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Nursing homeFAID #14238

Knopp Nursing & Rehab Center

202 BILLIE DR, FREDERICKSBURG, TX, 78624

(830) 997-8840

60 licensed beds

CMS rates Knopp Nursing & Rehab Center 2 out of 5 overall. Federal inspectors issued 49 citations across 8 inspections in the last three years, with $32,094 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

202 Billie Dr

Fredericksburg, TX 78624

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Public record summary

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Bed capacity

CMS facility ID

675740

Care type

Nursing home

County

Gillespie

Facility name

Knopp Nursing & Rehab Center

Street address

202 BILLIE DR

City / state / ZIP

Fredericksburg, TX 78624

Phone

(830) 997-8840

About this facility — Knopp Nursing & Rehab Center

Knopp Nursing & Rehab Center is a Medicare/Medicaid-certified skilled nursing facility in Fredericksburg, Texas. It is licensed for 60 beds — well below the median for skilled nursing facilities in Texas (120 beds).

It is one of 10 senior care facilities in Fredericksburg and 1,179 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 Nursing & Rehab Center 49 times across 8 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $32,094 in fines. 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 November 6, 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

Operator / owner

Rosalind Cornjeo

Ownership type

For profit - Corporation

Registered owners & officers

Luchenbach, Jay

Direct owner · Director — 50% stake — since 2023

Perry, Jane

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

Monkhouse, Mary

Direct owner · Director — 9% stake — since 2023

Perry, Chase

Direct owner · Director · Officer · Operational control — 9% stake — since 2013

Kothmann, John

Operational control · Additional disclosable party — since 2022

Regulatory standing

Licensed / certified since

1997-12-11

CMS overall rating

2 of 5 stars

Health deficiencies

11 at the last standard inspection

Federal fines

$32,094 total

Last standard inspection

2026-01-21

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$320 per day (≈ $9,730/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

43% Medicaid · 8% Medicare · 49% private/other

Occupancy

56% (fiscal year 2023)

Vs. state median

16% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. 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 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-01-21Health inspection11 citations

F-0565

D · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2026-03-05

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-03-05

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2026-03-05

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-03-05

F-0727

D · 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 2026-03-05

F-0728

E · No harm found

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.

Corrected 2026-03-05

F-0730

E · No harm found

Observe each nurse aide's job performance and give regular training.

Corrected 2026-03-05

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-03-05

F-0761

E · 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 2026-03-05

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 2026-03-05

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-05

2024-10-18Health inspectionComplaint-triggered8 citations

F-0553

D · No harm found

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-11-19

F-0609

E · No harm found

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

Corrected 2024-11-19

F-0610

E · No harm found

Respond appropriately to all alleged violations.

Corrected 2024-11-19

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-11-19

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-11-19

F-0689

J · Immediate jeopardyFrom a complaint

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

Corrected 2024-11-19

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 2024-11-19

F-0759

E · No harm foundFrom a complaint

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-11-19

5 earlier / fire-safety inspections (30 citations)

2024-09-09Health inspectionComplaint-triggered4 citations

F-0635

D · No harm foundFrom a complaint

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2024-09-13

F-0678

J · Immediate jeopardyFrom a complaint

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-09-13

F-0726

D · No harm foundFrom a complaint

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.

Corrected 2024-09-13

F-0755

E · No harm foundFrom a complaint

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

Corrected 2024-09-13

2023-09-18Health inspection11 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 2023-11-13

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-11-13

F-0657

E · 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 2023-11-13

F-0727

D · 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 2023-11-13

F-0755

E · No harm found

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

Corrected 2023-11-13

F-0756

F · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-11-13

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-11-13

F-0761

E · No harm found

Corrected 2023-11-13

F-0835

F · No harm found

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2023-11-13

F-0838

F · No harm found

Conduct 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 2023-11-13

F-0867

E · No harm found

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-11-13

2026-01-21Fire-safety inspection6 citations

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2026-03-09

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2026-03-09

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-03-09

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-03-09

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-03-09

K-0781

D · No harm found

Have restrictions on the use of portable space heaters.

Corrected 2026-03-09

2024-10-18Fire-safety inspection5 citations

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2024-11-25

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-25

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-25

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-11-25

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-25

2023-09-18Fire-safety inspection4 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-10-29

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-29

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-10-29

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2023-10-29

Federal penalties

2024-10-18Fine$16,448

2024-09-09Fine$15,646

2024-10-18Medicare payment denial — 4 days

Total fines$32,094

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 675740.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 78% of nursing homes in the state

State median: 33

Federal fines, 3 years

$32,094

More than 67% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.4

Higher than 66% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

69%

Higher than 91% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 7 and worse on 11. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	20.9%	15.8%	13.5%	Worse than state
Lose too much weight	11.0%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	3.2%	0.3%	0.7%	Worse than state
With a urinary tract infection	7.8%	0.8%	1.5%	Worse than state
Have depressive symptoms	8.1%	2.3%	13.5%	Worse than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	3.3%	3.2%	3.2%	Near state average
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	24.7%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	34.5%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	97.2%	97.0%	95.3%	Near state average
With pressure ulcers	3.0%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	29.5%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	23.4%	9.8%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.05	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.54	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	100.0%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.9%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	18.2%	85.4%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	20.2%	25.5%	23.4%	Better than state
Had an outpatient emergency department visit	17.9%	12.2%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0759 3 inspections. Ensure medication error rates are not 5 percent or greater.
K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.
F-0727 2 inspections. 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.
F-0761 2 inspections. 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.
K-0324 2 inspections. Provide properly protected cooking facilities.
K-0511 2 inspections. Have properly installed electrical wiring and gas equipment.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Hill Country Memorial Hospital, about 0.4 miles. CMS rating 4 of 5.
Peterson Regional Medical Center, about 22 miles. CMS rating 4 of 5.
Mid Coast Medical Center - Central, about 36 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Avir At Fredericksburg, Fredericksburg, about 0.4 miles. CMS rating 2 of 5.
Avir At Enchanted Rock, Fredericksburg, about 0.5 miles. CMS rating 1 of 5.
Knopp Healthcare and Rehab Center, Fredericksburg, about 2.3 miles. CMS rating 3 of 5.
Avir At Comfort, Comfort, about 20 miles. CMS rating 4 of 5.
Hilltop Village Nursing and Rehabilitation, Kerrville, about 21 miles. CMS rating 2 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 49 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

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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 2026-11-06

Source

Federal NPI Registry (NPPES)

NPI 1194124503

Monthly federal file

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