Knopp Assisted Living Center Inc

    202 Billie Dr, Fredericksburg, TX 78624
    • Assisted Living
    • Skilled Nursing

    Attentive dementia care, clean facility

    I'm very pleased with the caring, professional staff and excellent nursing - my loved one gets attentive dementia care, issues are handled quickly, and the facility is clean and odor-free. Meals are great, there's a busy activities calendar (bingo, music, exercise), and bright, roomy accommodations make this family-owned place one I'd happily recommend.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.25·(16)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.1
    • Staff

      3.3
    • Meals

      4.3
    • Amenities

      2.4
    • Value

      1.0

    Pros

    • High-quality dining and varied menu
    • Large, bright dining area with extensive windows
    • Courteous and engaged caregiving staff
    • Active, varied activity program (music, games, exercise, religious services)
    • On-site therapy and clinical services
    • Room options include single and double rooms with natural light
    • Proximity to hospital and medical resources
    • Responsive incident handling by some caregivers

    Cons

    • Inconsistent cleanliness and sanitation management in some units
    • Pest-control concerns in certain wings
    • Ventilation and HVAC cleanliness issues
    • Fire-safety and sprinkler maintenance lapses
    • Security and wander-safety system failures
    • Inconsistent staffing levels and short-staffing at times
    • Variability in staff professionalism and responsiveness
    • Weak management oversight and complaint-resolution processes
    • Ancillary billing transparency and high additional charges
    • Accessibility gaps and non-ADA-compliant bathroom facilities
    • Inadequate transfer and placement protocols between care levels

    Summary of reviews

    Knopp Assisted Living Center presents a mixed picture for prospective residents and families. Positive aspects consistently noted include strong dining services with a varied menu and a large, well-lit dining room; an active calendar of recreational and therapeutic activities (bingo, music, crafts, exercise classes, church services and social events); on-site therapy and clinical services; and room options that include single and double accommodations with ample natural light. The facility’s proximity to a hospital and the presence of caregivers described as courteous and engaged are additional strengths that families may find reassuring.

    Care quality is uneven across accounts. Many describe attentive, thoughtful caregivers who engage residents in activities and respond to incidents, but there are also concerns about occasional short-staffing and variability in staff conduct and responsiveness. Reviewers described delays in attending to personal-care needs and uneven professionalism among employees; these point to inconsistent staffing patterns and supervision rather than uniformly poor caregiving. A serious individual concern described by some families involved an unexpected transfer to Memory Care; this has been characterized as an alleged breakdown in transfer communication and decision protocols.

    Dining and activities are a clear strength. Multiple observers praised the food and the facility’s ability to provide frequent social and recreational programming that supports engagement and community. The dining environment itself—large rooms with many windows—was highlighted as pleasant and conducive to socializing.

    Facilities and safety issues appear to be a recurring area of concern. Several accounts raise sanitation concerns and specific cleanliness problems in some wings, including pest-control issues and ventilation/duct cleanliness concerns. Maintenance lapses affecting fire-safety equipment and security systems were cited (for example, malfunctioning wander-safety devices and access-control problems), suggesting gaps in routine facility maintenance and emergency-safety oversight. Accessibility issues, such as bathrooms that do not meet ADA needs, were also mentioned.

    Management and administrative practices are another area to review closely. Families noted inconsistent follow-through on complaints, perceived indifference from management in some cases, and questions about ancillary charges and billing transparency. Together with the operational concerns about staffing, maintenance, and transfer protocols, these observations indicate potential gaps in oversight and communication.

    For prospective families: weigh the facility’s clear strengths in dining, activities, on-site therapy, and caregiver engagement against the described operational weaknesses. When evaluating Knopp Assisted Living Center in person, consider asking for documentation of staffing ratios, maintenance and safety inspection records (including fire-safety and wander-safety device maintenance), pest-control logs, policies on transfers between care levels, and a clear explanation of ancillary charges. A focused tour of specific wings and conversations with current families may help clarify whether the positive aspects meet your needs and whether the operational concerns have been addressed.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Knopp Assisted Living Center Inc

    Knopp Assisted Living Center Inc is located at 202 Billie Dr, Fredericksburg, TX, 78624.

    About Knopp Assisted Living Center Inc

    Knopp Assisted Living Center has a longstanding tradition of providing exceptional care to the Fredericksburg, Texas community and surrounding areas, with a history dating back to 1965. Nestled in the scenic heart of the Texas Hill Country, Knopp Assisted Living Center is part of a family-owned and operated organization that takes pride in fostering a welcoming and compassionate environment for all residents. The foundation of the center’s philosophy rests on compassion, respect, integrity, and accountability, assuring every individual receives attentive, personalized care. The aim is to embrace residents’ independence and uphold their dignity, which serves as the true measure of excellence at Knopp Assisted Living Center.

    Offering a comprehensive suite of services, Knopp Assisted Living Center is dedicated to addressing the diverse needs of its residents. Specialized care options include occupational therapy and speech therapy, ensuring each resident’s functional abilities and communication skills are supported and enhanced. Innovative programs and adaptive services are regularly updated to reflect best practices in elder care, helping maintain residents' quality of life and sense of autonomy. The community-oriented approach not only benefits residents but also extends support and reassurance to their families, fostering a sense of partnership in the care journey.

    Knopp Assisted Living Center benefits from being part of a larger network, with four distinct assisted living and nursing home locations under the Knopp Healthcare Services umbrella. This provides residents with access to a wider range of amenities, activities, and extended healthcare resources, all while maintaining the intimate and family-like atmosphere that Knopp is known for. From engaging daily activities to holistic therapy services, the center is committed to continuous improvement and innovation in senior care. At Knopp Assisted Living Center, the shared goal is to create a community where every individual feels valued, safe, and empowered to live with dignity.

    People often ask...

    Knopp Assisted Living Center Inc offers assisted living and skilled nursing.

    There are 1 photos of Knopp Assisted Living Center Inc on Mirador.

    The full address for this community is 202 Billie Dr, Fredericksburg, TX 78624.

    No, Knopp Assisted Living Center Inc does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RpYfRAAV
    StatusActive
    Facility typeAssisted Living Facility (type B)
    License classLicensed
    Capacity53 residents
    LicenseeKNOPP ASSISTED LIVING CENTER INC
    Care servedType B
    Special certificationAlzheimer's Certified
    View the official license record

    Inspection Reports

    1

    Reports

    3

    Citations

    0

    Complaints

    2

    Years

    19 Aug 2024Inspection
    Identified violations included failure to obtain written physician authorization for restraints, incomplete resident records, and failure to ensure residents were free from abuse, neglect, and exploitation.
    • Health Visit
    • Health Visit
    • Health Visit

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Knopp Assisted Living Center Inc. The information above has not been verified or approved by the owner or operator. For exact information, please contact Knopp Assisted Living Center Inc directly. There is no cost for this service. We are compensated by the community you select.

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