Knopp Healthcare and Rehab Center INC
1208 N Llano, Fredericksburg, TX 78624
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Follow this homeKnopp Healthcare and Rehab Center INC is a nursing home in Fredericksburg, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating3 of 5
- Last standard health inspectionJanuary 9, 2026 (10 months ago)
- Health citations since August 24, 202325 (Texas average 28)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of March 25, 2026
Health citation
CMS removed citation F0609 from the health inspection on January 9, 2026.
Health citation
CMS removed citation F0610 from the health inspection on January 9, 2026.
Health citation
CMS removed citation F0644 from the health inspection on January 9, 2026.
Health citation
CMS removed citation F0689 from the health inspection on January 9, 2026.
Health citation
CMS removed citation F0801 from the health inspection on January 9, 2026.
Health citation
CMS removed citation F0908 from the health inspection on January 9, 2026.
Fire safety citation
CMS removed citation K0353 from the fire safety inspection on January 9, 2026.
Fire safety citation
CMS removed citation K0355 from the fire safety inspection on January 9, 2026.
Fire safety citation
CMS removed citation K0923 from the fire safety inspection on January 9, 2026.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Health inspection on January 9, 2026
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0801. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on February 20, 2026.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on February 20, 2026.
CMS has cited this home for F0609 2 times since 2024.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on February 20, 2026.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on February 20, 2026.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on February 20, 2026.
CMS has cited this home for F0689 2 times since 2023.
Citation F0908. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on February 20, 2026.
CMS has cited this home for F0908 2 times since 2024.
Fire safety inspection on January 9, 2026
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on January 16, 2026.
CMS has cited this home for K0353 2 times since 2024.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on January 16, 2026.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on January 16, 2026.
CMS has cited this home for K0923 2 times since 2023.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Health citation
CMS removed citation F0812 from the health inspection on October 16, 2024.
Health citation
CMS removed citation F0925 from the health inspection on October 16, 2024.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Health inspection on October 16, 2024
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on November 29, 2024.
Citation F0925. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS lists it as corrected on November 29, 2024.
Health inspection on October 4, 2024
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0759. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on November 18, 2024.
Citation F0908. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on November 18, 2024.
Citation F0640. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on November 18, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on November 18, 2024.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Implement 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.
CMS lists it as corrected on November 18, 2024.
Citation F0919. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS lists it as corrected on November 18, 2024.
Fire safety inspection on October 4, 2024
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on November 29, 2024.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on October 30, 2024.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on November 29, 2024.
Citation K0511. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on November 29, 2024.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on November 29, 2024.
Citation K0211. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on October 17, 2024.
CMS has cited this home for K0211 2 times since 2023.
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on October 17, 2024.
CMS has cited this home for K0521 2 times since 2023.
Health inspection on September 20, 2024
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on October 23, 2024.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on October 23, 2024.
CMS has cited this home for F0657 2 times since 2023.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 3 of 5.
Health inspection on August 24, 2023
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation F0727. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on September 20, 2023.
Citation F0944. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
CMS lists it as corrected on October 9, 2023.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS lists it as corrected on October 9, 2023.
Citation F0689. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on October 9, 2023.
Citation F0842. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on September 20, 2023.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on October 9, 2023.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on October 9, 2023.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on October 9, 2023.
Citation F0849. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
CMS lists it as corrected on September 20, 2023.
Fire safety inspection on August 24, 2023
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on September 25, 2023.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on October 6, 2023.
Citation K0211. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on September 23, 2023.
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on September 20, 2023.
CMS star ratings
- 3 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 1 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (830) 997-3704
- Last standard health inspection
- January 9, 2026 (10 months ago)
- Certified beds
- 119
- Residents per day, on average
- 52.7
- Ownership type
- For profit - Corporation
- Legal business name
- Knopp Healthcare & Rehab Center INC
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (25 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- LUCHENBACH, JAY5% or greater direct ownership interest · 29% · since 01/01/2013
- MONKHOUSE, MARY5% or greater direct ownership interest · 9% · since 05/01/2023
- PERRY, CHASE5% or greater direct ownership interest · 5% · since 01/01/2013
- PERRY, JANE5% or greater direct ownership interest · 33% · since 05/01/2023
- DIAZ, PAMELAOperational/managerial control · not applicable · since 05/03/2010
Show 3 more
- KOTHMANN, JOHNOperational/managerial control · not applicable · since 04/27/2022
- PERRY, CHASEOperational/managerial control · not applicable · since 01/01/2013
- PERRY, JANEOperational/managerial control · not applicable · since 01/01/2013
Questions
When was Knopp Healthcare and Rehab Center INC last inspected?
CMS lists January 9, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Knopp Healthcare and Rehab Center INC have?
CMS lists 25 health citations since August 24, 2023. CMS also calls these deficiencies.
Has Knopp Healthcare and Rehab Center INC been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Knopp Healthcare and Rehab Center INC?
Its CMS overall star rating is 3 of 5.
Is Knopp Healthcare and Rehab Center INC a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.