citation F0755

    Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOV
  • September 18, 2023 · E

    Citation F0867

    Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0867 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. The deficiency was recorded as corrected on 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOV
  • September 18, 2023 · E

    Citation F0759

    Federal surveyors cited this nursing home on 2023-09-18 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 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOV
  • September 18, 2023 · E

    Citation F0657

    Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOV
  • September 18, 2023 · D

    Citation F0656

    Federal surveyors cited this nursing home on 2023-09-18 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 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOV
  • September 18, 2023 · D

    Citation F0609

    Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0609 (CMS scope/severity D: isolated, 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 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOV
  • September 18, 2023 · D

    Citation F0727

    Federal surveyors cited this nursing home on 2023-09-18 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 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOV
  • September 18, 2023 · F

    Citation F0835

    Federal surveyors cited this nursing home on 2023-09-18 under CMS tag F0835 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Administer the facility in a manner that enables it to use its resources effectively and efficiently. The deficiency was recorded as corrected on 2023-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-18.GOV
  • July 22, 2022 · F

    Citation F0909

    Federal surveyors cited this nursing home on 2022-07-22 under CMS tag F0909 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. The deficiency was recorded as corrected on 2022-09-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-22.GOV
  • July 22, 2022 · F

    Citation F0801

    Federal surveyors cited this nursing home on 2022-07-22 under CMS tag F0801 (CMS scope/severity F: widespread, 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 2022-09-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-22.GOV
  • July 22, 2022 · D

    Citation F0880

    Federal surveyors cited this nursing home on 2022-07-22 under CMS tag F0880 (CMS scope/severity D: isolated, 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 2022-09-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-07-22.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 · Inspections page 2 · ElderCareCosts