Knopp Nursing & Rehab Center Inc
202 Billie Dr · Fredericksburg, TX · 78624 · 8309978840
60 certified beds For profit - Corporation
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $32,094 in fines in the last 24 months.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.99 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.99 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 2.55 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | 2 · $32,094 |
Inspection citations (26 in the current record)
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Immediate jeopardy · J October 18, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 19, 2024 · Quality of Life and Care
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Potential for harm · D October 18, 2024
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected November 19, 2024 · Resident Rights
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Potential for harm · E October 18, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 18, 2024
Respond appropriately to all alleged violations.
Corrected November 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 18, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 18, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 19, 2024 · Quality of Life and Care
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Potential for harm · D October 18, 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 19, 2024 · Pharmacy Service
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Potential for harm · E October 18, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected November 19, 2024 · Pharmacy Service
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Immediate jeopardy · J September 9, 2024 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected September 13, 2024 · Quality of Life and Care
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Potential for harm · D September 9, 2024 · found via complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected September 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 9, 2024 · found via complaint
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.
Corrected September 13, 2024 · Nursing and Physician Services
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Potential for harm · E September 9, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 13, 2024 · Pharmacy Service
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Potential for harm · D September 18, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 13, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 18, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 13, 2023 · Resident Assessment and Care Planning
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Potential for harm · E September 18, 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 November 13, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 18, 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 November 13, 2023 · Nursing and Physician Services
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Potential for harm · E September 18, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 13, 2023 · Pharmacy Service
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Potential for harm · F September 18, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected November 13, 2023 · Pharmacy Service
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Potential for harm · E September 18, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected November 13, 2023 · Pharmacy Service
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Potential for harm · E September 18, 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 November 13, 2023 · Pharmacy Service
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Potential for harm · F September 18, 2023
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected November 13, 2023 · Administration
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Potential for harm · F September 18, 2023
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.
Corrected November 13, 2023 · Administration
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Potential for harm · E September 18, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected November 13, 2023 · Administration
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Potential for harm · F July 22, 2022
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.
Corrected September 2, 2022 · Nutrition and Dietary
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Potential for harm · D July 22, 2022
Provide and implement an infection prevention and control program.
Corrected September 2, 2022 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 18, 2024 | Fine | $16,448 |
| October 18, 2024 | Payment Denial | 4 days |
| September 9, 2024 | Fine | $15,646 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675740 · certified since December 11, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.