Knopp Healthcare and Rehab Center INC

Name: Knopp Healthcare and Rehab Center INC
Address: 1208 N LLANO, Fredericksburg, TX, 78624, US
Telephone: 8309973704

1208 N Llano, Fredericksburg, TX 78624 · Gillespie County · 119 certified beds · avg 59 residents/day · certified since Mar 1, 1976

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.50

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (25)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 9, 2026	E · Potential for harm, repeated	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Jan 9, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jan 9, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Jan 9, 2026	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Jan 9, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 9, 2026	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Oct 16, 2024	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Oct 16, 2024	D · Potential for harm, one-off	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
Oct 4, 2024	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Oct 4, 2024	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Oct 4, 2024	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Oct 4, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Oct 4, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Oct 4, 2024	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Sep 20, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Sep 20, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Aug 24, 2023	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Aug 24, 2023	F · Potential for harm, facility-wide	The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better.
Aug 24, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Aug 24, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 24, 2023	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Aug 24, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Aug 24, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Aug 24, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Aug 24, 2023	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 6).

Year	Citations	Worst severity that year
2023	9	F
2024	10	E
2026	6	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.50	3.46	3.95	top 35% in Texas; bottom 37% in the U.S.
Registered Nurse hours	0.53	0.44	0.69	top 23% in Texas; bottom 42% in the U.S.
Weekend total nurse staffing	3.38	3.04	3.50	top 20% in Texas; top 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.38	0.34	0.48	top 28% in Texas; bottom 49% in the U.S.
Total nursing staff turnover (%)	47.8	55.3	45.8	top 40% in Texas; bottom 42% in the U.S.
RN turnover (%)	0.0	54.6	42.9	top 1% in Texas; top 1% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.15, RN 0.47, weekend 3.04. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Luchenbach, Jay	Individual	5% or Greater Direct Ownership Interest	29%	01/01/2013
Monkhouse, Mary	Individual	5% or Greater Direct Ownership Interest	9%	05/01/2023
Perry, Chase	Individual	5% or Greater Direct Ownership Interest	5%	01/01/2013
Perry, Jane	Individual	5% or Greater Direct Ownership Interest	33%	05/01/2023
Diaz, Pamela	Individual	Operational/Managerial Control	NOT APPLICABLE	05/03/2010
Diaz, Pamela	Individual	ADP of the SNF	NOT APPLICABLE	05/03/2010
Kothmann, John	Individual	Operational/Managerial Control	NOT APPLICABLE	04/27/2022
Kothmann, John	Individual	ADP of the SNF	NOT APPLICABLE	04/27/2022
Luchenbach, Jay	Individual	Corporate Director	NOT APPLICABLE	05/01/2023
Luchenbach, Jay	Individual	Corporate Officer	NOT APPLICABLE	01/01/2013
Monkhouse, Mary	Individual	Corporate Director	NOT APPLICABLE	05/01/2023
Perry, Chase	Individual	Corporate Officer	NOT APPLICABLE	05/01/2023
Perry, Chase	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2013
Perry, Chase	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2013
Perry, Jane	Individual	Corporate Officer	NOT APPLICABLE	05/01/2023
Perry, Jane	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2013
Perry, Jane	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2013

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How is pest control handled here, and when was the last treatment or inspection?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Avir at Enchanted Rock	1.9 mi	Fredericksburg, TX	★★☆☆☆	2/5
Avir at Fredericksburg	1.9 mi	Fredericksburg, TX	★★★☆☆	2/5
Knopp Nursing & Rehab Center INC	2.3 mi	Fredericksburg, TX	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Fredericksburg →

Facility data as of CMS processing date 2026-08-01. CCN 455278.

The Care File

Visit checklist — Knopp Healthcare and Rehab Center INC

1208 N Llano, Fredericksburg, TX 78624 · 8309973704

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 455278 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)