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Nursing homeFAID #12055

Knopp Healthcare and Rehab Center

1208 N LLANO, FREDERICKSBURG, TX, 78624

(830) 997-3704

www.knopphealthcare.com

119 licensed beds

★★★★★3/5CMS Five-Star overall4/5 health inspections3/5 staffing1/5 quality measuresSource: CMS Care Compare

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Photo of KNOPP HEALTHCARE AND REHAB CENTER INC

Photo via Google · Knopp Healthcare & Rehab

Address

1208 N Llano

Fredericksburg, TX 78624

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Public record summary

What we can show you for free.

Bed capacity

119

CMS facility ID

455278

Care type

Nursing home

County

Gillespie

Facility name

Knopp Healthcare and Rehab Center

Street address

1208 N LLANO

City / state / ZIP

Fredericksburg, TX 78624

Phone

(830) 997-3704

Website

www.knopphealthcare.com

About this facility — Knopp Healthcare and Rehab Center

Knopp Healthcare and Rehab Center is a Medicare/Medicaid-certified skilled nursing facility in Fredericksburg, Texas. It is licensed for 119 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 10 senior care facilities in Fredericksburg and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Knopp Healthcare and Rehab Center 39 times across 9 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

For profit - Corporation

Registered owners & officers

Perry, Jane

Direct owner · Officer · Operational control · Additional disclosable party — 33% stake — since 2013

Luchenbach, Jay

Direct owner · Director · Officer — 29% stake — since 2013

Monkhouse, Mary

Direct owner · Director — 9% stake — since 2023

Perry, Chase

Direct owner · Officer · Operational control · Additional disclosable party — 5% stake — since 2013

Diaz, Pamela

Operational control · Additional disclosable party — since 2010

Kothmann, John

Operational control · Additional disclosable party — since 2022

Regulatory standing

Licensed / certified since

1976-03-01

CMS overall rating

3 of 5 stars

Health deficiencies

6 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-01-09

Nurse staffing

3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$302 per day (≈ $9,180/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

31% Medicaid · 10% Medicare · 60% private/other

Occupancy

29% (fiscal year 2023)

Vs. state median

9% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

119

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-01-09Health inspection6 citations

F-0609

D · No harm found

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

Corrected 2026-02-20

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2026-02-20

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2026-02-20

F-0689

D · No harm found

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

Corrected 2026-02-20

F-0801

E · No harm foundFood safety

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.

Corrected 2026-02-20

F-0908

D · No harm found

Keep all essential equipment working safely.

Corrected 2026-02-20

2024-10-16Health inspectionComplaint-triggered2 citations

F-0812

D · No harm foundFood safetyFrom a complaint

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

Corrected 2024-11-29

F-0925

D · No harm foundFrom a complaint

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

Corrected 2024-11-29

6 earlier / fire-safety inspections (31 citations)

2024-10-04Health inspection6 citations

F-0640

D · No harm found

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

Corrected 2024-11-18

F-0695

D · No harm found

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

Corrected 2024-11-18

F-0758

D · No harm found

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.

Corrected 2024-11-18

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-11-18

F-0908

E · No harm found

Keep all essential equipment working safely.

Corrected 2024-11-18

F-0919

D · No harm found

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

Corrected 2024-11-18

2024-09-20Health inspectionComplaint-triggered2 citations

F-0609

D · No harm foundFrom a complaint

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

Corrected 2024-10-23

F-0657

D · No harm foundFrom a complaint

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

Corrected 2024-10-23

2023-08-24Health inspectionComplaint-triggered9 citations

F-0584

E · No harm foundFrom a complaint

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.

Corrected 2023-10-09

F-0657

D · No harm found

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

Corrected 2023-10-09

F-0689

E · No harm found

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

Corrected 2023-10-09

F-0727

F · No harm found

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.

Corrected 2023-09-20

F-0755

D · No harm found

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

Corrected 2023-10-09

F-0761

D · No harm found

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.

Corrected 2023-10-09

F-0842

E · No harm foundFrom a complaint

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

Corrected 2023-09-20

F-0849

D · No harm found

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.

Corrected 2023-09-20

F-0944

F · No harm found

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

Corrected 2023-10-09

2026-01-09Fire-safety inspection3 citations

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-16

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-01-16

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2026-01-16

2024-10-04Fire-safety inspection7 citations

K-0211

C · No harm found

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

Corrected 2024-10-17

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2024-11-29

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-29

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-29

K-0521

C · No harm found

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

Corrected 2024-10-17

K-0918

F · No harm found

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

Corrected 2024-10-30

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-29

2023-08-24Fire-safety inspection4 citations

K-0211

C · No harm found

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

Corrected 2023-09-23

K-0345

F · No harm found

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

Corrected 2023-09-25

K-0521

C · No harm found

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

Corrected 2023-09-20

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2023-10-06

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455278.

Visitor reviews

What people say on Google.

4.47 ratings on Google

★★★★★Linda Sparks · 2026-08-02 · via Google
“I have been in 3 care facilities over the past 2 years and this is far and away the best I have seen. Nothing is perfect but this is close. The staff is excellent. They treat my loved one with care, respect and she always looks clean and neat. The facility clean. And any accidents addressed immediately! The food is exceptionally good. And a special nod to Larry, the activites director who has…”

★★★★★Jim Reeves · 2026-04-08 · via Google
“It's all about the staff Nursing homes are a crap shoot. Pick the wrong one and you can be miserable or come out feet first. Knopp Health care and Rehabilitation center in Fredericksburg is different. They treat you like family. The nurses and the patient care team are on the ball and care. Even the patient drivers are friendly, careful, and helpful. One patient care employee even went above and b…”

★★★★★Cynthia Cruz · 2018-08-27 · via Google
“Wonderful place and Amazing coworkers.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 39 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered