Knopp Nursing & Rehab Center INC
202 Billie Dr, Fredericksburg, TX 78624 · Gillespie County
For-profit · 60 certified beds · 61% occupancy · (830) 997-8840
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.
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.
3.09 nurse hours per resident per day. 5% below the Texas median of 3.27.
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.
- 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.