Knopp Nursing & Rehab Center INC

Name: Knopp Nursing & Rehab Center INC
Address: 202 BILLIE DR, Fredericksburg, TX, 78624, US
Telephone: 8309978840

202 Billie Dr, Fredericksburg, TX 78624 · Gillespie County · 60 certified beds · avg 36 residents/day · certified since Dec 11, 1997

2/5

Health inspection rating (on-site)

Serious findings on record

$32,094

Fines, last 3 years

3.58

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Oct 18, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Nov 19, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · Sep 9, 2024 · F-0678 · triggered by a complaint

The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.

Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.

Corrected: Sep 13, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (34)

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 21, 2026	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 21, 2026	E · Potential for harm, repeated	The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training.
Jan 21, 2026	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
Jan 21, 2026	E · Potential for harm, repeated	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.
Jan 21, 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 21, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 21, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Jan 21, 2026	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Jan 21, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jan 21, 2026	D · Potential for harm, one-off	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.
Jan 21, 2026	D · Potential for harm, one-off	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 18, 2024	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Oct 18, 2024	E · Potential for harm, repeated	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.
Oct 18, 2024	E · Potential for harm, repeated	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.
Oct 18, 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. · from a complaint
Oct 18, 2024	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Oct 18, 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.
Sep 9, 2024	▲ J · Immediate jeopardy, one-off	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint
Sep 9, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Sep 9, 2024	D · Potential for harm, one-off	The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. · from a complaint
Sep 9, 2024	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Sep 18, 2023	F · Potential for harm, facility-wide	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Sep 18, 2023	F · Potential for harm, facility-wide	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Sep 18, 2023	F · Potential for harm, facility-wide	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Sep 18, 2023	E · Potential for harm, repeated	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.
Sep 18, 2023	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Sep 18, 2023	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.
Sep 18, 2023	E · Potential for harm, repeated	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.
Sep 18, 2023	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Sep 18, 2023	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.
Sep 18, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 18, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (8 → 11).

Year	Citations	Serious (G–L)	Worst severity that year
2023	11	0	F
2024	12	2	J ▲
2026	11	0	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)

2 fines totaling $32,094, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Oct 18, 2024	Fine	$16,448
Oct 18, 2024	Payment Denial	4 days from Nov 21, 2024
Sep 9, 2024	Fine	$15,646

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)	3.58	3.46	3.95	top 31% in Texas; bottom 41% in the U.S.
Registered Nurse hours	0.29	0.44	0.69	bottom 26% in Texas; bottom 9% in the U.S.
Weekend total nurse staffing	3.39	3.04	3.50	top 20% in Texas; top 48% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.31	0.34	0.48	top 46% in Texas; bottom 33% in the U.S.
Total nursing staff turnover (%)	62.5	55.3	45.8	bottom 28% in Texas; bottom 13% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

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 3.09, RN 0.25, weekend 2.92. Staffing rating: 1/5.

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: 2/5 · long-stay residents: 2/5 · 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	50%	05/01/2023
Monkhouse, Mary	Individual	5% or Greater Direct Ownership Interest	9%	05/01/2023
Perry, Chase	Individual	5% or Greater Direct Ownership Interest	9%	05/01/2023
Perry, Jane	Individual	5% or Greater Direct Ownership Interest	33%	01/01/2013
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
Monkhouse, Mary	Individual	Corporate Director	NOT APPLICABLE	05/01/2023
Perry, Chase	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, Jane	Individual	Corporate Officer	NOT APPLICABLE	01/01/2013
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.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What training and competency checks do your nurse aides go through, and how do you keep their skills current?"
"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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 Fredericksburg	0.5 mi	Fredericksburg, TX	★★★☆☆	2/5
Avir at Enchanted Rock	0.5 mi	Fredericksburg, TX	★★☆☆☆	2/5
Knopp Healthcare and Rehab Center INC	2.3 mi	Fredericksburg, TX	★★★☆☆	4/5
Avir at Comfort	19.7 mi	Comfort, TX	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Fredericksburg →

Facility data as of CMS processing date 2026-08-01. CCN 675740.

The Care File

Visit checklist — Knopp Nursing & Rehab Center INC

202 Billie Dr, Fredericksburg, TX 78624 · 8309978840

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $32,094

Most serious findings on record:

▲ Oct 18, 2024 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Sep 9, 2024 (F-0678, Immediate jeopardy, one-off): The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What training and competency checks do your nurse aides go through, and how do you keep their skills current?"
☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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 675740 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)