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Accura Healthcare of Knoxville, LLC Inspection Report, Violations & Safety Grade (Knoxville, Iowa)

606 North Seventh Street, Knoxville, Iowa 50138

Phone: 6418422187

CMS Overall:2/5

Overview & Bed Count

Certified Beds
60
Avg Residents/Day
50.7
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Marion
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing3/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityIowa AvgDifference
RN Hours per Resident per Day0.450.74-0.29
Total Nurse Hours per Resident per Day3.453.86-0.41
CMS Staffing Rating3/53.8/5-
Nursing Staff Turnover56.9%44.1%-

Health Citation History

15 health citations on record

DateCategoryDescriptionSeverity
2026-02-19Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2026-02-19Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionD – Moderate Harm Potential
2026-02-19Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2026-02-19Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2026-02-19Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-10-13Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.J – Immediate Jeopardy
2025-08-06Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2025-04-22Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E – Moderate Harm Potential
2025-02-03Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E – Moderate Harm Potential
2025-02-03Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E – Moderate Harm Potential
2025-02-03Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2025-02-03Freedom from Abuse, Neglect, and Exploitation DeficienciesGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D – Moderate Harm Potential
2024-03-28Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2024-03-28Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.D – Moderate Harm Potential
2024-01-18Quality of Life and Care DeficienciesProvide 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.E – Moderate Harm Potential

Fire Safety Citation History

16 fire safety citations on record

DateCategoryDescriptionSeverity
2026-02-19Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2026-02-19Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2026-02-19Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2026-02-19Construction DeficienciesUse approved construction type or materials.E – Moderate Harm Potential
2025-02-03Egress DeficienciesInstall proper backup exit lighting.F – Moderate Harm Potential
2025-02-03Smoke DeficienciesHave a complete alarm system manually initiated and initiated by fire sprinkler system connection.F – Moderate Harm Potential
2025-02-03Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-02-03Smoke DeficienciesEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.F – Moderate Harm Potential
2025-02-03Miscellaneous DeficienciesProvide a written emergency evacuation plan.F – Moderate Harm Potential
2024-03-28Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-03-28Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-03-28Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2024-03-28Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-03-28Construction DeficienciesUse approved construction type or materials.D – Moderate Harm Potential
2024-03-28Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2024-03-28Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential

Total Penalties & Fines

$16,153
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-10-13Fine$16,153-

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