Avir at Fredericksburg
Medicare-certified1117 S ADAMS ST, Fredericksburg, TX 78624
Skilled Nursing
Medicare & Medicaid certifiedSprinkler systemsResident & family councilSkilled nursing & rehabilitation+1 more
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Prices not published
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State licensedAssisted LivingMemory CareSkilled Nursing
Knopp Nursing & Rehab Center
Fredericksburg, TexasNursing home on site: Medicare record
About Knopp Nursing & Rehab Center
Knopp Nursing & Rehab Center in Fredericksburg, Texas provides skilled nursing and rehabilitation care focused on helping patients regain strength and independence. Our experienced team delivers personalized treatment plans in a supportive environment where recovery is the priority.
Community at a glance
Capacity
60 residents
State license
#000530, Licensed
Location
Fredericksburg, TX
Status
Listed in a public registry
Care & services offered
Assisted LivingMemory CareSkilled Nursing
Contact & location
202 BILLIE DR, Fredericksburg, Texas 78624
Medicare record for the nursing home on this campus
Knopp Nursing & Rehab Center includes Knopp Nursing & Rehab Center Inc, a Medicare-certified nursing home at the same address. Everything below is Medicare's record for that nursing home. It does not rate Knopp Nursing & Rehab Center's other levels of care, which the state licenses and inspects separately.
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on January 21, 2026, state inspectors cited 11 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 6 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare fined Knopp Nursing & Rehab Center Inc 2 times in the last three years, $32,094 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 6 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 15 minutesBelow the Texas average |
| Nursing staff who left in the past year | 63%Above the Texas average |
Inspections
23 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
January 21, 2026 · Standard inspection · 11 citations
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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Mar 5, 2026Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Mar 5, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 5, 2026Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Mar 5, 2026Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Mar 5, 2026Observe each nurse aide's job performance and give regular training.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Mar 5, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 5, 2026Honor the resident's right to organize and participate in resident/family groups in the facility.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 5, 2026Have 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.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Mar 5, 2026Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 5, 2026Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 5, 2026
October 18, 2024 · Standard inspection · 8 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Nov 19, 2024Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Nov 19, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Nov 19, 2024Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Nov 19, 2024Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Nov 19, 2024Implement 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Nov 19, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 19, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Nov 19, 2024
September 9, 2024 · Complaint investigation · 4 citations+
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Sep 13, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Sep 13, 2024Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 13, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Sep 13, 2024
Fines and payment denials
2 fines totaling $32,094 and 1 Medicare payment denial in the last three years.
- October 18, 2024Fine: $16,448
- October 18, 2024Payment denial, 4 days
- September 9, 2024Fine: $15,646
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Knopp Nursing & Rehabilitation Center Inc
- Medicare-certified beds
- 60
- Average residents per day
- 36
- Accepts
- Medicare and Medicaid
- First certified
- December 11, 1997
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 675740
Location
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202 BILLIE DRFredericksburg, TX 78624
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Questions about Knopp Nursing & Rehab Center
Does Knopp Nursing & Rehab Center have a nursing home?+
Yes. Knopp Nursing & Rehab Center Inc is a Medicare-certified nursing home on the same campus. Its Medicare record of inspections, staffing and fines is below. That record covers the nursing home only, not Knopp Nursing & Rehab Center's other levels of care.
How did Knopp Nursing & Rehab Center Inc do on its last inspection?+
State inspectors visited on January 21, 2026 and cited 11 health deficiencies. The Texas average is 9.4.
How much nursing care does each resident get at Knopp Nursing & Rehab Center Inc?+
Nurses and aides spend 3 hours 6 minutes with each resident per day, including 15 minutes from registered nurses. 63% of nursing staff left over the past year.
Has Knopp Nursing & Rehab Center Inc been fined by Medicare?+
Yes. Medicare fined Knopp Nursing & Rehab Center Inc 2 times in the last three years, totaling $32,094.
How much does assisted living cost?+
The national median is around $6,200 per month, though it ranges from roughly $4,500 to $11,800 depending on location, apartment size, and level of care.
Does Medicare pay for assisted living?+
Medicare does not cover the room-and-board cost of assisted living. Medicaid may help in many states through waivers, and VA benefits can offset costs for eligible veterans.
What's the difference from a nursing home?+
Assisted living is for people who need help with daily tasks but are largely independent. Nursing homes (skilled nursing) provide 24-hour medical and rehabilitative care.