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
Nursing home report
Accura Healthcare of Knoxville, LLC
Knoxville, IA · Medicare-certified · 60 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Accura Healthcare of Knoxville, LLC in Knoxville, IA has a 2-star overall rating, with 2 stars for health inspections and 3 stars for staffing and quality measures. It has reported nurse staffing below the federal benchmark (3.47 vs. 4.1 hours per resident per day), $16,153 in fines in the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.4728 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 3.4728.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 0.87
- Nurse aides
- 2.12
- Weekend nursing
- 2.82
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 71%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
14.8%12.5%Improving
Residents with a fall causing major injury
4.3%12.5%Worsening
Residents with pressure ulcers (bedsores)
2.9%0%Improving
Residents with a urinary tract infection
2.1%0%Improving
Residents who lost too much weight
10.6%16.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.1%27%Worsening
Residents whose ability to walk got worse
30.7%28.8%Improving
Long-stay residents on antianxiety or sleep medication
36.2%28.9%Improving
Short-stay residents newly given an antipsychotic
—6.1%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.9%21.8%Worsening
Residents with depressive symptoms
2.3%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.1%—
Long-stay residents given the pneumonia vaccine
95.7%100%Improving
Short-stay residents given the pneumonia vaccine
61.5%71%Improving
What the inspectors found
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.
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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.
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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
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $16,153 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $16,153 in total fines.
- $16,153
Federal fine
Oct 13, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of ACCURA HEALTHCARE · 43 homes · 2.3 stars avg
- Occupancy
- 48 residents on an average day (80% 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.