Knopp Nursing & Rehab Center INC
Nursing home · 202 BILLIE DR, Fredericksburg, TX 78624 · Gillespie County
Prices
Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Nursing · MEDICARE/MEDICAID · certified
- Capacity
- 60
- State license
- 005025
- Medicare CCN
- 675740
- Licensed entity
- KNOPP NURSING & REHABILITATION CENTER INC
- Ownership
- For profit - Corporation
- Phone
- (830) 997-8840
- Nurse staffing
- 3.09 hours per resident per day; 62.5% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 1★ · Quality 2★
- Official record
- Texas HHSC provider search (TULIP)
- Official record
- Medicare Care Compare
Penalties
- Oct 18, 2024 — Fine ($16,448)
- Oct 18, 2024 — Payment Denial · payment denial 4 days
- Sep 9, 2024 — Fine ($15,646)
Inspection findings
-
Jan 21, 2026 Health · 17 findings
-
Not serious
Scope/severity D
F0565 Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected Mar 5, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Mar 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0655 Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Mar 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Mar 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0727 Nursing and Physician Services Deficiencies
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 Mar 5, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0728 Nursing and Physician Services Deficiencies
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.
Corrected Mar 5, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0730 Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Corrected Mar 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Mar 5, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0761 Pharmacy Service Deficiencies
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 Mar 5, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0801 Nutrition and Dietary Deficiencies
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 Mar 5, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 5, 2026 · CMS health inspection
-
Not serious
Scope/severity F
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Mar 9, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected Mar 9, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Mar 9, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Mar 9, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Mar 9, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0781 Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Corrected Mar 9, 2026 · CMS fire safety
-
Not serious
Scope/severity D
-
Oct 18, 2024 Health · 13 findings
-
Not serious
Scope/severity D
F0553 Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected Nov 19, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Nov 19, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Nov 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Nov 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Nov 19, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Nov 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0758 Pharmacy Service Deficiencies
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 Nov 19, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Nov 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Nov 25, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Nov 25, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Nov 25, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Nov 25, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Nov 25, 2024 · CMS fire safety
-
Not serious
Scope/severity D
-
Sep 9, 2024 Health · 4 findings
-
Not serious
Scope/severity D
Complaint
F0635 Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected Sep 13, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0678 Quality of Life and Care Deficiencies
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 Sep 13, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0726 Nursing and Physician Services Deficiencies
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 Sep 13, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Sep 13, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Sep 18, 2023 Fire Safety · 15 findings
-
Not serious
Scope/severity F
E0004 Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Corrected Oct 29, 2023 · CMS fire safety
-
Not serious
Scope/severity D
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Nov 13, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Nov 13, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0657 Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Nov 13, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0727 Nursing and Physician Services Deficiencies
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 Nov 13, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Nov 13, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0756 Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Nov 13, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Nov 13, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0761 Pharmacy Service Deficiencies
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 Nov 13, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0835 Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected Nov 13, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0838 Administration Deficiencies
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 Nov 13, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0867 Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected Nov 13, 2023 · CMS health inspection
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Oct 29, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Oct 29, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected Oct 29, 2023 · CMS fire safety
-
Not serious
Scope/severity F
Owners and managers (as published by CMS)
- KOTHMANN, JOHN — adp of the snf, NOT APPLICABLE, since 04/27/2022
- KOTHMANN, JOHN — operational/managerial control, NOT APPLICABLE, since 04/27/2022
- LUCHENBACH, JAY — 5% or greater direct ownership interest, 50%, since 05/01/2023
- LUCHENBACH, JAY — corporate director, NOT APPLICABLE, since 05/01/2023
- MONKHOUSE, MARY — 5% or greater direct ownership interest, 9%, since 05/01/2023
- MONKHOUSE, MARY — corporate director, NOT APPLICABLE, since 05/01/2023
- PERRY, CHASE — corporate officer, NOT APPLICABLE, since 05/01/2023
- PERRY, CHASE — operational/managerial control, NOT APPLICABLE, since 01/01/2013
- PERRY, CHASE — corporate director, NOT APPLICABLE, since 05/01/2023
- PERRY, CHASE — 5% or greater direct ownership interest, 9%, since 05/01/2023
- PERRY, JANE — corporate officer, NOT APPLICABLE, since 01/01/2013
- PERRY, JANE — 5% or greater direct ownership interest, 33%, since 01/01/2013
- PERRY, JANE — operational/managerial control, NOT APPLICABLE, since 01/01/2013
- PERRY, JANE — adp of the snf, NOT APPLICABLE, since 01/01/2013
Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.