Show Inspection Reports
Total health inspections
4
Texas average 7.4
Last Health inspection on Oct 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
Knopp Healthcare & Rehab
Overview of Knopp Healthcare & Rehab
Located in the neighborhood of Fredericksburg, TX, Knopp Healthcare & Rehab is a dependable senior care provider, offering skilled nursing care, hospice care, and palliative care. Residents here are guaranteed a comfortable recovery environment with access to an extensive array of services and therapies to ensure they are able to maintain or regain their strength, mobility, and functionality. A dependable and compassionate care team is always available to attend to residents’ needs and emergencies, giving them utmost comfort and peace of mind.
Committed to creating a vibrant environment that fosters both healing and enrichment, the community also offers a wide array of activities that are designed to give countless opportunities for interactions, entertainment, and stimulation. The community also features an array of partnerships with third-party organizations for entertainment and access to more care services, ensuring residents are provided with the services for their ever-changing needs without moving into another community.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
29.3%
Residents per day (avg)
57
Occupancy rate
29.3%
Residents per day (avg)
57
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
48% of new residents, usually for short-term rehab.
Typical stay
17 days
Private pay
47% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
5% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$4.3M
Profit
$530.6K
Privately-owned community
Operated by a business corporation.
Home revenue
$4,264,919.00
Profit
$530,617.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.7M
Walk Score: 35 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
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Additional licensing details
CMS Certification Number:
455278
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Ms. Jane Perry, President
What does this home offer?
Accept Medicaid: 60
Total Residents: Yes
Building Type: Single-story
Types of Care at Knopp Healthcare & Rehab
Nursing Home
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
5 visits/inspections
1 visits/inspections triggered by complaints
3 routine inspections
Results
5 with issues
0 without issues
Latest inspection
Date:January 9, 2026
Type:Annual Inspection
27 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health citations
26
Texas average 25.9
Citations per inspection
6.5
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 26 citations resulted from standard inspections; 2 of 26 resulted from complaint investigations; and 2 of 26 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Texas averageTexas average: 2
Serious Health citations
0
0
100% better than Texas averageTexas average: 0.4
0 critical citations
0 serious citations
26 moderate citations
0 minor citations
Citations history (last 3 years)
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Oct 04, 2024
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Oct 04, 2024
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Oct 04, 2024
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Oct 04, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 04, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 04, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 04, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 04, 2024
Corrected
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.
Compare Nursing Homes around Fredericksburg The information below is reported by the Texas Health and Human Services Commission.
Knopp Healthcare & Rehab
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Fredericksburg
132
29.3%
-54%
3.52
-3%
0
26
0
57
A+
35
Luchenbach, Jay
$4,3M
$2,4M
55.8%
455278
Knopp Retirement Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
FREDERICKSBURG
60
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0
0
0
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Places of interest near Knopp Healthcare & Rehab
1.1 miles from city center
1208 Llano St, Fredericksburg, TX 78624
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
123
Employees
50
Contractors
73
Staff to resident ratio
2.46:1
63% better than Texas averageTexas average ratio: 1.51:1
Avg staff/day
29
Average shift
7.8 hours
0% compared with Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
20,462
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
49
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
47
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
15.4%
3,154 contractor hours this quarter
Licensed Practical Nurse: 40
Certified Nursing Assistant: 29
Registered Nurse: 1
Occupational Therapy Assistant: 1
Occupational Therapy Aide: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 18 | 29 | 47 | 9,652 | 91 | 100% | 8.9 |
| Licensed Practical Nurse | 9 | 40 | 49 | 3,387 | 91 | 100% | 8 |
| Registered Nurse | 6 | 1 | 7 | 2,216 | 90 | 99% | 9.3 |
| Dietitian | 2 | 0 | 2 | 882 | 66 | 73% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 825 | 74 | 81% | 11.2 |
| Physical Therapy Aide | 2 | 0 | 2 | 605 | 73 | 80% | 4.7 |
| Administrator | 1 | 0 | 1 | 591 | 80 | 88% | 7.4 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 582 | 79 | 87% | 5.2 |
| Speech Language Pathologist | 2 | 0 | 2 | 535 | 65 | 71% | 4.6 |
| Qualified Social Worker | 3 | 0 | 3 | 521 | 74 | 81% | 5.1 |
| RN Director of Nursing | 1 | 0 | 1 | 235 | 33 | 36% | 7.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 196 | 42 | 46% | 4.7 |
| Nurse Aide in Training | 1 | 0 | 1 | 124 | 15 | 16% | 8.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 42 | 6 | 7% | 7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 34 | 17 | 19% | 2 |
| Physical Therapy Assistant | 1 | 0 | 1 | 32 | 25 | 27% | 1.3 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
47 Certified Nursing Assistant
% of Days
100%
49 Licensed Practical Nurse
% of Days
100%
7 Registered Nurse
% of Days
99%
2 Dietitian
% of Days
73%
1 Nurse Practitioner
% of Days
81%
2 Physical Therapy Aide
% of Days
80%
1 Administrator
% of Days
88%
2 Respiratory Therapy Technician
% of Days
87%
2 Speech Language Pathologist
% of Days
71%
3 Qualified Social Worker
% of Days
81%
1 RN Director of Nursing
% of Days
36%
1 Mental Health Service Worker
% of Days
46%
1 Nurse Aide in Training
% of Days
16%
1 Occupational Therapy Assistant
% of Days
7%
1 Occupational Therapy Aide
% of Days
19%
1 Physical Therapy Assistant
% of Days
27%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
50 residents
Residents by payment source
Medicare
7 residents (14%)
Medicaid
14 residents (28%)
Private pay or other
29 residents (58%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
73% worse than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.2
76% worse than Texas averageTexas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
21.7%
Percent of long-stay residents whose need for help with daily activities has increased
21.7%
34% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
31.3%
Percent of long-stay residents whose ability to move independently worsened
31.3%
93% worse than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.5%
101% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
80% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
10.0%
Percent of long-stay high risk residents with pressure ulcers
10.0%
125% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
5.2%
Percent of long-stay residents with a urinary tract infection
5.2%
543% worse than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
11.1%
Percent of long-stay residents who lose too much weight
11.1%
220% worse than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.9%
Percent of long-stay residents who have depressive symptoms
4.9%
69% worse than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
3.2%
Percent of long-stay residents who received an antipsychotic medication
3.2%
59% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
In line with Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.24
Number of hospitalizations per 1,000 long-stay resident days.
2.24
5% worse than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.71
31% worse than Texas averageTexas average: 2.07
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.2%
6% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
47.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
47.3%
46% worse than Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.1%
20% worse than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
24.5%
104% worse than Texas averageTexas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
2.3%
Percentage of SNF residents who experience falls with major injury during their stay.
2.3%
195% worse than Texas averageTexas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
58.5%
Percentage of residents at or above expected ability to care for themselves at discharge.
58.5%
9% better than Texas averageTexas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
54.9%
Rate of successful return to home or community from a skilled nursing facility.
54.9%
9% better than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Knopp Healthcare & Rehab based on CMS SNF Cost Reports.
Occupancy Rate
29.3%
↓ 1.4pp vs 2022
Net Income
$530,617
↑ ~$501K vs 2022
Total Payroll
$3,208,522
↑ ~$332K vs 2022
Profit Margin
12.4%
↑ 11.7pp vs 2022
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