Knopp Healthcare and Rehab Center Inc — nursing home in Fredericksburg, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 119 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 52.7 CMS, MDS-derived
CMS Certification Number: 455278
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 1, 1976
Ownership type: For profit - Corporation
Operator (legal business name): Knopp Healthcare & Rehab Center Inc
CMS chain: Not part of a CMS-reported chain
Phone: (830) 997-3704
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jan 9, 2026

Citations

39

25 health · 14 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D22	E8	F5
Minimal	A·	B·	C4

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 455278
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 119
First approved: Mar 1, 1976
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jan 9, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jan 9, 2026	Health	Health Standard	6	Potential harm	—	Open →
Oct 16, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Oct 4, 2024	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Oct 4, 2024	Health	Health Standard	6	Potential harm	—	Open →
Sep 20, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Aug 24, 2023	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Aug 24, 2023	Health	Health Standard	9	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D22	E8	F5
Minimal	A·	B·	C4

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jan 9, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 16, 2026
Jan 9, 2026	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 16, 2026
Jan 9, 2026	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 16, 2026
Jan 9, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 20, 2026
Jan 9, 2026	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 20, 2026
Jan 9, 2026	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 20, 2026
Jan 9, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 20, 2026
Jan 9, 2026	F-0801	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Feb 20, 2026
Jan 9, 2026	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 20, 2026
Oct 16, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Nov 29, 2024	Complaint
Oct 16, 2024	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 29, 2024	Complaint
Oct 4, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 29, 2024
Oct 4, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 29, 2024
Oct 4, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 29, 2024
Oct 4, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 30, 2024
Oct 4, 2024	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 29, 2024
Oct 4, 2024	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 18, 2024
Oct 4, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 18, 2024
Oct 4, 2024	F-0758	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 · Medication management	D · Potential harm Isolated	Corrected Nov 18, 2024
Oct 4, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Nov 18, 2024
Oct 4, 2024	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 18, 2024
Oct 4, 2024	F-0919	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 18, 2024
Oct 4, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	Waiver granted Oct 17, 2024
Oct 4, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Waiver granted Oct 17, 2024
Sep 20, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 23, 2024	Complaint
Sep 20, 2024	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 23, 2024	Complaint
Aug 24, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 25, 2023
Aug 24, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 6, 2023
Aug 24, 2023	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Oct 9, 2023
Aug 24, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 9, 2023
Aug 24, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 9, 2023
Aug 24, 2023	F-0727	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. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Sep 20, 2023
Aug 24, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 9, 2023
Aug 24, 2023	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 9, 2023
Aug 24, 2023	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Sep 20, 2023
Aug 24, 2023	F-0849	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. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Sep 20, 2023
Aug 24, 2023	F-0944	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Oct 9, 2023
Aug 24, 2023	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	Waiver granted Sep 23, 2023
Aug 24, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Waiver granted Sep 20, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.61

State avg 3.42US avg 3.90

Registered nurse (RN)0.55

State avg 0.44US avg 0.69

Licensed practical nurse0.85

State avg 0.94US avg 0.86

Nurse aide2.20

State avg 2.03US avg 2.35

Weekend total nurse3.49

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.97 (case-mix index 1.27).

Staff turnover

Total nursing staff turnover53.4%

State avg 50.8%US avg 45.3%

Registered nurse turnover16.7%

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 9, 2026
Cycle 1 health score: 28
Total weighted score: 33

Operating entity

Knopp Healthcare & Rehab Center Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

17

Organizations

0

Individuals

17

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Jane Perry	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	33%	May 1, 2023
Jay Luchenbach	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	29%	Jan 1, 2013
Mary Monkhouse	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	9%	May 1, 2023
Chase Perry	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	Jan 1, 2013

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Jane Perry	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	33%	May 1, 2023
Jay Luchenbach	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	29%	Jan 1, 2013
Mary Monkhouse	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	9%	May 1, 2023
Chase Perry	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	Jan 1, 2013
Pamela Diaz	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 3, 2010
John Kothmann	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 27, 2022
Chase Perry	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2013
Jane Perry	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2013
Jay Luchenbach	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 1, 2023
Mary Monkhouse	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 1, 2023
Jay Luchenbach	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2013
Chase Perry	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 1, 2023
Jane Perry	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 1, 2023
Pamela Diaz	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 3, 2010
John Kothmann	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 27, 2022
Chase Perry	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2013
Jane Perry	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2013

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1208 N Llano, Fredericksburg, TX 78624
ZIP: 78624
County: Gillespie County FIPS 48171
State: Texas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Avir at Enchanted Rock 210 West Windcrest St, Fredericksburg, TX 78624 CCN 455941	3 km	120	Jun 22, 2026	595 IJ	$63k
Avir at Fredericksburg 1117 S. Adams St., Fredericksburg, TX 78624 CCN 675169	3.1 km	90	Jun 26, 2026	642 IJ	$15k
Knopp Nursing & Rehab Center Inc 202 Billie Dr, Fredericksburg, TX 78624 CCN 675740	3.8 km	60	Jan 21, 2026	492 IJ	$32k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	455278	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	455278	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 455278

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction