KNOPP NURSING & REHAB CENTER INC

The information listed below provides an in-depth look into the type and quality of care offered at Knopp Nursing & Rehab Center Inc. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

KNOPP NURSING & REHAB CENTER INC
202 BILLIE DR
FREDERICKSBURG, TX 78624
(830) 997-8840

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

87%

Number of Residents and Certified Beds

  • Residents: 52
  • Certified Beds: 60

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Kerrville | Comfort | Johnson City

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Knopp Nursing & Rehab Center Inc. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1614.3%
ADL Index Range: 0-51.0%
Total Percent:15.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1032.7%
ADL Index Range: 0-525.5%
Total Percent:58.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1618.4%
ADL Index Range: 6-107.1%
Total Percent:25.5%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5
- No Signs of depression
1.0%
Total Percent:1.0%
 

Rating Details For Knopp Nursing & Rehab Center Inc

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours13 Minutes56 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours28 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 14 Minutes2 Hours and 20 Minutes
Total Licensed Nurse Hours42 Minutes1 Hour and 34 Minutes
Total Nurse Hours2 Hours and 56 Minutes3 Hours and 54 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%91%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%18%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder64%46%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores10%3%
Percent of Long-Stay Residents Who Lose Too Much Weight8%6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%12%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious22%13%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain35%16%
Percent of Short-Stay Residents Who Have Delirium2%3%
Percent of Short-Stay Residents Who Have Pressure Sores7%11%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 02/12/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009
Get Services Outside the Nursing Home That Meet Professional Standards.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 02/04/2010
  • Correction Date: 02/28/2010
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 02/12/2011
  • Correction Date: 03/17/2011
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 02/12/2011
  • Correction Date: 03/17/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009
Get Rid of Garbage Properly.
  • Inspection Date: 02/12/2011
  • Correction Date: 02/13/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/12/2011
  • Correction Date: 03/14/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/04/2010
  • Correction Date: 02/05/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/12/2011
  • Correction Date: 02/18/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 02/12/2011
  • Correction Date: 03/16/2011

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 02/04/2010
  • Correction Date: 03/18/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 02/12/2011
  • Correction Date: 03/17/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 02/12/2011
  • Correction Date: 03/10/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 02/12/2011
  • Correction Date: 03/14/2011
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 02/12/2011
  • Correction Date: 03/17/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 02/12/2011
  • Correction Date: 02/18/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Knopp Nursing & Rehab Center Inc had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/12/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/25/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/25/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/03/2010
  • Correction Date: 02/28/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/25/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 02/03/2010
  • Correction Date: 02/28/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/25/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/15/2009
Properly Maintained Smoke Detectors.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/13/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/01/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/25/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/01/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/20/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/15/2009
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 02/04/2009
  • Correction Date: 03/15/2009

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 02/04/2009
  • Correction Date: 02/28/2009
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011