Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

KNOPP NURSING & REHAB CENTER INC

FREDERICKSBURG, TX · 60 certified beds · Last Life Safety survey January 21, 2026

CMS Certification Number 675740 · first certified December 1997

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Knopp Assisted Living Center INC (202 Billie Dr). Matched by the street address the two records share. The records are separate and are never added together.

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within TX

15 citations — more than 86% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was January 2026. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

Get an email about KNOPP NURSING & REHAB CENTER INC

One email when it happens. No account; stop it any time with one click.

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 15 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

E-0004

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 15 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	15
Median facility in TX	7
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
September 18, 2023	4
October 18, 2024	5
January 21, 2026	6

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2026-01-21
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	2	2026-01-21
K-0511	Have properly installed electrical wiring and gas equipment.	2	2026-01-21
K-0324	Provide properly protected cooking facilities.	2	2026-01-21
K-0923	Have proper medical gas storage and administration areas.	1	2023-09-18
K-0351	Install an approved automatic sprinkler system.	1	2026-01-21
K-0712	Have simulated fire drills held at unexpected times.	1	2024-10-18
K-0920	Ensure proper usage of power strips and extension cords.	1	2024-10-18

What the citations cover

Citations by CMS category

Smoke Deficiencies 6
Miscellaneous Deficiencies 4
Services Deficiencies 2
Gas, Vacuum, and Electrical Systems Deficiencies 2
Other 1

Citations by CMS category
Category	Citations
Smoke Deficiencies	6
Miscellaneous Deficiencies	4
Services Deficiencies	2
Gas, Vacuum, and Electrical Systems Deficiencies	2
Emergency Preparedness Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 21, 2026 — 6 citations

Citations issued on January 21, 2026
Tag	What the surveyor checks	Status
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (March 9, 2026)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (March 9, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 9, 2026)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (March 9, 2026)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (March 9, 2026)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (March 9, 2026)

October 18, 2024 — 5 citations

Citations issued on October 18, 2024
Tag	What the surveyor checks	Status
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (November 25, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 25, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (November 25, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (November 25, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (November 25, 2024)

September 18, 2023 — 4 citations

Citations issued on September 18, 2023
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (October 29, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 29, 2023)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (October 29, 2023)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (October 29, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.