Knopp Healthcare and Rehab Center Inc
1208 N Llano · Fredericksburg, TX · 78624 · 8309973704
119 certified beds For profit - Corporation
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 3.04 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (28 in the current record)
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Potential for harm · D October 16, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 29, 2024 · Nutrition and Dietary
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Potential for harm · D October 16, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 29, 2024 · Environmental
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Potential for harm · D October 4, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected November 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 4, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 18, 2024 · Quality of Life and Care
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Potential for harm · D October 4, 2024
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.
Corrected November 18, 2024 · Pharmacy Service
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Potential for harm · E October 4, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected November 18, 2024 · Pharmacy Service
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Potential for harm · E October 4, 2024
Keep all essential equipment working safely.
Corrected November 18, 2024 · Environmental
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Potential for harm · D October 4, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected November 18, 2024 · Environmental
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Potential for harm · D September 20, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 20, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 24, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 9, 2023 · Resident Assessment and Care Planning
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Potential for harm · E August 24, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 9, 2023 · Quality of Life and Care
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Potential for harm · F August 24, 2023
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.
Corrected September 20, 2023 · Nursing and Physician Services
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Potential for harm · D August 24, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 9, 2023 · Pharmacy Service
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Potential for harm · D August 24, 2023
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.
Corrected October 9, 2023 · Pharmacy Service
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Potential for harm · D August 24, 2023
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected September 20, 2023 · Administration
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Potential for harm · F August 24, 2023
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected October 9, 2023 · Administration
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Potential for harm · E August 24, 2023 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected October 9, 2023 · Resident Rights
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Potential for harm · E August 24, 2023 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 8, 2022
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected August 18, 2022 · Resident Rights
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Potential for harm · D July 8, 2022
Ensure each resident receives an accurate assessment.
Corrected August 18, 2022 · Resident Assessment and Care Planning
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Potential for harm · D July 8, 2022
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected August 18, 2022 · Resident Assessment and Care Planning
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Potential for harm · E July 8, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 18, 2022 · Resident Assessment and Care Planning
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Potential for harm · D July 8, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 18, 2022 · Resident Assessment and Care Planning
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Potential for harm · F July 8, 2022
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.
Corrected August 18, 2022 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455278 · certified since March 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.