Accura Healthcare of Knoxville, LLC
606 North Seventh Street · Knoxville, IA · 50138 · 6418422187
60 certified beds For profit - Corporation Chain: Accura Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.98 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 3.30 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $16,153 |
Inspection citations (15 in the current record)
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Potential for harm · D February 19, 2026
Assess the resident when there is a significant change in condition
Corrected March 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2026
Ensure each resident receives an accurate assessment.
Corrected March 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · F February 19, 2026
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 March 25, 2026 · Nutrition and Dietary
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Potential for harm · D February 19, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 25, 2026 · Pharmacy Service
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Immediate jeopardy · J October 13, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected October 3, 2025 · Pharmacy Service
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Potential for harm · D August 6, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Past Non-Compliance · Resident Rights
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Potential for harm · E April 22, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 30, 2025 · Environmental
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Potential for harm · D February 3, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected February 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 3, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected February 25, 2025 · Resident Rights
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Potential for harm · E February 3, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 3, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2024
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 April 17, 2024 · Nutrition and Dietary
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Potential for harm · E March 28, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 17, 2024 · Nutrition and Dietary
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Potential for harm · E January 18, 2024 · found via complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected February 8, 2024 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 13, 2025 | Fine | $16,153 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165382 · certified since March 31, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.