John Knox Manor Inc I I
4401 Narrow Lane Road, Montgomery, AL 36116 · Montgomery County · (334) 281-6336
98 certified beds, about 61 residents a day · Non profit - Corporation · Medicare and Medicaid since 1976
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015135 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 4, 2024, inspectors cited 3 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 4 health citations since November 2018 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.94 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.
53.1% of nursing staff left within the year CMS measured (Alabama average 46.9%).
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.
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 4 health citations on file.
January 4, 2024Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, the 2022 United States (U.S.) Food and Drug Administration (FDA) Food Code, and the facility's policies titled Ovens/Cleaning, Mixer Cleaning, Holding Temperatures, and Dish Washing Area; the facility failed to prevent the potential for cross-contamination and foodborne illness as evidenced by: Direct connections existed between the sewage system and the drains of the dish machine, the three-compartment sink, and two preparation sinks; Two oven door handles had a greasy residue to touch; A standing mixer had batter residue on the upper interior housing; On 01/02/2024 a half-full gallon container of whole milk with an expiration date of 12/22/2023 was observed in the reach-in refrigerator; [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interviews, residents' medical records, and the Centers for Medicare and Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manuals, the facility failed to ensure Section J of RI #43's discharge MDS assessment with an ARD of 09/28/2023 was accurately coded to reflect a fall during the assessment period and Section N of Resident Identifier (RI) #19's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/23/2023 was accurately coded to reflect the medications received during the assessment period. This had the potential to affect two of 17 sampled residents whose MDS assessments were reviewed.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, residents' medical records, the facility policy titled Handwashing/Hygiene, and the Center for Disease Control (CDC) Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All Settings the facility failed to ensure Licensed Practical Nurse (LPN) #9, did not create the potential for cross-contamination when she picked up a straw from the floor, placed the straw on the medication cart, and then without performing hand hygiene administered medications to Resident Identifier (RI) #314. [...]
October 10, 2019Standard inspection · 0 citations
November 8, 2018Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review and a facility policy titled, Administering Medications through a Small Volume (Handheld) Nebulizer, the facility failed to ensure licensed staff did not remove a nebulizer medication for Resident Identifier (RI) #48 from the medication cart and place it in her uniform pocket. This was observed on 11/7/18 and affected one of five nurses observed for medication pass. Findings Include: A review of a facility policy titled, Administering Medications through a Small Volume (Handheld) Nebulizer, dated November 2016 revealed, Purpose The purpose of this procedure is to safely and aseptically administer aerosolized particles of medication into the resident's airway. Steps .1. Assemble equipment and supplies on the resident's overbed table. RI #48 was admitted to the facility on [DATE]. RI #48's diagnoses included Bronchial Spasm. [...]
Fire safety inspections
4 fire safety citations on file: 2 on January 4, 2024, 1 on October 10, 2019, 1 on November 8, 2018.
Every fire safety citation4 citations
- F Properly install and monitor supervisory attachments on automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure proper usage of power strips and extension cords.
- E Have approved installation, maintenance and testing program for fire alarm systems.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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 | Alabama | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.94 | 3.88 | 3.86 |
| Registered nurses | 0.73 | 0.65 | 0.69 |
| All nursing staff on weekends | 4.34 | 3.26 | 3.42 |
| Nurse aides | 3.16 | ||
| Licensed practical nurses | 1.05 | ||
| Nursing staff turnover (share who left in a year) | 53.1% | 46.9% | 45.8% |
| Registered nurse turnover | 41.7% | 39.5% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.36 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 5.18 on weekdays and 4.34 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.60 in April to June 2025 to 4.94 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 | 4.94 | 0.73 | 5.18 | 4.34 | 0.0% | 0 of 90 | 61 |
| Oct to Dec 2025 | 4.77 | 0.64 | 4.98 | 4.23 | 0.0% | 0 of 92 | 62 |
| Jul to Sep 2025 | 4.68 | 0.57 | 4.88 | 4.16 | 0.0% | 0 of 92 | 62 |
| Apr to Jun 2025 | 4.60 | 0.71 | 4.82 | 4.05 | 0.0% | 0 of 91 | 61 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Alabama, Jan to Mar 2026 | 3.88 | 0.63 | 4.13 | 3.27 | 0.9% | 0.2% 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Alabama | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 24.5 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.5 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 6.2 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.5 | 3.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.9 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.2 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.0 | 21.2 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.7 | 1.8 |
Owners and operators
Legal business name: JOHN KNOX MANOR INC II.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Presbytery of Sheppards and Lapsley | Indirect ownership interest | Organization | 05/10/1976 | |
| Brummal, Edward | Managing control - governing body | Individual | 03/25/2004 | |
| Brummal, Edward | Corporate director | Individual | 03/25/2004 | |
| Cummings, Thomas | Corporate director | Individual | 08/01/2022 | |
| Blowe, Kamisha | Operational/managerial control | Individual | 07/31/2023 | |
| Cox, Harold | Operational/managerial control | Individual | 09/01/2023 | |
| Cummings, Thomas | Operational/managerial control | Individual | 08/01/2022 | |
| Davis, Andricka | Operational/managerial control | Individual | 08/06/2025 | |
| Denny, Marilyn | Operational/managerial control | Individual | 08/24/2020 | |
| Hooper, Victoria | Operational/managerial control | Individual | 05/02/2022 | |
| Howell, Terri | Operational/managerial control | Individual | 05/30/2012 | |
| Labarge, Patsy | Operational/managerial control | Individual | 07/09/1990 | |
| Lyles, Alexis | Operational/managerial control | Individual | 04/01/2024 | |
| Maddox, George | Operational/managerial control | Individual | 02/15/2021 | |
| Miller, Grace | Operational/managerial control | Individual | 01/20/2020 | |
| Payton, Karen | Operational/managerial control | Individual | 06/09/2025 | |
| Pope, Courtney | Operational/managerial control | Individual | 10/27/2025 | |
| Pritchett, Rhonda | Operational/managerial control | Individual | 11/01/2023 | |
| Russell, Twani | Operational/managerial control | Individual | 01/21/1997 | |
| Spiers, Elizabeth | Operational/managerial control | Individual | 09/09/2024 | |
| Standberry, Nicole | Operational/managerial control | Individual | 09/01/2025 | |
| Brummal, Edward | Adp of the SNF | Individual | 01/01/2004 | |
| Cox, Harold | Adp of the SNF | Individual | 09/01/2023 | |
| Cummings, Thomas | Adp of the SNF | Individual | 08/01/2022 | |
| Davis, Andricka | Adp of the SNF | Individual | 06/09/2025 | |
| Denny, Marilyn | Adp of the SNF | Individual | 08/24/2020 | |
| Howell, Terri | Adp of the SNF | Individual | 05/30/2012 | |
| Labarge, Patsy | Adp of the SNF | Individual | 07/09/1990 | |
| Pope, Courtney | Adp of the SNF | Individual | 10/27/2025 | |
| Russell, Twani | Adp of the SNF | Individual | 01/21/1997 | |
| Standberry, Nicole | Adp of the SNF | Individual | 09/01/2025 |
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.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on January 4, 2024: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on January 4, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on January 4, 2024: "Ensure each resident receives an accurate assessment."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Rivertown Health and Rehabilitation Center Montgomery, 2.5 mi · 1 of 5 stars · 29 citations
- Diversicare of Montgomery Montgomery, 2.5 mi · 2 of 5 stars · 14 citations
- Father Purcell Memorial Exceptional Children's Ctr Montgomery, 3.3 mi · 1 of 5 stars · 10 citations
- Capitol Hill Healthcare Center Montgomery, 3.6 mi · 4 of 5 stars · 3 citations
- Crowne Health Care of Montgomery Montgomery, 4.4 mi · 4 of 5 stars · 5 citations
- Hillview Terrace Montgomery, 4.5 mi · 2 of 5 stars · 16 citations
- Montgomery Children's Specialty Center Montgomery, 7 mi · 3 of 5 stars · 12 citations
- Prattville Health and Rehabilitation, LLC Prattville, 13.8 mi · 1 of 5 stars · 20 citations
Alabama contacts for a concern about a nursing home
These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Alabama Department of Public Health, Bureau of Health Provider Standards, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Alabama Office of the State Long-Term Care Ombudsman Program, 334-242-5753. 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: Alabama Health Care Facilities Deficiencies, where Alabama publishes its own records on licensed homes.
Common questions
- What is John Knox Manor Inc I I's Medicare star rating?
- CMS rates John Knox Manor Inc I I 2 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did John Knox Manor Inc I I get at its last inspection?
- 3 health deficiencies at the standard inspection on January 4, 2024. The Alabama average is 4.
- Has John Knox Manor Inc I I been fined?
- CMS lists no fines in the last three years.
- Does John Knox Manor Inc I I 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 John Knox Manor Inc I I?
- CMS lists 31 owners and managers. Legal business name: JOHN KNOX MANOR INC II.
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.