Knopp Nursing & Rehab Center INC
Nursing Home · Fredericksburg, TX
CMS certification number675740
Contact & location
202 Billie DRFredericksburg, TX 78624
Gillespie County
- Phone
- (830) 997-8840
- ZIP code
- 78624 – all care providers
Facility details
- Certified beds
- 60
- Residents per day
- 36.3 (61% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Knopp Nursing & Rehabilitation Center INC
- Medicare certified since
- December 11, 1997
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.09 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.25 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.11 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.73 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.92 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 62.5 (state 55.3 · U.S. 45.8)%
- RN turnover
- —
Inspections
- Last standard inspection
- January 21, 2026
- Health deficiencies (last cycle)
- 11.0 (state 9.3 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 34 health · 15 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-01-21 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-05 |
| 2026-01-21 | 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. F0728 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-05 |
| 2026-01-21 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-05 |
| 2026-01-21 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-05 |
| 2026-01-21 | 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. F0801 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-05 |
| 2026-01-21 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-05 |
| 2026-01-21 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-05 |
| 2026-01-21 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-05 |
| 2026-01-21 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-05 |
| 2026-01-21 | 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. F0727 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-05 |
| 2026-01-21 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-05 |
| 2024-10-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-11-19 |
| 2024-10-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-19 |
| 2024-10-18 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-19 |
| 2024-10-18 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-19 |
| 2024-10-18 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-19 |
| 2024-10-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-19 |
| 2024-10-18 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-19 |
| 2024-10-18 | 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 limited. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-19 |
| 2024-09-09 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-09-13 |
| 2024-09-09 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-09-09 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. F0635 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-09-09 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2023-09-18 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-11-13 |
| 2023-09-18 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-11-13 |
| 2023-09-18 | 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. F0838 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-11-13 |
| 2023-09-18 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-13 |
| 2023-09-18 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-13 |
| 2023-09-18 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-13 |
| 2023-09-18 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-13 |
| 2023-09-18 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-13 |
| 2023-09-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-13 |
| 2023-09-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-13 |
| 2023-09-18 | 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. F0727 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-13 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $32,094 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-10-18 | Payment Denial | 4 days payment denial |
| 2024-10-18 | Fine | $16,448 |
| 2024-09-09 | Fine | $15,646 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Luchenbach, Jay (individual) | 5%+ Direct Ownership Interest · 50% | |
| Monkhouse, Mary (individual) | 5%+ Direct Ownership Interest · 9% | |
| Perry, Chase (individual) | 5%+ Direct Ownership Interest · 9% | |
| Perry, Jane (individual) | 5%+ Direct Ownership Interest · 33% | |
| Kothmann, John (individual) | Administrator · NOT APPLICABLE | |
| Perry, Jane (individual) | Administrator · NOT APPLICABLE | |
| Luchenbach, Jay (individual) | Corporate Director · NOT APPLICABLE | |
| Monkhouse, Mary (individual) | Corporate Director · NOT APPLICABLE | |
| Perry, Chase (individual) | Corporate Director · NOT APPLICABLE | |
| Perry, Chase (individual) | Corporate Officer · NOT APPLICABLE | |
| Perry, Jane (individual) | Corporate Officer · NOT APPLICABLE | |
| Kothmann, John (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Perry, Chase (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Perry, Jane (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Knopp Nursing & Rehab Center INC?
Knopp Nursing & Rehab Center INC has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Knopp Nursing & Rehab Center INC have?
It has 60 certified beds and cares for about 36 residents per day.
Has Knopp Nursing & Rehab Center INC been fined?
Yes. CMS lists 3 penalties totaling $32,094 in the last three years.
What is the phone number of Knopp Nursing & Rehab Center INC?
(830) 997-8840. The facility is located at 202 Billie DR, Fredericksburg, TX 78624.
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Avir at Enchanted Rock
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.