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Knopp Nursing & Rehab Center

Public license record

202 Billie Dr, Fredericksburg, TX, 78624

Nursing Facility · 60 licensed beds

Key facts

Trust status
Public license record
License type
Nursing Facility
Licensed capacity
60 beds

Care offered

  • Skilled Nursing

Costs

This facility has not published pricing. As a market baseline, Texas assisted living typically runs $3,500–$5,500/mo and skilled nursing is usually higher — ask for current rates when you contact them. Baseline is a state-level estimate, not this facility’s price.

CMS star ratings

1/5Overall
Health inspections
2/5
Staffing
1/5
Quality measures
3/5

CMS five-star rating from the Medicare.gov Provider Information dataset · data as of June 1, 2026. Not a NectaLink rating.

Inspection history

26 citations across 4 inspections on record · 26 with a documented correction date.

October 18, 2024 — Health inspection · complaint-related

  • Potential for harmAllow resident to participate in the development and implementation of his or her person-centered plan of care. Corrected November 19, 2024.
  • Potential for harmTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Corrected November 19, 2024.
  • Potential for harmRespond appropriately to all alleged violations. Corrected November 19, 2024.
  • Potential for harmDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Corrected November 19, 2024.
  • Potential for harmProvide care and assistance to perform activities of daily living for any resident who is unable. Corrected November 19, 2024.
  • Immediate jeopardyEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Corrected November 19, 2024.
  • Potential for harmImplement 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. Corrected November 19, 2024.
  • Potential for harmEnsure medication error rates are not 5 percent or greater. Corrected November 19, 2024.

September 9, 2024 — Health inspection · complaint-related

  • Potential for harmProvide doctor's orders for the resident's immediate care at the time the resident was admitted. Corrected September 13, 2024.
  • Immediate jeopardyProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Corrected September 13, 2024.
  • Potential for harmEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Corrected September 13, 2024.
  • Potential for harmProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Corrected September 13, 2024.

September 18, 2023 — Health inspection

  • Potential for harmTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Corrected November 13, 2023.
  • Potential for harmDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Corrected November 13, 2023.
  • Potential for harmDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Corrected November 13, 2023.
  • Potential for harmHave 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. Corrected November 13, 2023.
  • Potential for harmProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Corrected November 13, 2023.
  • Potential for harmEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Corrected November 13, 2023.
  • Potential for harmEnsure medication error rates are not 5 percent or greater. Corrected November 13, 2023.
  • Potential for harmEnsure 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. Corrected November 13, 2023.
  • Potential for harmAdminister the facility in a manner that enables it to use its resources effectively and efficiently. Corrected November 13, 2023.
  • Potential for harmConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Corrected November 13, 2023.
  • Potential for harmSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Corrected November 13, 2023.

+ 3 earlier citations on record.

Source: CMS Health Deficiencies dataset / Medicare Care Compare · data as of June 1, 2026. Descriptions are reproduced verbatim from federal survey records; correction dates are as reported to CMS.

Location

202 Billie Dr, Fredericksburg, TX 78624

What to verify before a tour

  • Current room availability and waitlist timing
  • Whether the quoted rate includes care fees and medication support
  • Night and weekend staffing coverage
  • How family updates, incidents, and care-plan changes are communicated

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