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Nursing home report

KNOPP NURSING & REHAB CENTER INC

FREDERICKSBURG, TX · Medicare-certified · 60 beds

Needs attention
For-profit
1 of 5 overall

Overall rating: 1 of 5 stars. This facility has very low staffing (1 of 5 stars; 2.99 reported nurse staffing hours per resident per day vs the 4.1 federal benchmark), low health inspection results (2 of 5 stars), and a recent federal penalty with $32,094 in fines in the last 24 months.

Facility ratings

Health inspections

Staffing

2.9917 hrs/resident/day

Quality measures

Last inspection: October 18, 2024Penalties, last 24 months: $32,094recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9917.

Staffing detail

Registered nurses
0.23
Licensed practical nurses
1.06
Nurse aides
1.71
Weekend nursing
2.55

Hours per resident per day.

Total staff turnover: 69%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

25.4%Steady

Residents with a fall causing major injury

5.1%Improving

Residents with pressure ulcers (bedsores)

2.7%Steady

Residents with a urinary tract infection

3.4%Worsening

Residents who lost too much weight

5.7%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

18.4%Worsening

Residents whose ability to walk got worse

25.5%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

34.1%Improving

Short-stay residents newly given an antipsychotic

1.9%Steady

Residents with a long-term catheter

2.4%Worsening

Residents with new or worsening incontinence

33%Worsening

Residents with depressive symptoms

2.7%Worsening

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

62.3%Steady

Short-stay residents given the pneumonia vaccine

94.9%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. PENALTY

    A federal payment denial was recorded.

  3. PENALTY

    A federal fine of $16,448 was recorded.

  4. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $15,646 was recorded.

  6. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  7. 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
37.1 residents on an average day (62% 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.