Knopp Nursing & Rehab Center Inc
202 BILLIE DR, Fredericksburg, TX 78624
Fredericksburg, Texas · CMS verdict
On the federal five-star scale, Knopp Nursing & Rehab Center Inc carries a 1 of 5 CMS overall rating, below-average quality that runs below Texas's state average of 2.8.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Knopp Nursing & Rehab Center Inc in Fredericksburg, Texas holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 23 of 100 (grade F). The 60-bed facility operates where a semi-private nursing-home room in Texas runs a median of $5,627 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (thinner bed book)
At 60 certified beds, this facility sits in the lower U.S. bed tercile (≤80). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 23 is built
Each segment is a dimension's weighted points toward the score, summing to 23.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Knopp Nursing & Rehab Center Inc's thinner certified-bed book
Quality ratings
Knopp Nursing & Rehab Center Inc holds a CMS overall quality rating of 1 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (2/5), staffing (1/5), and quality measures (2/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Fredericksburg, Texas, this facility operates 60 certified beds with an average daily census of roughly 39 residents - an occupancy rate of about 65%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 65% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Texas, Knopp Nursing & Rehab Center Inc is one of 413 for profit - corporation nursing homes CMS rates. Its 1-star overall rating sits below the for profit - corporation-segment average of 2.8 stars, ahead of roughly 0% of same-ownership peers in the state. This ownership-segment comparison controls for business-model differences, so what's left mostly reflects how this facility runs relative to similar operators, not the type of operator it is.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (26 total). CMS has levied 2 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Knopp Nursing & Rehab Center Inc's lower-tercile stars compare to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where Knopp Nursing & Rehab Center Inc ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, Knopp Nursing & Rehab Center Inc’s 1-star overall rating is higher than 0% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
267 Texas homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 60 |
| Residents | 39 |
| Ownership | For profit - Corporation |
| County | Gillespie |
| Penalties | 2 |
| Deficiencies | 26 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Knopp Nursing & Rehab Center Inc? ▾
Knopp Nursing & Rehab Center Inc has an overall CMS quality rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 2/5.
How much does a nursing home cost per month in Texas? ▾
The median cost for a semi-private nursing home room in Texas is $5,627 per month ($67,525 annually). A private room averages $7,604 per month. Costs are from the CareScout 2025 survey.
What services does Knopp Nursing & Rehab Center Inc offer? ▾
Knopp Nursing & Rehab Center Inc is a skilled nursing facility with 60 beds with approximately 39 current residents. It operates under for profit - corporation ownership. The facility has recorded 26 deficiencies and 2 penalties in CMS inspections.
Does Knopp Nursing & Rehab Center Inc have any deficiencies or penalties? ▾
Knopp Nursing & Rehab Center Inc has multiple deficiencies (26 total) and 2 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Keep reading
Also see the Texas elder-care overview and highest-rated states. Provider ID: 675740.
Read our methodology - how this data is sourced, computed, and verified.