GoodStanding

Nursing home report

Accura Healthcare of Knoxville, LLC

Knoxville, IA · Medicare-certified · 60 beds

Needs attention
For-profitChain member
2 of 5 overall

Accura Healthcare of Knoxville, LLC in Knoxville, IA has a 2-star overall rating, with a 2-star health inspection rating, 4-star staffing, and 3-star quality measures. It has $16,153 in fines in the last 24 months, a recent federal penalty, and reported nurse staffing of 3.98 hours per resident day, slightly below the 4.1 federal benchmark.

Facility ratings

Health inspections

Staffing

3.9793 hrs/resident/day

Quality measures

Last inspection: February 19, 2026Penalties, last 24 months: $16,153recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9793.

Staffing detail

Registered nurses
0.61
Licensed practical nurses
0.94
Nurse aides
2.43
Weekend nursing
3.30

Hours per resident per day.

Total staff turnover: 54%
Registered nurse turnover: 67%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

15.8%Worsening

Residents with a fall causing major injury

7.9%Worsening

Residents with pressure ulcers (bedsores)

0.8%Steady

Residents with a urinary tract infection

2.3%Worsening

Residents who lost too much weight

7.6%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

20.9%Worsening

Residents whose ability to walk got worse

38%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

34.7%Improving

Short-stay residents newly given an antipsychotic

6.7%Steady

Residents with a long-term catheter

0.7%Improving

Residents with new or worsening incontinence

19.1%Improving

Residents with depressive symptoms

1.9%Worsening

Long-stay residents given the seasonal flu vaccine

98.1%Steady

Long-stay residents given the pneumonia vaccine

97.7%Improving

Short-stay residents given the pneumonia vaccine

63.9%Steady

What the inspectors found

The nursing home failed to ensure residents were free from significant medication errors. Cited October 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J

The home failed to have enough qualified staff to properly provide food and nutrition services. Cited February 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 801 — 42 CFR §483.60 — S/S: F

The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited April 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 921 — 42 CFR §483.90 — S/S: E

The home failed to support and respect residents’ choices and self-determination. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 561 — 42 CFR §483.10 — S/S: E

The nursing home failed to protect residents from abuse and neglect by others. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $16,153 was recorded.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $16,153 in total fines.

  • Federal fine

    Oct 13, 2025

    $16,153

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of ACCURA HEALTHCARE · 41 homes · 2.4 stars avg
Occupancy
42.1 residents on an average day (70% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 28 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.