Knopp Healthcare And Rehab Center Inc
1208 N LLANO, Fredericksburg, TX, 78624
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation
- Certified beds
- 119 · avg 59 residents/day
- Total nursing staff turnover
- 48.8% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 0% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 143051
- Service type
- Medicare/medicaid
- Licensed capacity
- 119 beds
- Bed type breakdown
- 41 Medicare-only · 78 Medicaid/Medicare
- Current license effective
- September 1, 2024
- Current license expires
- September 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Knopp Healthcare And Rehab Center Inc (FOR-PROFIT CORPORATION)
- Administrator
- Pamela Diaz
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (6 on record)
- Chase Perry
Corporate Officer · 9% · since 2023
- Jane i Perry
5% or Greater Direct Ownership Interest · 33% · since 2023
- Jay Luchenbach
Corporate Director · 50% · since 2023
- Mary Monkhouse
5% or Greater Direct Ownership Interest · 9% · since 2023
- John r Kothmann
Operational/managerial Control · since 2022
- Pamela Diaz
Operational/managerial Control · since 2010
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 28)
- D0925·Oct 16, 2024Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D0812·Oct 16, 2024Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0919·Oct 4, 2024
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E0908·Oct 4, 2024
Environmental Deficiencies
Keep all essential equipment working safely.
- E0759·Oct 4, 2024
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0758·Oct 4, 2024
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 li…
- D0695·Oct 4, 2024
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0640·Oct 4, 2024
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Fire-safety citations
15 Life-Safety-Code citations on file. Most recent: Oct 4, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Knopp Healthcare and Rehab Center is a 119-bed for-profit nursing home in Fredericksburg, Gillespie County, Texas, licensed since 1971 and currently active through 2027. CMS rates it 4 stars overall and 4 stars on health inspections, with no fines on record. Quality-of-care outcomes for long-stay residents are rated 1 star — the lowest tier — and staffing rates 3 stars, with residents receiving about 187 minutes of nursing care per day. The facility is running at roughly 50% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — about 187 minutes of nursing care per resident per day, roughly 54 minutes less than at a 4-star-staffing facility in Texas. That places this facility in the bottom 19% of Texas nursing homes on staffing. Residents here need more hands-on care than at a typical facility — sicker or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
RN turnover is exceptionally low: zero RN departures recorded in the past year, better than about three-quarters of nursing homes in Texas. That kind of continuity in registered nursing staff is uncommon.
The facility is operating at roughly 50% of its 119 licensed beds — about 59 residents on a typical day. Other signals in this record give context worth exploring directly with the facility.
Long-stay quality-of-care outcomes are rated 1 star by CMS — the lowest possible tier. This covers measures like pressure wounds, falls with injury, and decline in mobility for residents living here long-term. The overall 4-star rating and the 1-star long-stay outcome rating reflect different dimensions of care; both come from CMS Care Compare data processed March 2026.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Long-stay outcomes rated 1 star
CMS rates long-stay quality outcomes at 1 star — ask which specific measures drove that rating and what changes have been made since the last inspection.
Staffing hours below 4-star peers
Residents receive about 187 nursing minutes per day, 54 minutes below the Texas 4-star threshold — ask how staffing is allocated on evenings and weekends, when the data shows 2.92 hours per resident.
Beds running at half capacity
The facility averages about 59 residents against 119 licensed beds — ask what accounts for the low census and whether it affects staffing levels or available services.
Only a Resident Council in place
The facility has a Resident Council but no Family Council — ask how families are formally kept informed of care concerns or policy changes.
Registered nurse continuity
RN turnover is recorded at zero for the past year — ask how many RNs are on staff and what their typical shift schedules look like.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.