Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
Corrected, date of correction 5 Mar 2026
KNOPP NURSING & REHAB CENTER INC
Nursing home · 202 BILLIE DR, Fredericksburg, TX 78624 · Gillespie County · (830) 997-8840Medicare and Medicaid certified
34
health deficiencies
across 4 surveys
across 4 surveys
2
at actual harm or worse
2 immediate jeopardy
2 immediate jeopardy
$32,094
in federal fines
2 penalties, 1 payment denial
2 penalties, 1 payment denial
CMS star ratings
Medicare’s Care Compare ratings, 1 to 5 stars, as published. Health inspection is the one built from the deficiencies below.
★★★★★
Overall
★★★★★
Health inspection
★★★★★
Staffing
★★★★★
Quality measures
How it compares in Gillespie County
8.5 health deficiencies per survey, against a county median of 6.1. Lower is better.
Fewer deficiencies per survey than 0 out of 100 nursing homes in Gillespie County. Per survey, not raw count, because a home surveyed ten times will always have more findings on paper than one surveyed twice.
Deficiencies by level of harm
| Immediate jeopardy | 2 | |
| Actual harm | 0 | |
| Potential for harm | 32 | |
| No harm | 0 |
CMS grades every deficiency by scope and severity, A to L. A to C is no harm, D to F potential for harm, G to I actual harm, J to L immediate jeopardy. Fire safety is surveyed separately: 15 fire safety deficiencies on record.
What the surveyors found
The most recent deficiency is open to read. The full record of 34, with dates, severity and corrections, is in the report.
Nursing and Physician Services
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.
Nursing and Physician Services
Observe each nurse aide's job performance and give regular training.
Pharmacy Service
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.
Read all 34 deficiencies
Every finding as CMS published it, the survey date, the harm level, the correction, and the full ownership trail. One payment, no subscription.
Get the full report, $12Records last updated 23 October 2026 from CMS and Texas HHSC.
Source: CMS Care Compare nursing home data (data.cms.gov), refreshed monthly. Survey findings are public records written by state surveyors for CMS. KnowYourCareHome does not inspect homes and adds no findings of its own.
Full report $12, one time
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