Knopp Nursing & Rehab Center Inc
Fredericksburg, Texas · CCN 675740
17 surveys since 2011. The first finding at harm level was recorded in 2024.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 128
- Surveys
- 17
- Harm or worse
- 2
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 60
- Ownership
- For profit - Corporation
- Chain
- Independent
- County
- Gillespie · rural
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 75 for-profit facilities with fewer than 66 beds in Texas.
Last survey on record
Jan 21, 2026
292 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.09 | 3.40 |
| Registered-nurse hours per resident day | 0.25 | — |
| Annual nurse turnover | 62.5% | 50.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $32,094 across 2 penalties
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J25.9% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1441.2% | E1544.1% | F38.8% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7593×
Ensure medication error rates are not 5 percent or greater.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F7272×
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.
- F7552×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
In the surveyor’s words
From the most serious findings on record at Knopp Nursing & Rehab Center Inc, in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Oct 18, 2024
Based on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible and each resident received adequate supervision to prevent accidents for 1 of 8 residents (Resident #140) reviewed for neglect with serious injuries and lack of supervision, in that: On 09/01/2024 CNA A assisted Resident #140 with a mechanical lift transfer by herself. Resident #140 fell during the transfer, suffered a broken right leg, and was hospitalized with a need for surgical repair. Prior to the fall Resident #140 was assessed with a need for more than 1 staff for assistance with transfers . An Immediate Jeopardy (IJ) was identified on 10/17/2024. The IJ Template was provided to the facility on [DATE] at 04:30 PM. […]
- Immediate jeopardy, isolatedF678Sep 9, 2024
Based on interview and record review the facility personnel failed to provide basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the resident's advance directives for 1 of 6 residents (Resident #1) whose records were reviewed for code status. Facility staff failed to follow emergency protocol and did not obtain an AED or call emergency services for 25 minutes after Resident #1, who had a Full Code in place, was found unresponsive with no pulse or respirations, according to professional standards of practice. The facility failed to ensure nursing staff had current CPR certification. On 09/05/2024 at 5:01 p.m., and Immediate Jeopardy (IJ) was identified. […]
- No harm, potential for more than minimal, widespreadF756Sep 18, 2023
47564 Based on interview and record review, the facility failed to ensure residents' pharmacist medication regimen review recommendations were reviewed by the resident's attending physician and what, if any, action has been taken to address them, for 34 of 38 residents (Residents #1, 4, 5, 6, 7, 9, 11, 12, 13, 14, 15, 16, 17, 19, 20, 21, 22, 23, 24, 25, 26, 28, 30, 31, 33, 36, 41, 43, 44, 45, 46, 47, 48, 49) whose records were reviewed for pharmacy services. The facility failed to present the pharmacist's recommendations to the residents' physician for medication regimen review This failure could place residents at risk for significant health status declines. […]
- No harm, potential for more than minimal, widespreadF835Sep 18, 2023
Based on interview and record review, the facility failed to ensure it was administered in a manner than enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, for 34 of 34 residents (Residents #1, 4, 5, 6, 7, 9, 11, 12, 13, 14, 15, 16, 17, 19, 20, 21, 22, 23, 24, 25, 26, 28, 30, 31, 33, 36, 41, 43, 44, 45, 46, 47, 48, 49) reviewed for pharmacy, nursing, and physician cooperation with Administration oversight, in that: The facility failed to present the pharmacist's recommendations to the residents' physician for medication regimen reviews for 3 reviewed monthly pharmacist recommendations (June, July, and August 2023). […]
- No harm, potential for more than minimal, widespreadF838Sep 18, 2023
Based on interviews and record reviews the facility failed to conduct and document a facility-wide assessment to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies. The facility assessment must address or include: All personnel, including managers, staff as well as their education and/or training and any competencies related to resident care, for 1 of 1 facility reviewed for the facility assessment, in that; The facility assessment was developed without complete assessment data and solely by the MDS nurse without training to complete the facility assessment. […]
Read 20 findings in full →The most serious and the most recent: 20 of 128 on record.
Every survey on record
FindingsAt actual harm or above
- Jan 21, 2026Standard11 findings
- Oct 18, 2024Standard and complaint8 findings · 1 harm
- Sep 9, 2024Complaint4 findings · 1 harm
- Sep 18, 2023Standard11 findings
- Jul 22, 2022Standard3 findings
- Nov 7, 2021Complaint1 finding
- May 5, 2021Standard and complaint11 findings
- Feb 9, 2021Complaint1 finding
Show the 9 earlier surveys
- Aug 16, 2019Standard11 findings
- Aug 31, 2018Standard17 findings
- Jul 20, 2017Standard7 findings
- Jun 16, 2016Standard11 findings
- Jul 30, 2015Standard2 findings
- May 9, 2014Standard9 findings
- Apr 4, 2013—7 findings
- Apr 19, 2012—3 findings
- Feb 12, 2011—11 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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