KNOPP NURSING & REHAB CENTER INC – FREDERICKSBURG, TX

CMS Verified | 2026-03-01

Knopp Nursing & Rehab Center Inc

202 BILLIE DR, Fredericksburg, TX 78624
(830) 997-8840
60 beds
All Fredericksburg facilities
1.0*
Overall
2.0*
Health Inspection
2.0*
Quality Care
1.0*
Staffing
51.11
Score /100
#13890
National Rank

#13890
of 14703 facilities
National
5.5% position
#1110
of 1177 in TX
State Rank
#4
of 4 in Gillespie
County Rank
#4
City Rank
#4
of 4 in ZIP 78624
ZIP Rank






About Knopp Nursing & Rehab Center IncKnopp Nursing & Rehab Center Inc is located at 202 Billie Dr, Fredericksburg, TX, reachable at (830) 997-8840. This For profit – Corporation facility operates 60.0 certified beds and serves an average of 39 residents per day. Medicare and Medicaid services have been provided since 1997-12-11. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Knopp Nursing & Rehab Center Inc

Address

202 Billie Dr, Fredericksburg, TX 78624

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 60 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 13 fine(s) over 5 years
5-Year Trend
Declining over 5 years
51.11
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#13890 of 14703 nationally – #1110 of 1177 in Texas

Who Is This Facility Best For?

Knopp Nursing & Rehab Center Inc may be considered for families with limited options in Fredericksburg, TX, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

2 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

2 / 5
Long-Stay QM Rating

2 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightKnopp Nursing & Rehab Center Inc currently provides 2 hours 50 minutes of total nurse staffing per resident per day, including 15 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 73.8%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing2 hours 50 minutes
Nurse Aide Hours1 hour 36 minutes
Licensed Practical Nurse (LPN) Hours59 minutes
Registered Nurse (RN) Hours15 minutes
Physical Therapist Hours7 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 28 minutes
Weekend Registered Nurse (RN) Hours19 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 2 fine(s) totaling $32,094. 5 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period.
Number of Fines (current period) 2
Total Fines Amount $32094.0
Payment Denials 1
Total Penalties 3
Abuse Flag on Record N
Total Weighted Health Survey Score 134.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#13,890
of 14,703
National
Bottom 10%
#1,110
TX State
Bottom 10% in TX
#4
of 4
️ Gillespie County
#4 of 4
#4
of 4
️ Fredericksburg
#4 of 4
#4
of 4
ZIP 78624
#4 of 4

Nationally, Knopp Nursing & Rehab Center Inc ranks 13890th out of 14,703 facilities (composite score: 51.1/100), placing it in the bottom 25% nationwide. Within TX, it ranks 1110th out of 1,177 nursing homes. In Fredericksburg, it ranks 4th out of 4 facilities. Among facilities sharing its ZIP code, it ranks 4th of 4. For 2026 staffing: total nurse hours rank #13,628 nationally and RN hours rank #13,320 nationally (#909 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 2.88 #12,411 / 14,703 #883 / 1,177 ⚠️ Bottom 25%
2023 2.86 #12,713 / 14,703 #904 / 1,177 ⚠️ Bottom 25%
2024 3.56 #7,679 / 14,703 #260 / 1,177 Below average
2025 3.50 #8,859 / 14,703 #287 / 1,177 Below average
2026 2.83 #13,628 / 14,703 #1,011 / 1,177 ⚠️ Bottom 10%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.45 #9,716 / 14,703 #326 / 1,177 Below average
2023 0.34 #11,405 / 14,703 #495 / 1,177 ⚠️ Bottom 25%
2024 0.47 #8,843 / 14,703 #236 / 1,177 Below average
2025 0.39 #10,946 / 14,703 #482 / 1,177 Below average
2026 0.25 #13,320 / 14,703 #909 / 1,177 ⚠️ Bottom 10%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Knopp Nursing & Rehab Center Inc is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1997-12-11. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (830) 997-8840 or your local Medicaid office to verify current eligibility.

Knopp Nursing & Rehab Center Inc holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (1★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 51.1/100, placing it #13890 of 14703 facilities nationally and #1110 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Knopp Nursing & Rehab Center Inc receives a reported average of 2 hours 50 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 15 minutes; Licensed Practical Nurse (LPN) — 59 minutes; Nurse Aide — 1 hour 36 minutes. On weekends, total nurse staffing is 2 hours 28 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 73.8%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $32,094. 5 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $32,094, and 1 Medicare payment denial(s). Total penalties: 3. The Total Weighted Health Survey Score is 134.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Knopp Nursing & Rehab Center Inc ranks 13890th out of 14,703 facilities (composite score: 51.1/100), placing it in the bottom 25% nationwide. Within TX, it ranks 1110th out of 1,177 nursing homes. In Fredericksburg, it ranks 4th out of 4 facilities. Among facilities sharing its ZIP code, it ranks 4th of 4. For 2026 staffing: total nurse hours rank #13,628 nationally and RN hours rank #13,320 nationally (#909 in TX). Our composite quality score of 51.1/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Fredericksburg, visit: https://nursinghomesnearme.org/texas/fredericksburg/

Contact and Location

ADR
Address

202 BILLIE DR, Fredericksburg, TX 78624
Get directions on Google Maps

TEL
LLC
Legal Name

KNOPP NURSING & REHABILITATION CENTER INC

MAP
Browse by Location

All Texas ·
Gillespie County ·
Fredericksburg ·
ZIP 78624

Facility Details

Number of Certified Beds 60
Average Residents / Day 39 (65% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Gillespie County, TX
City Fredericksburg, TX
ZIP Code 78624
Approved Since December 11, 1997
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 675740
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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