Knopp Nursing & Rehab Center Inc
202 BILLIE DR, 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
- 60 · avg 39 residents/day
- Total nursing staff turnover
- 73.8% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $32,094 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 145630
- Service type
- Medicare/medicaid
- Licensed capacity
- 60 beds
- Bed type breakdown
- 7 Medicare-only · 53 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2028
- Initial license date
- October 18, 1974
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Knopp Nursing & Rehab Center, Inc (FOR-PROFIT CORPORATION)
- Administrator
- Jane Perry
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (5 on record)
- Chase Perry
5% or Greater Direct Ownership Interest · 9% · since 2023
- Jay Luchenbach
5% or Greater Direct Ownership Interest · 50% · since 2023
- Mary Monkhouse
5% or Greater Direct Ownership Interest · 9% · since 2023
- John r Kothmann
Operational/managerial Control · since 2022
- Jane i Perry
5% or Greater Direct Ownership Interest · 33% · since 2013
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 26)
- E0759·Oct 18, 2024Complaint
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- J0689·Oct 18, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0758·Oct 18, 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…
- D0677·Oct 18, 2024
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0656·Oct 18, 2024
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E0610·Oct 18, 2024
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- E0609·Oct 18, 2024
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0553·Oct 18, 2024
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Federal penalties
By year
- 20242 fines · $32K · 1 payment denial
Most recent events
- Oct 18, 2024Payment denial · 4 days · starting Nov 21, 2024
- Oct 18, 2024Fine · $16K
- Sep 9, 2024Fine · $16K
Largest single fine on record: $16K.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Oct 18, 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 Nursing & Rehab Center is a 60-bed for-profit nursing home in Fredericksburg, Gillespie County, TX, licensed since 1974 and currently accepting Medicare and Medicaid. CMS rates it 1 star overall — the lowest tier — with 1-star staffing and 2-star health inspection and quality-of-care ratings. Two CMS fines totaling $32,094 have been issued, and about 65% of beds are occupied.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the bottom tier, shared by roughly 38% of Texas nursing homes. Each resident receives about 170 minutes of nursing care per day, approximately 71 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — they are sicker or less mobile on average — so those 170 minutes stretch thinner than they would elsewhere.
Roughly 7 in 10 nursing staff left in the past year. Texas nursing homes at the 75th percentile of turnover reach 60% — this facility's 73.8% sits above that mark. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
CMS has recorded 2 fines totaling $32,094 since the facility's most recent inspection cycle. The state median for fines among Texas nursing homes that received any is $20,699, and about 30% of Texas facilities have no fines at all.
The facility is operating at roughly 65% of its 60 licensed beds — about 39 residents on an average day. Low occupancy alongside 1-star staffing and high turnover is an unusual combination for a facility of this size.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on weekends
Reported weekend nursing hours run lower than weekday figures — ask how many nurses and aides are on duty Saturday and Sunday, and whether care routines change.
Why turnover is so high
Nearly three-quarters of nursing staff left in the past year; ask what's driving departures and what the facility is doing to keep caregivers.
Current administrator tenure
With elevated staff turnover across the facility, ask how long the current administrator Jane Perry has been in her role and who oversees daily operations.
The two recent CMS fines
Two fines totaling $32,094 were issued; ask what the citations were for and what specific changes were made in response.
Why occupancy is below two-thirds
Only about 65% of beds are filled; ask whether that reflects a recent admission pause, staffing constraints, or another factor affecting current residents.
Resident Council participation
A Resident Council is listed but no Family Council; ask how families are kept informed of care concerns and how they can raise issues formally.
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.