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KNOPP NURSING & REHAB CENTER INC

202 BILLIE DR
FREDERICKSBURG, TX 78624 · 8309978840 · Gillespie County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds60
OwnershipFor profit - Corporation
State rank#1152

By the numbers

34
Health citations (3 cycles)
2
Immediate-jeopardy (J/K/L)
0
Actual-harm (G/H/I)
$32,094
Federal fines (CMPs)
The trend: Citation volume is steady at 11 in both the most recent and oldest of the last three cycles.

Recent Health Citations

Jan 21, 2026 · Health survey · F-tag 0759
D — No actual harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Jan 21, 2026 · Health survey · F-tag 0727
D — No actual harm
Nursing and Physician Services Deficiencies
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.
Jan 21, 2026 · Health survey · F-tag 0690
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Jan 21, 2026 · Health survey · F-tag 0655
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Jan 21, 2026 · Health survey · F-tag 0565
D — No actual harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Jan 21, 2026 · Health survey · F-tag 0880
E — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 21, 2026 · Health survey · F-tag 0801
E — No actual harm
Nutrition and Dietary Deficiencies
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.
Jan 21, 2026 · Health survey · F-tag 0761
E — No actual harm
Pharmacy Service Deficiencies
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.
Jan 21, 2026 · Health survey · F-tag 0730
E — No actual harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Jan 21, 2026 · Health survey · F-tag 0728
E — No actual harm
Nursing and Physician Services Deficiencies
Ensure 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.
Jan 21, 2026 · Health survey · F-tag 0641
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Oct 18, 2024 · Health survey · F-tag 0758
D — No actual harm
Pharmacy Service Deficiencies
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.
Oct 18, 2024 · Health survey · F-tag 0677
D — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Oct 18, 2024 · Health survey · F-tag 0656
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Oct 18, 2024 · Health survey · F-tag 0553
D — No actual harm
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Oct 18, 2024 · Health survey · F-tag 0759
E — No actual harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Oct 18, 2024 · Health survey · F-tag 0610
E — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Oct 18, 2024 · Health survey · F-tag 0609
E — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Oct 18, 2024 · Health survey · F-tag 0689
J — Immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Nov 19, 2024 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Sep 9, 2024 · Health survey · F-tag 0726
D — No actual harm
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

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How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.