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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 140th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 30m per day | ▲ 15% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 46m per day | ▼ 19% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 51m per day | ▼ 8% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 5m per day | ▲ 4% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 75% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 22m per day | ▲ 5% State avg: 21m per day · National avg: 29m per day |
Lower than the Texas average: 63.5%Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 27 | 6 | This facility has 350% more total citations than a typical Texas nursing home (27 vs. TX avg 6).↑ 350% worse |
|
Citations per year
Average citations per year since 2023.
| 9 | 2 | This facility has 350% more citations per year than a typical Texas nursing home (9 vs. TX avg 2).↑ 350% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on January 9, 2026, identified deficiencies related to injury reporting, mental health screenings, the wander guard system, dietician staffing, and laundry equipment maintenance. Earlier inspections showed a pattern of issues including food safety and pest control problems, medication management errors, incomplete care plans, and environmental concerns such as unsafe storage and equipment disrepair. Complaint investigations found one substantiated failure to timely report an alleged abuse incident, which was later determined to be a joke, and most complaints were unsubstantiated. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s deficiencies have persisted over time with recurring themes in resident care documentation, equipment maintenance, and safety systems, indicating ongoing challenges rather than clear improvement.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on Oct 2024
Texas average 25.9
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).
100% better than Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
64% better than Texas average
6% worse than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,173 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 17 | 43 | 60 | 9,971 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 7 | 26 | 33 | 4,158 | 92 | 100% | 8 |
| Registered Nurse | 7 | 1 | 8 | 1,733 | 90 | 98% | 9.1 |
| Dietitian | 2 | 0 | 2 | 911 | 64 | 70% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 833 | 72 | 78% | 11.6 |
| Speech Language Pathologist | 2 | 0 | 2 | 779 | 68 | 74% | 6.4 |
| Nurse Aide in Training | 2 | 0 | 2 | 657 | 54 | 59% | 8.3 |
| Administrator | 1 | 0 | 1 | 630 | 84 | 91% | 7.5 |
| Physical Therapy Aide | 2 | 0 | 2 | 537 | 68 | 74% | 6.1 |
| Qualified Social Worker | 3 | 0 | 3 | 479 | 67 | 73% | 5.1 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 459 | 80 | 87% | 3.7 |
| RN Director of Nursing | 1 | 0 | 1 | 215 | 32 | 35% | 6.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 211 | 44 | 48% | 4.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 45 | 6 | 7% | 7.5 |
| Physical Therapy Assistant | 1 | 0 | 1 | 22 | 16 | 17% | 1.4 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
21.7%
34% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
31.3%
93% worse than Texas averageTexas average: 16.2%
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%
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
80% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
10.0%
125% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
5.2%
543% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
11.1%
220% worse than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
4.9%
69% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
3.2%
59% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.24
5% worse than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.71
31% worse than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.2%
6% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
47.3%
46% worse than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.1%
20% worse than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
24.5%
104% worse than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
2.3%
195% worse than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
58.5%
9% better than Texas averageTexas average: 53.7%
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.
48% of new residents, usually for short-term rehab.
47% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
50Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for Knopp Healthcare & Rehab based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #250 / 297Payroll — State benchmarkedThis home is ranked 250th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total Residents: Yes
Building Type: Single-story
Most residents typically stay for a few weeks or months before returning home or moving on.
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.
Add your location
Knopp Healthcare & Rehab is located in Fredericksburg, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
| Knopp Healthcare & Rehab |
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.
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. | Fredericksburg (North Llano Street) | 132 | 42.4% | -33% | 3.52 | -14% | -3% | $0 | 26 | 6.5 | - | 56 | A+ | 35 | Jay Luchenbach | $4.3M | $3.2M | 75.2% | 455278 | ||||
| The Villages of Windcrest |
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.
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. | Fredericksburg | 86 | 59.6% | -6% | 3.72 | -16% | +2% | $94.0k | 45 | 6.4 | 5 | 50 | - | 13 | Operators Of Fredericksburg | $15.9M | $5.0M | 31.4% | 455941 |
Knopp Healthcare & Rehab is in the North Llano Street neighborhood of Fredericksburg.
Knopp Healthcare & Rehab has a walk score of 35. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Knopp Healthcare & Rehab's occupancy is 47%.
Yes — there is 1 photo of Knopp Healthcare & Rehab in the photo gallery on this page.
Knopp Healthcare & Rehab is located at 1208 Llano St, Fredericksburg, TX 78624, United States.
(830) 997-3704 will put you in contact with the team at Knopp Healthcare & Rehab.
Yes — Knopp Healthcare & Rehab is a CMS-certified provider of Medicare and Medicaid.
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