Knopp Nursing and Rehabilitation

• Have properly installed electrical wiring and gas equipment.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 9, 2026

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 9, 2026

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 9, 2026

• Provide properly protected cooking facilities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 9, 2026

• Install an approved automatic sprinkler system.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 9, 2026

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 5, 2026

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 5, 2026

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 5, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 5, 2026

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 5, 2026

• Ensure each resident receives an accurate assessment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 5, 2026

• Ensure medication error rates are not 5 percent or greater.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 5, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 5, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 5, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 5, 2026

• Have restrictions on the use of portable space heaters.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 9, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 5, 2026

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

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Nov 19, 2024

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 25, 2024

• Have properly installed electrical wiring and gas equipment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 25, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 19, 2024

• Respond appropriately to all alleged violations.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 19, 2024

• Ensure medication error rates are not 5 percent or greater.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 19, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 25, 2024

• Ensure proper usage of power strips and extension cords.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 25, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 19, 2024

• Provide properly protected cooking facilities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 25, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 19, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 19, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 19, 2024

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

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Sep 13, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 13, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 13, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 13, 2024

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 13, 2023

• Have proper medical gas storage and administration areas.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 29, 2023

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 29, 2023

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 29, 2023

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 13, 2023

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 13, 2023

• Ensure medication error rates are not 5 percent or greater.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 13, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 13, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 13, 2023

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 29, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 13, 2023

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 13, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 13, 2023

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 13, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 13, 2023

Knopp Nursing and Rehabilitation offers Skilled Nursing / Long Term Care.

Knopp Nursing and Rehabilitation is located at 202 Billie Dr in Fredericksburg, Texas.

Reviews for Knopp Nursing and Rehabilitation are sharply divided: several families praise attentive, loving care for residents with dementia and describe a clean, welcoming environment, while others report serious safety and hygiene failures, including a wheelchair alarm malfunction and an unexplained room transfer. The facility has operated in Fredericksburg since 1965 and is family-owned, running several sister locations in the area.

Knopp Nursing and Rehabilitation had 4 government inspection visits in the last three years, with 49 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Knopp Nursing and Rehabilitation and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.