Nursing home
Knopp Nursing & Rehab Center
202 Billie Dr, Fredericksburg, TX 78624 · Map
For profit - Corporation · 60 certified beds
Knopp Nursing & Rehab Center is a Medicare-certified nursing home in Fredericksburg, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 2.83 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Oct 18, 2024 cited 8 deficiencies.
- 2 fines totaling $32,094In CMS records: 3 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Knopp Nursing & Rehab Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.83 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.25 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.60 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 73.8% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 8.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $32,094, 3 total penalties, 1 Medicare payment denial.
What inspectors found at Knopp Nursing & Rehab Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 18, 2024 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Oct 18, 2024 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 18, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 18, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Oct 18, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Oct 18, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Oct 18, 2024 · Full report (PDF) - Potential for harm
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · Oct 18, 2024 · Full report (PDF) - Immediate jeopardy
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Sep 9, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Sep 9, 2024 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Sep 9, 2024 · Full report (PDF) - Potential for harm
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning Deficiencies · Sep 9, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 202 Billie Dr
Fredericksburg, TX 78624 - CMS certification #
- 675740
- Ownership
- For profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 39.3
- Provider type
- Medicare and Medicaid
- First certified
- 1997-12-11
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Knopp Nursing & Rehab Center using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2013
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Nov 3, 2013 to Oct 31, 2015. Violations found: Overtime. Back wages: $28,721 owed to 64 employees. Employer as DOL recorded it: Knopp Assisted Living (Knopp Healthcare Services, Inc). Case 1779976.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Hill Country Memorial Hospital, Fredericksburg. 0.4 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Avir at Fredericksburg, Fredericksburg. 0.4 miles away, straight line.
- Nearest home health agency office
- Methodist Healthcare Hill Country Healthcare At Home, Fredericksburg. 0.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 1.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78624 as micropolitan (micropolitan core).
- Hospice
- 19 Medicare hospices tell CMS they serve ZIP code 78624.
Methodist Healthcare Hill Country Hospice & Family Care, office in Fredericksburg, 0.7 miles away, straight line (CMS family survey rating 5 of 5 stars)
Ave Maria Hospice, office in Fredericksburg, 2.1 miles away, straight line
Votive Hospice LLC, office in Fredericksburg, 2.3 miles away, straight line - Nearest geriatric medicine practice
- Wellmed Medical Group Pa, San Antonio. 45.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective October 19, 2001), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Fredericksburg, TX, risk to homes is greater than 64% of communities in Texas and 81% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding relatively high, wildfire relatively moderate, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Knopp Nursing & Rehab Center a good nursing home?
CMS gives Knopp Nursing & Rehab Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Knopp Nursing & Rehab Center staffed?
Knopp Nursing & Rehab Center reports 2.83 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Knopp Nursing & Rehab Center had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Knopp Nursing & Rehab Center have?
Knopp Nursing & Rehab Center is certified for 60 beds.