Accura Healthcare of Knoxville, LLC
606 North Seventh Street, Knoxville, IA 50138 · Marion County · (641) 842-2187
60 certified beds, about 48 residents a day · For profit - Corporation · Medicare and Medicaid since 1998
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165382 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 19, 2026, inspectors cited 5 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 15 health citations since January 2024, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $16,153 in the last three years; the largest was $16,153, and the latest is dated October 13, 2025.
Nurses and nurse aides worked 3.47 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
53.2% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Accura Healthcare, an affiliated group of 41 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
101/24
203/24
402/25
104/25
108/25
110/25
502/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
5E
1F
Potential for minimal harm
0A
0B
0C
February 19, 2026Standard inspection, Complaint inspection · 5 citations
- F 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.
Inspectors wroteBased on staff interview, personnel file review, and facility policy review, the facility failed to designate a person to serve as the director of food and nutrition services who met the minimum qualifications to carry out the food and nutrition services.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on clinical record review, staff interview, and Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual review, the facility failed to complete a significant change in status assessment for one (1) of two sampled residents who had been admitted to hospice care (Resident#1).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, staff interviews, and resident interview the facility failed to accurately complete a Minimum Data Set (MDS) assessment correctly for 2 of 10 resident's reviewed in the sample (Resident #4 and Resident #6). The facility reported a census of 45 residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on resident interview, clinical record review, staff interview, the facility failed to provide the opportunity for the resident to participate in the development, review and revision of his care plan for 1 of 1 (Resident #3 ) reviewed for care conferences and failed to update a care plan for 1 of 2 reviewed for hospice (Resident #1 ). The facility reported a census of 45 residents.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on clinical record review, policy review, and staff interviews, the facility failed to carry out a system to receive controlled substances for 1 of 1 residents reviewed for a missing narcotic(Resident #54). The facility reported a census of 45 residents.
October 13, 2025Complaint inspection · 1 citation
- J Ensure that residents are free from significant medication errors.
Inspectors wroteBased on clinical record review, staff interview, family interview, provider interview, and facility policy review the facility failed to ensure 1 of 4 residents reviewed received only their prescribed medications. Resident #1 (R#1) became unresponsive and required emergency medical interventions. R#1 transferred to the hospital and admitted to the Intensive Care Unit (ICU) due to a multi-drug interaction with diagnoses of cardiogenic shock and toxic encephalopathy. The facility reported census was 41. The State Agency informed the facility of the Immediate Jeopardy (IJ) on 10/8/25 at 1:55 PM. The IJ began on 10/3/25, following the administration of Resident #3's (R#3) medications to R#1. The State Agency confirmed removal of immediacy on 10/9/25, The facility staff removed the Immediate Jeopardy on 10/3/25 by implementing the following actions:a. [...]
August 6, 2025Complaint inspection · 1 citation
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on staff interview, resident interview, and clinical record review, the facility failed to treat residents with dignity and respect throughout cares provided for 1 of 3 residents reviewed (Resident #1). The facility reported a census of 46 residents.
April 22, 2025Complaint inspection · 1 citation
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observations and staff interviews, the facility failed to maintain an environment in a clean, orderly condition, in good repair and with all odors kept under control through cleanliness and proper ventilation. The facility reported census was 49.
February 3, 2025Standard inspection, Complaint inspection · 4 citations
- E Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on clinical record review, policy review, and resident and staff interviews, the facility failed to ensure residents had the right to make choices about aspects of their lives which were significant to the resident by denying smoke breaks for 5 of 5 smokers reviewed (Residents #6, #7, #17, #27, and #30) and by not allowing a resident to lie down upon request for 1 of 6 residents reviewed for dignity (Resident #28). The facility reported a census of 50 residents.
- E Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on clinical record review, policy review, and resident and staff interviews, the facility failed to ensure residents were free from mental abuse by denying smoke breaks based on resident behaviors for 5 of 5 smokers reviewed(Residents #6, #7, #17, #27, and #30). The facility reported a census of 50 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, clinical record review and staff interview the facility failed to ensure staff followed physician pre-op orders as directed prior to a resident procedure for 1 of 1 residents reviewed (Resident #43). Resident #43 did not receive a bath/shower the day of the procedure. The facility reported a census of 50 residents.
- D Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspectors wroteBased on personnel file review, staff interview, and policy review, the facility failed to assure 1 of 5 staff reviewed met the requirements for Dependent Adult Abuse Mandatory Reporter Training (Staff B). The facility reported a census of 50 residents.
March 28, 2024Standard inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, and facility policy review, the facility failed to maintain sanitary practices by improperly storing food. The facility reported a census of 51 residents.
- D 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.
Inspectors wroteBased on document review and staff interview, the facility failed to employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service by not having a certified dietary manager. The facility reported a census of 51 residents.
January 18, 2024Complaint inspection · 1 citation
- E 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.
Inspectors wroteBased on observations, clinical record review and staff interviews, the facility failed to provide restorative services on 1/18/24 involving 29 residents. The facility reported census was 45.
Fire safety inspections
16 fire safety citations on file: 4 on February 19, 2026, 5 on February 3, 2025, 7 on March 28, 2024.
Every fire safety citation16 citations
- F Conduct testing and exercise requirements.
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Use approved construction type or materials.
- F Install proper backup exit lighting.
- F Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F Provide a written emergency evacuation plan.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Use approved construction type or materials.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 13, 2025 | Fine | $16,153 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.47 | 3.82 | 3.86 |
| Registered nurses | 0.49 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.82 | 3.37 | 3.42 |
| Nurse aides | 2.12 | ||
| Licensed practical nurses | 0.87 | ||
| Nursing staff turnover (share who left in a year) | 53.2% | 44.0% | 45.8% |
| Registered nurse turnover | 71.4% | 42.1% | 42.9% |
| Administrators who left | 2 |
CMS expects 2.91 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.74 on weekdays and 2.82 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.66 in April to June 2025 to 3.47 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.47 | 0.49 | 3.74 | 2.82 | 8.2% | 0 of 90 | 48 |
| Oct to Dec 2025 | 3.98 | 0.61 | 4.25 | 3.30 | 20.4% | 0 of 92 | 42 |
| Jul to Sep 2025 | 3.69 | 0.61 | 3.93 | 3.10 | 8.0% | 0 of 92 | 45 |
| Apr to Jun 2025 | 3.66 | 0.57 | 3.92 | 3.00 | 0.0% | 0 of 91 | 46 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Iowa
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.9 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.4 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.5 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.1 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 26.8 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.1 | 19.4 | 15.4 |
Owners and operators
Legal business name: KNOXVILLE CARE PARTNERS LLC. CMS links this home to Accura Healthcare, a group of 41 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Conner, Robert | W-2 managing employee | Individual | 01/01/2024 | |
| Lehman, Dwala | W-2 managing employee | Individual | 01/01/2023 | |
| Toti, Lisa | W-2 managing employee | Individual | 01/01/2020 | |
| Toti, Lisa | Corporate director | Individual | 01/01/2020 | |
| Leneave, Ted | Corporate officer | Individual | 01/01/2016 | |
| American Healthcare Management Services LLC | Operational/managerial control | Organization | 01/01/2016 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 19, 2026: "Assess the resident when there is a significant change in condition"
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on 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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 19, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on August 6, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.82 hours per resident per day, below the Iowa average of 3.37.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- West Ridge Specialty Care Knoxville, 1.5 mi · 4 of 5 stars · 11 citations
- Accura Healthcare of Pleasantville, LLC Pleasantville, 10.5 mi · 1 of 5 stars · 44 citations
- The Cottages Pella, 11.4 mi · 1 of 5 stars · 23 citations
- Oskaloosa Care Center Oskaloosa, 22.1 mi · 1 of 5 stars · 33 citations
- Crystal Heights Care Center Oskaloosa, 22.4 mi · 3 of 5 stars · 18 citations
- Chariton Specialty Care Chariton, 23.2 mi · 2 of 5 stars · 18 citations
- Northern Mahaska Specialty Care Oskaloosa, 23.3 mi · 3 of 5 stars · 10 citations
- Accura Healthcare of Carlisle Carlisle, 24 mi · 1 of 5 stars · 45 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Accura Healthcare of Knoxville, LLC's Medicare star rating?
- CMS rates Accura Healthcare of Knoxville, LLC 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Accura Healthcare of Knoxville, LLC get at its last inspection?
- 5 health deficiencies at the standard inspection on February 19, 2026. The Iowa average is 6.5.
- Has Accura Healthcare of Knoxville, LLC been fined?
- Yes. CMS lists 1 fine totaling $16,153 in the last three years.
- Does Accura Healthcare of Knoxville, LLC accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Accura Healthcare of Knoxville, LLC?
- CMS lists 6 owners and managers, and links the home to Accura Healthcare. Legal business name: KNOXVILLE CARE PARTNERS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.