202 Billie Dr, Fredericksburg, TX 78624 · Gillespie County · (830) 997-8840
60 certified beds, about 36 residents a day · For profit - Corporation · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675740 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 21, 2026, inspectors cited 11 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 34 health citations since September 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 2 fines totaling $32,094 in the last three years; the largest was $16,448, and the latest is dated October 18, 2024.
Nurses and nurse aides worked 3.09 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.25 of those hours.
62.5% of nursing staff left within the year CMS measured (Texas average 55.3%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 34 health citations on file.
Inspectors wroteBased on interviews and record review, the facility failed to ensure that the assessment accurately reflected the residents' status for 2 of 7 (Resident #10 and Resident #20) whose MDS assessments were reviewed in that: Resident #10 had a diagnosis of anxiety and depression that was not coded on the MDS assessment. Resident #10 had orders for psychotropic medications that were not coded on the MDS assessment. Resident #20 had a diagnosis of Alzheimer's disease and depression that was not coded on the MDS assessment. This deficient practice could place residents at risk for inadequate care and services to meet their needs based on inaccurate MDS assessments.
Inspectors wroteBased on interview and record review, the facility failed to use any individual working in the facility as a nurse aide for more than 4 months, on a full-time basis, unless that individual is competent to provide nursing and nursing related services; and that individual has completed a training and competency evaluation program, for 2 of 6 NAs (NA C and NA F) reviewed for competent staffing. The facility failed to ensure NA C and NA F completed the required training and competency evaluation program for nursing assistants within four months of full-time employment. This failure could result in incompetent care provided for residents and decreased quality of life.
Inspectors wroteBased on interview and record review, the facility failed to complete a performance review of every nurse aide at least once every 12 months and to provide regular in-service education based on the outcome of these reviews for 3 of 6 NAs (NA C, NA D, and NAD E) reviewed for competent staffing. The facility failed to complete a performance review and outcome based in-service education for NA C since hire on 3/24/2024, NA E since hire on 5/20/2024, and NA D since hire on 10/16/2024. These failures could lead to incompetent care provided for residents and decreased quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store all drugs and biologicals in locked compartments for 1 of 1 medication storage rooms reviewed for medication storage. The facility failed to ensure the prescription medication MediHoney gel (a topical medication used for wound care) was not stored in a resident's room. This failure could result in residents having unintended access to medications or accidental administration of medications.
Inspectors wroteBased on interviews and record review, the facility failed to employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, taking into consideration resident assessments, individual plans of care and the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment required for 1 of 1 dietician and 1 of 1 director of food and nutrition services reviewed. The facility failed to employ a qualified dietician or other clinically qualified nutrition professional from October 2025 to January 2026. The facility failed to employ a full-time director of food and nutrition services. FSS works less than 25 hours per week at the facility. These failures could place residents at risk of not having their nutritional needs met.
Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 1 laundry area and 1 of 5 residents (Resident #45) reviewed for infection control. The facility failed to ensure clean laundry was stored to prevent contamination in the laundry room. The facility failed to ensure laundry staff utilized PPE during handling of linen identified as potentially infectious. The facility failed to ensure appropriate level of TBP was initiated for Resident #45. The facility failed to ensure soiled linens from Resident #45 were properly secured and identified for cleaning. [...]
Inspectors wroteBased on interview and record review, the facility failed to consider the views of the resident or family group and act promptly upon the grievances and recommendations of such groups concerning issues of resident care and life in the facility or to demonstrate their response and rationale for such response for 1 of 1 Resident Council group reviewed. The facility failed to follow up on concerns and requests expressed in Resident Council meetings from July 2025 through December 2025. The facility failed to provide the Resident Council group with a response, actions, and rationale taken regarding their concerns. This failure placed residents at risk of not having their grievances followed up and addressed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care for 1 of 8 residents (Resident #45) reviewed for care planning. The facility failed to ensure Resident #45's baseline care plan included TBP and planning for urinary catheter care. This failure could result in residents not receiving necessary care and decreased quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections for 1 of 3 residents (Resident #45) reviewed for urinary catheters. The facility failed to ensure NA E performed proper catheter care for Resident #45 when she did not protect the catheter tubing from unnecessary tension while cleansing. This failure could result in the unintentional dislodgement of the urinary catheter or pain and injury to a resident's urinary tract.
Inspectors wroteBased on observation, interview, and record review, the facility failed to use the services of a registered professional nurse at least 8 consecutive hours a day, 7 days a week for 2 of 141 days reviewed for sufficient staffing. Additionally, the facility failed to designate a registered nurse to serve as the director of nursing on a full-time basis for 1 of 1 DON reviewed for staffing. The facility failed to use the services of a registered nurse for 8 consecutive hours on 9/24/2025 and 10/19/2025. The facility designated an LVN to serve as the director of nursing effective 3/1/2024. These failures could lead to residents not receiving necessary care or oversight of their care and decreased quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medication error rates are not 5 percent or greater for 2 of 4 Residents (Residents #36 and #37), and 2 of 25 medication administration observations, resulting in an error rate of 8%. The facility failed to ensure Resident #36 received medication Donepezil at 7:00 AM on 1/19/2026, as ordered by the physician. The facility failed to ensure Resident #37 received medication Pantoprazole at 8:00 AM on 1/19/2026, as ordered by the physician. This failure could result in residents not receiving correct and timely medications.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible and each resident received adequate supervision to prevent accidents for 1 of 8 residents (Resident #140) reviewed for neglect with serious injuries and lack of supervision, in that: On 09/01/2024 CNA A assisted Resident #140 with a mechanical lift transfer by herself. Resident #140 fell during the transfer, suffered a broken right leg, and was hospitalized with a need for surgical repair. Prior to the fall Resident #140 was assessed with a need for more than 1 staff for assistance with transfers . An Immediate Jeopardy (IJ) was identified on 10/17/2024. The IJ Template was provided to the facility on [DATE] at 04:30 PM. [...]
Inspectors wroteBased on interviews and record reviews the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective se rvices where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures, for 3 of 8 residents (Residents #5, #17, and #140) reviewed for reporting allegations of abuse, [...]
Inspectors wroteBased on interviews and record reviews the facility failed to ensure allegations of abuse, neglect, exploitation, or mistreatment have evidence that all alleged violations were thoroughly investigated and prevented further potential abuse, neglect, exploitation, or mistreatment while the investigation was in progress and reported the results of all investigations to the administrator or his or her designated representative and to other officials in accordance with State law, including to the State Survey Agency, within 5 working days of the incident, and if the alleged violation is verified appropriate corrective action were taken, for 3 of 8 residents (rResidents #5, #17, and #140) reviewed for allegations of abuse, neglect, and exploitation. 1. [...]
Inspectors wroteBased on observation, interviews, and record reviews the facility failed to ensure its medication error rates were not 5% or greater. The facility had a medication error rate of 7.69%, based on 2 errors out of 26 opportunities which involved 2 of 6 residents (Resident #8 and #24) reviewed for crushed medication administration and medication errors. 1. RN G administered Resident #8's medications: a. ranolazine 500mg extended-release tablet by crushing the tablet. Ranolazine is used to treat heart related chest pain. 2. RN G administered Resident #24's medications: a. duloxetine 30mg delayed-release capsule by opening the capsule. Duloxetine is used to treat depression and anxiety. These deficient practices could place residents at risk for not receiving therapeutic effects of their medications and possible adverse reactions.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents and/or the residents' representatives the right to participate in the development and implementation of his or her person-centered plan of care for 1 of 6 residents (Resident #28) reviewed for care plans. The facility failed to invite and include the input of Resident #28 and/or residents' representative as members of the interdisciplinary team in Care Plan Conference meetings. This failure could place residents at risk of not receiving the interventions, treatments, and care necessary for the resident to reach their highest practicable physical, mental, and psychosocial well-being by not involving the resident and/or the residents' representative in Care Plan Conference meetings.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that includes measurable objective and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 of 6 residents (Resident #18) reviewed for care plans. The facility failed to develop a person-centered care plan with interventions that addressed Resident #18's diagnoses of mental illness including depression. This failure could place residents at risk for not having their needs and preferences met.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 1 of 6 residents (Resident #28) reviewed for personal hygiene. The facility failed to provide Resident #28, 18 of 30 scheduled showers between 7/2/2024 and 10/15/2024. This failure could place residents who require assistance from staff for personal hygiene at risk of not receiving care and services contributing to overall poor hygiene, risk of experiencing a diminished quality of life, and possible skin infections.
Inspectors wroteBased on interview and record review the facility failed to ensure that residents who had not used psychotropic drugs were not given psychotropic drugs unless the medication was necessary to treat a specific condition as diagnosed and documented in the clinical record for 1 of 3 residents (Resident #13) reviewed for unnecessary medications. The facility failed to ensure Resident #13 was taking a psychotropic medication (Mirtazapine (an antidepressant)), to treat a specific diagnosed condition. This deficient practice could place residents at risk for receiving medications that were not necessary for their care.
Inspectors wroteBased on interview and record review the facility personnel failed to provide basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the resident's advance directives for 1 of 6 residents (Resident #1) whose records were reviewed for code status. Facility staff failed to follow emergency protocol and did not obtain an AED or call emergency services for 25 minutes after Resident #1, who had a Full Code in place, was found unresponsive with no pulse or respirations, according to professional standards of practice. The facility failed to ensure nursing staff had current CPR certification. On 09/05/2024 at 5:01 p.m., and Immediate Jeopardy (IJ) was identified. [...]
Inspectors wroteBased on interviews and record review the facility failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation and follow a policy to provide pharmacy services in accordance with State and Federal laws or rules of the Drug Enforcement Administration for 4 of 6 residents (Residents #10, 11, 12, and 13) reviewed for pharmacy services. 1. The facility failed to dispense the correct number of pills for Resident #10 per physician orders for diazepam (controlled medication used to treat anxiety, muscle spasms, and alcohol withdrawal). 2. The facility failed to ensure Resident #11 blister pack (packaging used for pharmaceuticals) of 5-325 mg of hydrocodone acetaminophen (medicine used to relieve moderate to severe pain.) was not tampered with and replaced with a 10-235 mg hydrocodone acetaminophen by RN K. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure that residents had orders and followed physician's orders for the resident's immediate care for 1 of 13 Residents (Resident #1) reviewed for admission orders. The facility failed to ensure Resident #1's admission orders for insulin administration and blood sugar checks were entered on admission. This failure could place the resident at risk of not receiving necessary care and services upon admission that could result in a deterioration of their condition.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to have sufficient nursing staff with the appropriate competencies and skill sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable, physical, mental, and psychosocial well-being for 1 (RN K) of 13 nurses reviewed for competent nursing care. RN K failed to administer Resident #12's 10-235 mg hydrocodone acetaminophen one hour before or after the scheduled time according to the facility's policy. These deficient practices could places residents at risk of not receiving medications timely .
Inspectors wroteBased on interview and record review, the facility failed to ensure residents' pharmacist medication regimen review recommendations were reviewed by the resident's attending physician and what, if any, action has been taken to address them, for 34 of 38 residents (Residents #1, 4, 5, 6, 7, 9, 11, 12, 13, 14, 15, 16, 17, 19, 20, 21, 22, 23, 24, 25, 26, 28, 30, 31, 33, 36, 41, 43, 44, 45, 46, 47, 48, 49) whose records were reviewed for pharmacy services. The facility failed to present the pharmacist's recommendations to the residents' physician for medication regimen review This failure could place residents at risk for significant health status declines.
Inspectors wroteBased on interview and record review, the facility failed to ensure it was administered in a manner than enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, for 34 of 34 residents (Residents #1, 4, 5, 6, 7, 9, 11, 12, 13, 14, 15, 16, 17, 19, 20, 21, 22, 23, 24, 25, 26, 28, 30, 31, 33, 36, 41, 43, 44, 45, 46, 47, 48, 49) reviewed for pharmacy, nursing, and physician cooperation with Administration oversight, in that: The facility failed to present the pharmacist's recommendations to the residents' physician for medication regimen reviews for 3 reviewed monthly pharmacist recommendations (June, July, and August 2023). This failure placed residents at risk for significant health status declines.
Inspectors wroteBased on interviews and record reviews the facility failed to conduct and document a facility-wide assessment to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies. The facility assessment must address or include: All personnel, including managers, staff as well as their education and/or training and any competencies related to resident care, for 1 of 1 facility reviewed for the facility assessment, in that; The facility assessment was developed without complete assessment data and solely by the MDS nurse without training to complete the facility assessment. This failure could place residents at risk for not having their needs met.
Inspectors wroteBased on interviews and record reviews, the facility failed to have the interdisciplinary team, review, and revise the comprehensive care plan after each assessment and quarterly, for 2 of 18 residents (Residents #23 and #138) reviewed for care plans, in that. 1. The facility failed to revise Resident #23's refusal to wear a right foot boot while in bed. 2. The facility failed to have a quarterly care plan meeting for Resident #138. These failures could have placed residents at risk for not having their needs met.
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident, for 19 of 38 residents (Residents #2, #6, #10, #12, #15, #16, #17, #19, #21, #25, #26, #27, #28, #29, #30, #35, #39, #40, and #138) reviewed for pharmacy services, in that; 1. Resident #2 was administered a diabetic medication 24 minutes late by RN E on 09/13/2023. 2. Resident #6 was administered injectable insulin 1 hour and 23 minutes late by LVN D on 09/13/2023. 3. Resident #10 was administered 3 drugs, a blood thinner medication, a probiotic, and breathing treatment medication, 32 minutes late, by RN E on 09/13/2023. 4. [...]
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure a medication error rate below 5%, for 32 medication administration opportunities with 7 errors resulting in a 21.88% medication error rate, for 2 of 5 residents (Resident #10 and #26) and 2 of 2 staff Nurses (LVN D and RN E) reviewed for medication pharmacy services, in that: 1. LVN D administered 4 late medications to Resident #26. 2. RN E administered 3 late medications to Resident #10. This failure could place residents at risk for not receiving therapeutic effects of their medications and possible adverse reactions.
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls for 1 of 1 medication rooms and 1 of 38 residents (Resident #40) reviewed for medication storage, in that: 1. LVN F failed to store unadministered medications for Resident #40. 2. The facility failed to secure the medication storage room. These failures could place residents at risk for misappropriation of property and harm by not receiving the therapeutic effects of the medications prescribed by the physician.
Inspectors wroteBased on interviews and record reviews the facility failed to take actions aimed at performance improvement and, after implementing those actions, measure its success, and track performance to ensure that improvements are realized and sustained for 1 of 1 facility reviewed for QAPI performance improvements, in that; The facility failed to develop quality improvement measures and or interventions after recognizing a failure to have the resident's physician address the pharmacists monthly drug regiment review recommendations. This failure could place residents at risk for harm by not receiving the benefits of the physician and the pharmacist's review.
Inspectors wroteBased on interview and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source, are reported immediately, but not later than 2 hours after the event, if the events result in serious bodily injury, or no later than 24 hours if the events and do not result in serious bodily injury, to the Administrator of the facility and to other officials (including to the State Survey Agency) in accordance with state law through established procedures for 1 of 8 (Resident #20) reviewed for abuse and neglect, in that: The facility failed to report an allegation of neglect to the State Survey Agency within 24 hours of being made by Resident #20. This deficient practice could place residents at risk of allegations not fully being investigated, and abuse, neglect, misappropriation, or exploitation.
Inspectors wroteBased on interviews and record reviews the facility failed to develop and implement a comprehensive person-centered care plan for each resident, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 of 18 residents (Resident #3) reviewed for care plans, in that. The facility failed to develop a care plan to support Resident #3's need for a spinal cord stimulator. These failures could have placed residents at risk for not having their needs met.
Inspectors wroteBased on interviews and record reviews, the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week, for 1 day (08/20/2023) of 90 days reviewed for nursing services, in that: The facility failed to have a registered nurse working on Sunday 08/20/2023. This failure could place residents at risk for harm by denying residents the advanced nursing skill level a registered nurse is supposed to provide.
15 fire safety citations on file: 6 on January 21, 2026, 5 on October 18, 2024, 4 on September 18, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| October 18, 2024 | Fine | $16,448 |
| October 18, 2024 | Payment Denial | 4 days from November 21, 2024 |
| September 9, 2024 | Fine | $15,646 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.09 | 3.39 | 3.86 |
| Registered nurses | 0.25 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.92 | 2.98 | 3.42 |
| Nurse aides | 1.73 | ||
| Licensed practical nurses | 1.11 | ||
| Nursing staff turnover (share who left in a year) | 62.5% | 55.3% | 45.8% |
| Registered nurse turnover | not reported | 54.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.31 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.16 on weekdays and 2.92 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 34.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.90 in April to June 2025 to 3.09 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.09 | 0.25 | 3.16 | 2.92 | 34.3% | 0 of 90 | 36 |
| Oct to Dec 2025 | 2.99 | 0.23 | 3.16 | 2.55 | 29.7% | 1 of 92 | 37 |
| Jul to Sep 2025 | 2.83 | 0.25 | 2.97 | 2.47 | 29.6% | 0 of 92 | 39 |
| Apr to Jun 2025 | 2.90 | 0.30 | 2.98 | 2.72 | 24.7% | 0 of 91 | 39 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.6 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.6 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.9 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.1 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 24.1 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.5 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.4 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.4 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 24.2 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Knopp Nursing & Rehab Center Inc's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
54.9% this home
No different from the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 57 eligible stays.
10.2% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 71 eligible stays.
7.0% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 43 eligible stays.
60.6% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 33 residents counted.
0.0% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 35 residents counted.
2.5% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 35 residents counted.
100.0% this home
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 22 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: KNOPP NURSING & REHABILITATION CENTER INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Luchenbach, Jay | 5% or greater direct ownership interest | Individual | 50% | 05/01/2023 |
| Monkhouse, Mary | 5% or greater direct ownership interest | Individual | 9% | 05/01/2023 |
| Perry, Chase | 5% or greater direct ownership interest | Individual | 9% | 05/01/2023 |
| Perry, Jane | 5% or greater direct ownership interest | Individual | 33% | 01/01/2013 |
| Luchenbach, Jay | Corporate director | Individual | 05/01/2023 | |
| Monkhouse, Mary | Corporate director | Individual | 05/01/2023 | |
| Perry, Chase | Corporate director | Individual | 05/01/2023 | |
| Perry, Chase | Corporate officer | Individual | 05/01/2023 | |
| Perry, Jane | Corporate officer | Individual | 01/01/2013 | |
| Kothmann, John | Operational/managerial control | Individual | 04/27/2022 | |
| Perry, Chase | Operational/managerial control | Individual | 01/01/2013 | |
| Perry, Jane | Operational/managerial control | Individual | 01/01/2013 | |
| Kothmann, John | Adp of the SNF | Individual | 04/27/2022 | |
| Perry, Jane | Adp of the SNF | Individual | 01/01/2013 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.