Knopp Nursing & Rehab Center
Nursing Home Facility
202 Billie Dr, Fredericksburg, TX 78624
Knopp Nursing & Rehab Center is a senior care community located in Fredericksburg, TX. It provides assisted living, memory care, nursing home care, and senior living for older adults in the Fredericksburg area. To learn more or schedule a tour, call (830) 997-8840.
Knopp Nursing & Rehab Center is licensed for 60 beds, about typical for the area, where senior care communities in Fredericksburg average about 74 beds.
Federal reporting puts occupancy at about 60% of its licensed beds, so availability is more likely here than at busier communities nearby. That is above the Fredericksburg average of roughly 50%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Fredericksburg average about 2.2 stars. Its most recent standard health inspection was in January 2026 and recorded 11 deficiencies.
Residents receive about 3.1 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Nursing staff turnover over the past year was about 63%, which is high and can affect continuity of care.
The community is located in Gillespie County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 34 problems at Knopp Nursing & Rehab Center. 2 findings involved harm to a resident, including 2 that put residents in immediate danger. 6 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $32,094. Medicare also stopped paying for new admissions once in that period.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Observe each nurse aide's job performance and give regular training.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to organize and participate in resident/family groups in the facility.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Show 3 more
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Knopp Nursing & Rehab Center offers assisted living, memory care, nursing home care, and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 60
- Occupancy 60%
- Nursing hours per resident/day 3.1
- Annual staff turnover 63%
- Last health inspection January 2026
Resident & family reviews
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