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Knopp Healthcare And Rehab Center Inc

📍 1208 N Llano, Fredericksburg, TX 78624 📞 (830) 997-3704 🛏️ 130 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 2 penalties totaling $9,750

$9,750
Jul 8, 2022

Fine

$0
Jul 8, 2022

Payment Denial

2021 1 penalties totaling $3,250

$3,250
Jan 28, 2021

Fine

2020 5 penalties totaling $6,531

$1,950
Jul 6, 2020

Fine

$1,638
Jun 29, 2020

Fine

$1,310
Jun 22, 2020

Fine

$983
Jun 15, 2020

Fine

$650
Jun 8, 2020

Fine

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Health Violations by Year

2023 9 violations

Tag 0584 E Aug 24, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Oct 9, 2023
Tag 0657 D Aug 24, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Oct 9, 2023
Tag 0689 E Aug 24, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 9, 2023
Tag 0727 F Aug 24, 2023

Have 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.

✓ Corrected: Sep 20, 2023
Tag 0755 D Aug 24, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Oct 9, 2023
Tag 0761 D Aug 24, 2023

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.

✓ Corrected: Oct 9, 2023
Tag 0842 E Aug 24, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Sep 20, 2023
Tag 0849 D Aug 24, 2023

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

✓ Corrected: Sep 20, 2023
Tag 0944 F Aug 24, 2023

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

✓ Corrected: Oct 9, 2023

2022 12 violations

Tag 0578 D Jul 8, 2022

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Aug 18, 2022
Tag 0641 D Jul 8, 2022

Ensure each resident receives an accurate assessment.

✓ Corrected: Aug 18, 2022
Tag 0655 D Jul 8, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Aug 18, 2022
Tag 0656 E Jul 8, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 18, 2022
Tag 0657 D Jul 8, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Aug 18, 2022
Tag 0727 F Jul 8, 2022

Have 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.

✓ Corrected: Aug 18, 2022
Tag 0812 D Jul 8, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 31, 2022
Tag 0880 D Jul 8, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 18, 2022
Tag 0921 E Jul 8, 2022

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Aug 18, 2022
Tag 0609 D Apr 26, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jun 7, 2022
Tag 0690 D Apr 26, 2022

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jun 7, 2022
Tag 0842 D Apr 26, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jun 7, 2022
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2021 16 violations

Tag 0578 D Mar 26, 2021

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: May 7, 2021
Tag 0640 D Mar 26, 2021

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

✓ Corrected: May 25, 2021
Tag 0644 D Mar 26, 2021

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: May 7, 2021
Tag 0655 D Mar 26, 2021

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: May 22, 2021
Tag 0727 E Mar 26, 2021

Have 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.

✓ Corrected: May 7, 2021
Tag 0730 D Mar 26, 2021

Observe each nurse aide's job performance and give regular training.

✓ Corrected: May 22, 2021
Tag 0801 F Mar 26, 2021

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: May 25, 2021
Tag 0803 F Mar 26, 2021

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

✓ Corrected: May 25, 2021
Tag 0804 E Mar 26, 2021

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: May 22, 2021
Tag 0812 F Mar 26, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 22, 2021
Tag 0814 C Mar 26, 2021

Dispose of garbage and refuse properly.

✓ Corrected: May 7, 2021
Tag 0868 F Mar 26, 2021

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

✓ Corrected: May 22, 2021
Tag 0609 D Jan 28, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Mar 19, 2021
Tag 0610 D Jan 28, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Mar 19, 2021
Tag 0684 D Jan 28, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 19, 2021
Tag 0880 E Jan 28, 2021

Provide and implement an infection prevention and control program.

2020 1 violations

Tag 0880 E Jun 23, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 7, 2020
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2019 14 violations

Tag 0604 D Jul 26, 2019

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Aug 22, 2019
Tag 0607 D Jul 26, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Aug 31, 2019
Tag 0609 D Jul 26, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Aug 31, 2019
Tag 0641 E Jul 26, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Aug 31, 2019
Tag 0656 D Jul 26, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 12, 2019
Tag 0690 D Jul 26, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Aug 22, 2019
Tag 0700 E Jul 26, 2019

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Aug 31, 2019
Tag 0732 D Jul 26, 2019

Post nurse staffing information every day.

✓ Corrected: Aug 31, 2019
Tag 0758 D Jul 26, 2019

Implement 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.

✓ Corrected: Aug 22, 2019
Tag 0761 D Jul 26, 2019

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.

✓ Corrected: Jul 29, 2019
Tag 0770 D Jul 26, 2019

Provide timely, quality laboratory services/tests to meet the needs of residents.

✓ Corrected: Aug 22, 2019
Tag 0812 F Jul 26, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 31, 2019
Tag 0814 C Jul 26, 2019

Dispose of garbage and refuse properly.

✓ Corrected: Aug 23, 2019
Tag 0849 D Jul 26, 2019

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

✓ Corrected: Jul 29, 2019

2018 13 violations

Tag 0636 E Jul 13, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Aug 24, 2018
Tag 0656 E Jul 13, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 24, 2018
Tag 0657 E Jul 13, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Aug 24, 2018
Tag 0693 E Jul 13, 2018

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Aug 24, 2018
Tag 0695 E Jul 13, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Aug 24, 2018
Tag 0700 E Jul 13, 2018

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Aug 24, 2018
Tag 0727 E Jul 13, 2018

Have 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.

✓ Corrected: Aug 13, 2018
Tag 0803 E Jul 13, 2018

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

✓ Corrected: Aug 24, 2018
Tag 0812 E Jul 13, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 24, 2018
Tag 0838 E Jul 13, 2018

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

✓ Corrected: Aug 27, 2018
Tag 0842 E Jul 13, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 24, 2018
Tag 0880 E Jul 13, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 24, 2018
Tag 0909 E Jul 13, 2018

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

✓ Corrected: Aug 24, 2018
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2017 9 violations

Tag 0226 C May 19, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: May 26, 2017
Tag 0279 F May 19, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 26, 2017
Tag 0281 E May 19, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jun 6, 2017
Tag 0285 B May 19, 2017

Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.

✓ Corrected: Jun 6, 2017
Tag 0365 E May 19, 2017

Provide food in a way that meets a resident's needs.

✓ Corrected: Jun 14, 2017
Tag 0371 F May 19, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Jun 14, 2017
Tag 0441 E May 19, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: May 24, 2017
Tag 0498 C May 19, 2017

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.

✓ Corrected: Jun 7, 2017
Tag 0514 E May 19, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: May 26, 2017
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