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Nursing home report

KNOPP NURSING & REHAB CENTER INC

FREDERICKSBURG, TX · Medicare-certified · 60 beds

Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall

1 out of 5 stars overall, with 1-star staffing and 2-star health inspection and quality ratings. Reported nurse staffing is 3.09 hours per resident per day versus the 4.1 federal benchmark, and the facility has $32,094 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.0928 hrs/resident/day

Quality measures

Last inspection: January 21, 2026Penalties, last 24 months: $32,094recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0928.

Staffing detail

Registered nurses
0.25
Licensed practical nurses
1.11
Nurse aides
1.73
Weekend nursing
2.92

Hours per resident per day.

Total staff turnover: 63%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

28.6%20.8%Improving

Residents with a fall causing major injury

7.4%3.2%Improving

Residents with pressure ulcers (bedsores)

2.8%6.2%Worsening

Residents with a urinary tract infection

0%14.3%Worsening

Residents who lost too much weight

0%15%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

4.8%21.7%Worsening

Residents whose ability to walk got worse

24.1%

Long-stay residents on antianxiety or sleep medication

28.6%39.1%Worsening

Short-stay residents newly given an antipsychotic

3.4%0%Improving

Residents with a long-term catheter

0%3.7%Worsening

Residents with new or worsening incontinence

23.8%23.8%No change

Residents with depressive symptoms

0%10.3%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

62.3%

Short-stay residents given the pneumonia vaccine

95.9%100%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited September 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited September 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 756 — 42 CFR §483.45(c) — S/S: F

The home failed to run its operations effectively and efficiently using its available resources. Cited September 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 835 — 42 CFR §483.70 — S/S: F

The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited September 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 838 — 42 CFR §483.70 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. PENALTY

    A federal payment denial was recorded.

  5. PENALTY

    A federal fine of $16,448 was recorded.

  6. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  7. PENALTY

    A federal fine of $15,646 was recorded.

  8. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  9. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $32,094 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Oct 18, 2024

    4 days
  • Federal fine

    Oct 18, 2024

    $16,448
  • Federal fine

    Sep 9, 2024

    $15,646

Operator & ownership

Ownership
For profit - Corporation
Occupancy
36.3 residents on an average day (60% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 28 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.