Knopp Healthcare & Rehab
Knopp Healthcare & Rehab is a nursing home located in Fredericksburg, TX, offering skilled nursing and assisted living services. Memory care, hospice care, and palliative care are included on its list too.
Skilled nursing provides licensed nursing care available on-site at all times. Assisted living is for individuals who require help with bathing, dressing, or managing medication. The secured and supervised level is memory care, designed for residents whose dementia may result in wandering. Hospice care and palliative care focus on comfort and managing symptoms effectively.
Due to the variety of care types available in one location, a resident whose requirements change over time can remain in the same place. The residence contains 119 beds, and the average daily nursing time per resident is 3 hours and 58 minutes.
Music flows through everyday life. There’s the Jay’s Time Music Participation Program, live music, Music & Memory, and playing percussive instruments. Therapy services are available for residents focusing on recovery or maintaining their current abilities.
Payment may be through Medicare, Medicaid, or private pay. With a Walk Score of 35, this area is car-dependent, meaning someone who doesn’t drive will need transportation for errands. The home belongs to Jay Luchenbach.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Standout metric: Registered nurse (RN) is +40% above Texas average
1 of 6 metrics below Texas average
Daily care time per resident, by role
US average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
US average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
US average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
78.5% of staff hours were worked by the facility's own employees
Texas average: 94.3% · Contractors this quarter: Certified Nursing Assistant (24), Licensed Practical Nurse (22), Registered Nurse (3), Occupational Therapy Assistant (1), Occupational Therapy Aide (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Community insights.
Medium-capacity home · Offers a balance of services and community atmosphere.
Based on residents per day and 119 beds.
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
About This Community
CMS Health Inspection History
ALM Inspection Grade
8 points above the Texas average for CMS-certified facilities (82/100)
Category breakdown
Citations
Typical
51 severity-weighted points (25 citations) · 40% lower than the typical CMS-certified TX facility (median: 85)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Concern
41 days to fix issues · much slower than the typical CMS-certified TX facility (median: 16)
Citation severity
Latest inspection: Jan 09, 2026 · 6 citations, all corrected
Most cited category: Resident Assessment & Care Planning, 5 of 25 citations · 9 categories in total
Citations history
Most recent firstTop deficiency categories
Share of 25 citationsHow citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
21 of 25 citations resulted from standard inspections; and 4 of 25 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Texas average.
13 long-stay measures: 11 worse, 2 near TX average
8 short-stay measures: 2 better, 3 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Hospital & emergency visits
Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Hospital & emergency visits
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Knopp Healthcare & Rehab’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 225 Texas nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Losing money on care, and more than last year
−1.4% operating margin
−13.8 pts vs prior year
An operating loss in 3 of the last 8 reported years. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with Texas homes
65.9% payroll share of revenue
TX average 68.8%Rank #50 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 50th out of 202 nursing homes we track in Texas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.4M while revenue rose $0.4M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Texas homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $4.6M | +$0.4M | Trend 20172024 | TX median $9.3M | Rank in TX Rank #206 / 225Net patient revenue — State benchmarked This nursing home is ranked 206th out of 225 nursing homes we track in Texas for net patient revenue. Shows this facility's net patient revenue compared to the Texas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 8% of homes | Below TX median Higher net patient revenue than 8% of TX homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $4.7M | +$1.0M | Trend 20172024 | TX median $9.8M | Rank in TX Rank #217 / 225Operating expenses — State benchmarked This nursing home is ranked 217th out of 225 nursing homes we track in Texas for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Texas homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 4% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.1M | −$0.6M | Trend 20172024 | TX median −$0.4M | Rank in TX Rank #88 / 225Net patient income — State benchmarked This nursing home is ranked 88th out of 225 nursing homes we track in Texas for net patient income. Shows net patient revenue minus operating expenses, compared with other Texas homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 61% of homes | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −1.4% | −13.8 pts | Trend 20172024 | TX median −5.0% | Rank in TX Rank #88 / 225Operating margin — State benchmarked This nursing home is ranked 88th out of 225 nursing homes we track in Texas for operating margin. Shows net patient income as a share of net patient revenue, compared with other Texas homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 61% of homes | Loss A negative margin means resident care costs more than it earns. |
| Net income The bottom line after other income. | −$0.1M | −$0.6M | Trend — | TX median $0.3M | Rank in TX Rank #126 / 207Net income — State benchmarked This nursing home is ranked 126th out of 207 nursing homes we track in Texas for net income. Shows the bottom line after other income, compared with other Texas homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 39% of homes | Loss The bottom line is below zero even after other income. |
Staffing spend
Staff spending in line with Texas homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $3.1M | +$0.4M | Trend 20172024 | TX median $4.9M | Rank in TX Rank #190 / 225Payroll costs — State benchmarked This nursing home is ranked 190th out of 225 nursing homes we track in Texas for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 16% of homes | Below TX median Higher payroll than 16% of TX homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 65.9% | +4.1 pts | Trend 20172024 | TX median 57.6% | Rank in TX Rank #50 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 50th out of 202 nursing homes we track in Texas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 76% of homes | Near TX average The TX average is 68.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · TX benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Texas payroll average.
% of net patient revenue
Payroll share Operating margin TX payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $4.3M | $4.6M | $4.2M | $5.6M | $3.7M | $3.9M | $4.3M | $4.6M |
| Operating expenses | $4.8M | $4.2M | $4.4M | $4.8M | $2.6M | $3.9M | $3.7M | $4.7M |
| Net patient income | −$0.5M | $0.4M | −$0.3M | $0.8M | $1.1M | $0.0M | $0.5M | −$0.1M |
| Operating margin | −11.9% | 9.5% | −6.5% | 14.3% | 29.2% | 0.8% | 12.4% | −1.4% |
| Net income | −$0.5M | $0.4M | −$0.3M | $0.8M | $1.1M | $0.0M | $0.5M | −$0.1M |
| Payroll costs | $3.4M | $2.7M | $2.7M | $3.0M | $2.4M | $2.3M | $2.6M | $3.1M |
| Payroll share of revenue | 78.7% | 57.9% | 65.0% | 54.3% | 64.9% | 58.2% | 61.8% | 65.9% |
| Beds | 132 | 132 | 132 | 132 | 132 | 132 | 132 | 132 |
| Gross revenue | $4.3M | $4.6M | $4.2M | $5.6M | $3.7M | $3.9M | $4.3M | $4.6M |
| Salaries | $2.9M | $2.3M | $2.4M | $2.7M | $2.0M | $2.1M | $2.4M | $2.7M |
| Wage-related costs | $0.5M | $0.3M | $0.3M | $0.4M | $0.4M | $0.2M | $0.3M | $0.3M |
| Contract labor | $0.4M | $0.4M | $0.5M | $0.5M | $0.3M | $0.6M | $0.6M | $0.6M |
| Other operating costs | $1.4M | $1.5M | $1.7M | $1.8M | $0.2M | $1.6M | $1.1M | $1.6M |
| Net patient revenue per day | $162 | $178 | $187 | $260 | $230 | $266 | $302 | $294 |
| Cost per day | $181 | $161 | $199 | $222 | $163 | $264 | $265 | $298 |
| Average length of stay | 137.6 days | 264.6 days | 161.0 days | 208.9 days | 143.0 days | 152.1 days | 89.8 days | 85.6 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Places of interest near Knopp Healthcare & Rehab
1.1 miles from city center
Estimated distance in miles from Fredericksburg's city center to Knopp Healthcare & Rehab's address, calculated via Google Maps.
Calculate Travel Distance to Knopp Healthcare & Rehab
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Programs that may help with care and living costs in Texas
Knopp Healthcare & Rehab is in Fredericksburg, Texas. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
VA Aid and Attendance (A&A) and Housebound Benefits
Texas VA Aid and Attendance/Housebound
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- Countable income must be below the applicable Maximum Annual Pension Rate (MAPR); the rate depends on dependents and benefit category; Qualifying unreimbursed medical expenses may reduce countable income.
- Asset limit
- VA pension net-worth limit is $163,699 from December 1 2025 through November 30 2026; net worth includes countable assets and annual income under VA rules.
Eligibility
- General
- Additional pension benefits for qualifying Veterans or survivors who satisfy VA pension eligibility and the medical requirements for Aid and Attendance or Housebound status; being an older veteran or spouse alone does not qualify.
- TX specifics
- This is a federal VA benefit rather than a state-specific grant; Aid and Attendance and Housebound benefits cannot be received together.
What it provides
- Increased monthly VA pension based on the applicable MAPR less countable income.
STAR+PLUS and STAR+PLUS HCBS
Texas STAR+PLUS and STAR+PLUS HCBS
- Who it is for
- Texas Medicaid members, mainly adults 65+ or with disabilities, who need long-term services and supports
Eligibility
- General
- Texas Medicaid applicants or members who meet a STAR+PLUS eligibility pathway; the program principally serves adults with disabilities and adults age 65 or older. STAR+PLUS HCBS requires a separate assessment for nursing-facility-level needs.
- TX specifics
- Health plans and participating providers depend on the service area. Assisted living and adult foster care are additional HCBS services for approved enrollees; members remain responsible for room and board and any assessed copayment.
What it provides
- STAR+PLUS provides Medicaid health coverage and authorized long-term services and supports.
- Approved STAR+PLUS HCBS plans may include personal assistance or assisted living services.
- Other assessed HCBS benefits include respite and nursing services and home modifications.
Texas Community Care Services (CCAD)
Texas Community Care for the Aged and Disabled / Community Care Services
- Who it is for
- Texans who need community-care services assessed under the HHS Community Care handbook
Eligibility
- General
- Texas Community Care for the Aged and Disabled is an umbrella for community-care services with service-specific eligibility.
- TX specifics
- Individual services are administered under the Community Care Services Eligibility Handbook.
What it provides
- Community care services depend on the specific program and assessed need.
Area Agency on Aging (AAA) Services
Texas AAA Services
- Who it is for
- People 60+ in Texas and their family members and caregivers
- Income limit
- Services prioritize greatest economic and social need.
Eligibility
- General
- Texas Area Agencies on Aging help people age 60 or older and their family members and caregivers.
- TX specifics
- Texas has 28 Area Agencies on Aging; assistance and services are obtained through the local agency.
What it provides
- Information and referrals; benefits counseling and legal assistance; care coordination; caregiver support; in-home support; nutrition and ombudsman services.
Family Caregiver Support Program (FCSP)
Texas Family Caregiver Support Program
- Who it is for
- Family or informal caregivers of an adult 60+ or of someone of any age with dementia
- Income limit
- Federal program prioritizes greatest economic and social need.
Eligibility
- General
- Texas AAA caregiver support serves eligible caregivers of older adults; particular service eligibility follows the relevant program and assessment.
- TX specifics
- Available through the 28 Area Agencies on Aging with priority to greatest economic and social need.
What it provides
- Caregiver information assistance and support; respite and other services depend on local availability and assessment.
Medicare Savings Program (MSP)
Texas Medicare Savings Program
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
- Income limit
- effective March 1 2026 · Individual QMB maximum $1,330 per month; SLMB range $1,330.01 to less than $1,596; QI-1 range $1,596 to less than $1,796; These published bases exclude the $20 general income disregard; couple and spousal-deeming rules differ.
- Asset limit
- 2026 · Countable resources up to $9,950 individual or $14,910 couple for QMB SLMB and QI-1; exclusions apply.
Eligibility
- General
- Texas applicant entitled to Medicare Part A or enrolled in qualifying Part B-ID coverage and meeting applicable MSP criteria.
- TX specifics
- QI-1 is unavailable with other Medicaid-funded coverage; Part B-ID applicants have special limited-benefit rules.
What it provides
- QMB pays qualifying Medicare premiums deductibles and coinsurance; SLMB and QI-1 pay Part B or B-ID premiums only.
Comprehensive Energy Assistance Program (CEAP)
Texas Comprehensive Energy Assistance Program (CEAP)
- Who it is for
- Low-income Texas households that need help with utility bills
Eligibility
- General
- Qualifying low-income Texas households apply through local Comprehensive Energy Assistance Program providers.
- TX specifics
- Texas LIHEAP utility assistance operates through CEAP.
What it provides
- Utility assistance through CEAP.
Property Tax Exemption for Seniors
Texas Senior Property Tax Exemption
- Who it is for
- Texas homeowners 65+, or qualifying disabled homeowners, living in their homestead
Eligibility
- General
- Residence-homestead owner age 65 or older who uses the property as a principal residence; qualifying disabled homeowners and certain surviving spouses have related provisions.
- TX specifics
- School districts must provide an additional $60,000 age-65-or-disabled residence-homestead exemption; Local-option exemptions and tax-ceiling rules are separate.
What it provides
- Reduction in taxable residence-homestead value (additional $60,000 school-district exemption for age 65 or qualifying disability); actual tax savings vary.




