nursing home in Knoxville, IA
Accura Healthcare of Knoxville, LLC
606 North Seventh Street, Knoxville, IA 50138 · (641) 842-2187
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Accura Healthcare of Knoxville, LLC at a glance
Accura Healthcare of Knoxville, LLC is a 60-bed for-profit nursing home in Knoxville, Iowa (Marion County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 3.5 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (February 19, 2026) found 6 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $16,153.
Nursing staff turnover is 53.2% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Accura Healthcare
- Medicare-certified since
- March 31, 1998
- Resident/family council
- Resident
- County
- Marion County
- CMS Certification Number
- 165382
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.47 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.49 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.12 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.82 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 53.2% | 44% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 71.4% | 42.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 50 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $16,153 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 65 | 107 | |
| Average residents per day | 48 | 52 | 86 | |
| Occupancy | 80% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 9.5% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 0.8% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 16.1% | 19.5% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 2.4% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 21.9% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 26.8% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8.8% | 4.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 2% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 33.5% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 16.4% | 25.6% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 98.1% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.2% | 94% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 6.1% | 2.1% | 1.6% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 64.9% | 84% | 82% | Worse |
Inspection citations
State inspectors cited this home for 15 health deficiencies and 16 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 19, 2026 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected March 20, 2026 |
| February 19, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 20, 2026 |
| February 19, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected March 20, 2026 |
| February 19, 2026 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | E Potential harm, pattern | Corrected March 20, 2026 |
| February 19, 2026 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0801 | F Potential harm, widespread | Corrected March 25, 2026 |
| February 19, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected March 25, 2026 |
| February 19, 2026 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected March 25, 2026 |
| February 19, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 25, 2026 |
| February 19, 2026 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected March 25, 2026 |
| October 13, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | J Immediate jeopardy, isolated | Corrected October 3, 2025 |
| August 6, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Past Non-Compliance |
| April 22, 2025 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected April 30, 2025 |
| February 3, 2025 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | F Potential harm, widespread | Corrected February 18, 2025 |
| February 3, 2025 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | F Potential harm, widespread | Corrected January 31, 2025 |
| February 3, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 31, 2025 |
| February 3, 2025 Fire safety | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Tag K0342 | F Potential harm, widespread | Corrected February 17, 2025 |
| February 3, 2025 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected February 10, 2025 |
| February 3, 2025 Complaint | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | E Potential harm, pattern | Corrected February 25, 2025 |
| February 3, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected February 25, 2025 |
| February 3, 2025 Standard | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 | D Potential harm, isolated | Corrected February 25, 2025 |
| February 3, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected February 25, 2025 |
| March 28, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 29, 2024 |
| March 28, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected April 29, 2024 |
| March 28, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected April 29, 2024 |
| March 28, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected April 29, 2024 |
| March 28, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected April 29, 2024 |
| March 28, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected April 29, 2024 |
| March 28, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected April 29, 2024 |
| March 28, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 17, 2024 |
| March 28, 2024 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0801 | D Potential harm, isolated | Corrected April 17, 2024 |
| January 18, 2024 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. Quality of Life and Care Deficiencies · Tag F0688 | E Potential harm, pattern | Corrected February 8, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $16,153 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 13, 2025 | Fine | $16,153 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| TOTI, LISA Individual | corporate director | NOT APPLICABLE | 01/01/2020 |
| LENEAVE, TED Individual | corporate officer | NOT APPLICABLE | 01/01/2016 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2016 |
| CONNER, ROBERT Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2024 |
| LEHMAN, DWALA Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2023 |
| TOTI, LISA Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2020 |
Other nursing homes near Accura Healthcare of Knoxville, LLC
West Ridge Specialty Care
1904 West Howard Street, Knoxville, IA 50138 · 1.5 mi
Non-profit · 78 beds · Part of Care Initiatives
★★★★★4Above averageAccura Healthcare of Pleasantville, LLC
909 North State Street, Pleasantville, IA 50225 · 10.5 mi
For-profit · 46 beds · Part of Accura Healthcare
★★★★★1Much below average- ★★★★★1Much below average
- ★★★★★1Much below average
Crystal Heights Care Center
1514 High Avenue West, Oskaloosa, IA 52577 · 22.4 mi
For-profit · 72 beds · Part of The Ensign Group
★★★★★3AverageChariton Specialty Care
1214 North Seventh Street, Chariton, IA 50049 · 23.2 mi
For-profit · 60 beds · Part of Care Initiatives
★★★★★2Below average
Frequently asked questions
What is Accura Healthcare of Knoxville, LLC's rating?
Accura Healthcare of Knoxville, LLC has 2 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Accura Healthcare of Knoxville, LLC receive?
Its most recent standard health inspection found 6 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Accura Healthcare of Knoxville, LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Accura Healthcare of Knoxville, LLC?
It is for profit - corporation and part of Accura Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Accura Healthcare of Knoxville, LLC and how do I contact it?
Accura Healthcare of Knoxville, LLC is at 606 North Seventh Street, Knoxville, IA 50138. Phone: (641) 842-2187.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.