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Nursing HomeMedicaid

Knopp Healthcare and Rehab Center INC

Strong Medicare quality ratings; families often praise positive workplace environment. Still worth an in-person visit.

1208 N Llano, Fredericksburg, TX 78624119 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 4 Google reviews

Knopp Healthcare and Rehab Center INC Nursing Home in Fredericksburg, TX — Street View
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What this means for your family

There is currently insufficient information in these reviews to make an informed decision about resident care. While the ratings are high, the lack of descriptive feedback regarding nursing, food, or cleanliness means families should conduct an in-person visit to verify care standards.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.49hrs
66%
Registered nurses for medical care
Total Nursing
3.37hrs
82%
All nurses + aides combined
Staff Turnover
50%
Lower is better (< 30% = good)
RN Turnover
0%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

6

measures

Worse Than Avg

10

measures

Mixed Results

1

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility41.1%
Worse than Avg
Here
41.1%
US
15.3%
TX
14.9%
Gillespie
18.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.0%
Better than Avg
Here
11.0%
US
19.5%
TX
18.4%
Gillespie
29.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility24.5%
Worse than Avg
Here
24.5%
US
14.4%
TX
16.1%
Gillespie
14.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.5%
Better than Avg
Here
5.5%
US
15.4%
TX
9.4%
Gillespie
13.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.5%
Mixed vs Avgs
Here
2.5%
US
12.1%
TX
2.5%
Gillespie
1.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility23.5%
Worse than Avg
Here
23.5%
US
19.4%
TX
14.2%
Gillespie
20.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility47.3%
Worse than Avg
Here
47.3%
US
79.7%
TX
88.0%
Gillespie
66.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
81.8%
TX
89.2%
Gillespie
81.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Gillespie
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Near state avg (9.1)
6 complaint-triggered

This facility has a concerning pattern of recurring deficiencies across multiple care areas, with families filing complaints that triggered inspections regarding food safety, pest control, and abuse reporting. The most persistent issues involve care planning and assessment, medication management, and building safety systems including fire safety and emergency equipment. While all deficiencies show correction dates, several problems repeat across surveys, suggesting ongoing challenges with maintaining consistent standards of care and facility operations.

Oct 16, 2024Complaint
2
0812MinorCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0925MinorCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Oct 4, 2024Routine
13
0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0759ModerateCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0908ModerateCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0640MinorCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0758MinorCorrected

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.

0919MinorCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0920MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0211Minor

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Sep 20, 2024Complaint
2
0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Aug 24, 2023Routine
11
0727ModerateCorrected

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.

0944ModerateCorrected

Administration Deficiencies

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0689ModerateCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761MinorCorrected

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.

0849MinorCorrected

Administration Deficiencies

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.

0923MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0211Minor

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Aug 24, 2023Complaint
2
0584ModerateCorrected

Resident Rights Deficiencies

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.

0842ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jul 8, 2022Routine
13
0727ModerateCorrected

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.

0004ModerateCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0006ModerateCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0656ModerateCorrected

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.

0921ModerateCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0578MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655MinorCorrected

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

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0812MinorCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211MinorCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Knopp Healthcare and Rehab Center INC

Organization Type

for profit

Administrator

PAMELA DIAZ

Ownership & Management

Owners

Luchenbach, Jay

Owner

29%

Monkhouse, Mary

Owner

9%

Perry, Chase

Owner

5%

Perry, Jane

Owner

33%

Key personnel

Luchenbach, JayOfficer / DirectorMonkhouse, MaryOfficer / DirectorLuchenbach, JayOfficer / DirectorPerry, ChaseOfficer / DirectorPerry, JaneOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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