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Data / Nursing homes / Texas / Knopp Nursing & Rehab Center Inc

Knopp Nursing & Rehab Center Inc, Fredericksburg, TX: 2 star rating, fined $32,094 across 2 fines and had 1 payment denial

Knopp Nursing & Rehab Center Inc in Fredericksburg, TX is owned by 4 individuals whom CMS lists (names not shown), is rated 2 of 5 stars by Medicare, and was fined $32,094 across 2 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 23 health citations from inspections in that time, the latest survey on January 21, 2026, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet nursing homes in Texas
Address
202 Billie Dr, Fredericksburg, TX 78624
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
2 of 5
Certified beds
60
Residents per day
32 on average
Ownership type
For profit, corporation
Legal business name
Knopp Nursing & Rehabilitation Center Inc
Fines
$32,094 across 2 fines, three years to October 1, 2026
Payment denials
1
Health citations
23, of which 2 with actual harm or immediate jeopardy
Latest survey
January 21, 2026
CMS Certification Number
675740
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
October 18, 2024Fine$16,448Not listeddata.cms.gov
October 18, 2024Payment denialNot listedNovember 21, 20244data.cms.gov
September 9, 2024Fine$15,646Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
January 21, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2026data.cms.gov
January 21, 2026F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2026data.cms.gov
January 21, 2026F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2026data.cms.gov
January 21, 2026F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2026data.cms.gov
January 21, 2026F730Observe each nurse aide's job performance and give regular training.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2026data.cms.gov
January 21, 2026F728Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2026data.cms.gov
January 21, 2026F727Have 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2026data.cms.gov
January 21, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2026data.cms.gov
January 21, 2026F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2026data.cms.gov
January 21, 2026F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2026data.cms.gov
January 21, 2026F565Honor the resident's right to organize and participate in resident/family groups in the facility.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2026data.cms.gov
October 18, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedNovember 19, 2024data.cms.gov
October 18, 2024F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 19, 2024data.cms.gov
October 18, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 19, 2024data.cms.gov
October 18, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 19, 2024data.cms.gov
October 18, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 19, 2024data.cms.gov
October 18, 2024F610Respond appropriately to all alleged violations.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 19, 2024data.cms.gov
October 18, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 19, 2024data.cms.gov
October 18, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 19, 2024data.cms.gov
September 9, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J: isolated, immediate jeopardyCorrectedSeptember 13, 2024data.cms.gov
September 9, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2024data.cms.gov
September 9, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2024data.cms.gov
September 9, 2024F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 14 individual or personal trusts (4 owners, 3 managers, 5 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.