What is Knollwood Manor's Medicare star rating?

CMS rates Knollwood Manor 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 1 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Knollwood Manor get at its last inspection?

5 health deficiencies at the standard inspection on November 21, 2025. The Tennessee average is 4.4.

Has Knollwood Manor been fined?

CMS lists no fines in the last three years.

Does Knollwood Manor 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 Knollwood Manor?

CMS lists 5 owners and managers. Legal business name: TRI-AGE ADVENTURES, INC..

Knollwood Manor: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on November 21, 2025, inspectors cited 5 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 18 health citations since August 2019, 4 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.41 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.

33.3% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

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.

208/19

1107/22

511/25

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 18 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

November 21, 2025Standard inspection · 5 citations

E

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 22, 2025

Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to report an injury of unknown origin for 6 of 6 (Resident #8, #16, #20, #23, #25, and #35) sampled residents reviewed.
E

Respond appropriately to all alleged violations.

F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 22, 2025

Inspectors wroteNumber of residents sampled:6Number of residents cited:6Based on policy review, medical record review, and interview, the facility failed to perform a complete and thorough investigation for injuries of unknown origin for 6 of 8 (Resident #8, #16, #20, #23, #25, and #35) sampled residents reviewed for abuse.
E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 22, 2025

Inspectors wroteBased on policy review, record review, and interview, the facility failed to ensure food was stored, handled, prepared, and served under sanitary conditions, when temperatures for the refrigerator, freezer and cooler, were not recorded daily. 38 residents received food trays from the kitchen.
E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 22, 2025

Inspectors wroteNumber of residents sampled:1Number of residents cited:1 resident #22 Based on policy review, job description review, review of the facility Infection Control Program documents, medical record review, observation, and interview, the facility failed to establish and implement a program to identify, report, investigate, and control infections and communicable diseases when the Infection Preventionist (IP)/Director of Nursing (DON) failed to track organisms being treated in the facility, monitor for outbreaks and cross contamination, and failed to ensure practices to prevent the potential spread of infection were maintained when Enhanced Barrier Precautions (EBP) were not followed for 1 of 1 (Resident #22) sampled residents. This had the potential to affect 38 of 38 residents in the facility.
D

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

F553 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2025

Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to ensure Care Plan conference meetings were held on admission and quarterly for 2 of 12 (Resident #5 and #19) sampled residents reviewed for Care Plan meetings. Based on facility policy review, medical record review, and interview, the facility failed to ensure Care Plan conference meetings were held on admission and quarterly for 2 of 12 (Resident #5 and #19) sampled residents reviewed for Care Plan meetings.

July 14, 2022Standard inspection · 11 citations

J

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) September 8, 2022

Inspectors wroteBased on facility documentation, facility policy review, medical record review, and interview, the facility failed to revise a wandering/elopement care plan for 1 of 2 sampled residents (Resident #39) reviewed for wandering and elopement risk (Residents who have a history of leaving or trying to leave the facility, or have wandered or have potential to wander into unsafe areas), placing the resident in an Immediate Jeopardy (IJ) (a situation in which the provider's noncompliance with one or more requirements of participation has caused or is likely to cause serious injury, harm, impairment or death to a resident). The facility failed to update Resident #39's care plan with new interventions which resulted in an elopement from the facility on 5/23/2022 with a fall with major injury, a Right Femoral neck fracture (hip fracture). [...]
J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) September 8, 2022

Inspectors wroteBased on facility documentation review, facility policy review, medical record review, and interview, the facility failed to provide adequate supervision to prevent elopement for 1 of 2 sampled residents (Resident #39) reviewed for wandering and elopement risk (Residents who have a history of leaving or trying to leave the facility, or have wandered or have potential to wander into unsafe areas), placing the resident in an Immediate Jeopardy (IJ) (a situation in which the provider's noncompliance with one or more requirements of participation has caused or is likely to cause serious injury, harm, impairment or death to a resident). The facility's failure to supervise Resident #39 resulted in an elopement from the facility on 5/23/2022 and a fall with major injury resulting in a Right Femoral neck fracture (hip fracture). [...]
J

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

F835 · Administration · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) September 8, 2022

Inspectors wroteBased on medical record review and interview, the Administrator failed to administer the facility in a manner to ensure resident care plans were revised and to provide adequate supervision to prevent unsafe wandering and elopement from the facility for 1 of 1 resident (Resident #39) who was an elopement risk. The administrator's failure to ensure resident care plans were revised and to provide supervision and keep residents safe placed the residents in Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause serious injury, harm, impairment, or death to a resident).
G

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · Actual harm, isolated · Corrected (the home has a date of correction) September 8, 2022

Inspectors wroteBased on facility policy review, medical record review, observation, and interview the facility failed to implement a fall care plan for 1 of 7 sampled residents (Resident #16) which resulted in a left Femoral Neck fracture (hip fracture) which caused harm, and the facility also failed to implement a behavioral care plan for suicidal ideations for 1 of 25 sampled residents (Resident #8) which did not rise to the level of G.
E

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 8, 2022

Inspectors wroteBased on medical record review, observation, and interview, the facility failed to perform side rail assessments for 16 sampled residents (Resident #2, #8, #12, #13, #15, #16, #20, #21, #22, #23, #24, #26, #35, #37, #39, and #290) of 25 reviewed.
D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2022

Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to notify the State Agency of an elopement for 1 of 2 sampled residents (Resident #39) which resulted in a major fall with major injury.
D

Assure that each resident’s assessment is updated at least once every 3 months.

F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2022

Inspectors wroteBased on medical record review and interview the facility failed to complete a Quarterly and a Discharge Minimum Data Set (MDS) assessment for Resident #1. Review of the medical record revealed Resident #1 was admitted to the facility on [DATE] with diagnoses which included Alzheimer's Disease. Review of the medical record revealed a Quarterly MDS assessment dated [DATE] for Resident #1 was not completed. Review of the medical record revealed Resident #1 was discharged on 6/12/2022. Continued review revealed the Discharge MDS was not completed for Resident #1. During an interview on 7/12/2022 at 5:36 PM with the MDS coordinator after reviewing Resident #1's MDS assessments on her computer, she stated, She [Resident #1] had a Quarterly MDS due on 6/8/2022 and a discharge due on 6/12/2022. She pointed to her computer and said, It says open on my end so I didn't complete it. [...]
D

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2022

Inspectors wroteBased on medical record review and interview the facility failed to transmit a Quarterly and a Discharge Minimum Data Set (MDS) assessment for Resident #1. Review of the medical record revealed Resident #1 was admitted to the facility on [DATE] with diagnoses which included Alzheimer's Disease. Review of the medical record revealed a Quarterly MDS assessment dated [DATE] for Resident #1 was not transmitted. Review of the medical record revealed Resident #1 was discharged on 6/12/2022. Continued review revealed the Discharge MDS assessment for Resident #1 was not transmitted. During an interview on 7/12/2022 at 5:36 PM the MDS coordinator, after reviewing Resident #1's MDS assessments on her computer, stated, She [Resident #1] had a Quarterly MDS due on 6/8/2022 and a Discharge due on 6/12/2022. She pointed to her computer and said, I failed to complete and close them; [...]
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2022

Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to properly store a nebulizer mask for 1 of 4 sampled residents (Resident #290) who received respiratory treatments.
D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2022

Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to administer pneumonia vaccinations post signed consents reviewed for 4 of 25 sampled residents (Residents #9, #14, #16, and #30.)
D

Ensure staff are vaccinated for COVID-19

F888 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2022

Inspectors wroteBased on facility policy review, facility documentation review, and interview, the facility failed to have a policy to address the contingency plan related to Covid 19 outbreak.

August 27, 2019Standard inspection · 2 citations

D

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2019

Inspectors wroteBased on facility policy review, facility record review and interview, the facility failed to ensure Registered Nurse (RN) coverage 8 hours a day 7 days a week for 3 days ranging from November 18, 2018 through August 25, 2019.
D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2019

Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to serve food in a safe and sanitary manner for 1 of 7 residents (#13) during the breakfast meal on 8/26/19.

Fire safety inspections

7 fire safety citations on file: 5 on August 27, 2019, 2 on November 15, 2018.

Every fire safety citation7 citations

D
Address subsistence needs for staff and patients.

E 15 · August 27, 2019 · Corrected (the home has a date of correction)
D
List the names and contact information of those in the facility.

E 30 · August 27, 2019 · Corrected (the home has a date of correction)
D
Provide primary/alternate means for communication.

E 32 · August 27, 2019 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · August 27, 2019 · Corrected (the home has a date of correction)
D
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · August 27, 2019 · Corrected (the home has a date of correction)
D
Install an approved automatic sprinkler system.

K 351 · November 15, 2018 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · November 15, 2018 · Corrected (the home has a date of correction)

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	Tennessee	United States
All nursing staff (RN, LPN and aides)	3.41	3.80	3.86
Registered nurses	0.46	0.60	0.69
All nursing staff on weekends	3.35	3.31	3.42
Nurse aides	2.02
Licensed practical nurses	0.93
Nursing staff turnover (share who left in a year)	33.3%	48.9%	45.8%
Registered nurse turnover	20.0%	43.2%	42.9%
Administrators who left	not reported

CMS expects 3.52 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 3.43 on weekdays and 3.35 on weekends, 2% 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 3.62 in April to June 2025 to 3.41 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	3.41	0.46	3.43	3.35	0.0%	0 of 90	40
Oct to Dec 2025	3.27	0.43	3.27	3.26	0.0%	0 of 92	39
Jul to Sep 2025	3.45	0.47	3.54	3.21	0.0%	0 of 92	36
Apr to Jun 2025	3.62	0.44	3.67	3.49	0.0%	0 of 91	36
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Tennessee, Jan to Mar 2026	3.75	0.56	3.95	3.27	4.0%	0.7% 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	Tennessee	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	25.5	14.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	1.8	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	3.2	1.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	7.9	3.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	5.8	1.7	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	27.1	17.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	4.3	5.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	17.3	16.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	26.5	22.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	20.6	11.2	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.8	1.7	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.9	1.6	1.8

Owners and operators

Legal business name: TRI-AGE ADVENTURES, INC..

Name	Role	Type	Since
Austin, Linda	5% or greater direct ownership interest	Individual	11/02/1993
Walker, Beverly	5% or greater direct ownership interest	Individual	11/02/1993
Austin, Linda	W-2 managing employee	Individual	11/02/1993
Austin, Linda	Corporate officer	Individual	11/02/1993
Walker, Beverly	Corporate officer	Individual	03/01/2005

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 July 14, 2022: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on November 21, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on November 21, 2025: "Provide and implement an infection prevention and control program."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on July 14, 2022: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."

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Signature Healthcare of Monroe County Rehab and We
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The Waters of Gallatin
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Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.

Common questions

What is Knollwood Manor's Medicare star rating?: CMS rates Knollwood Manor 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Knollwood Manor get at its last inspection?: 5 health deficiencies at the standard inspection on November 21, 2025. The Tennessee average is 4.4.
Has Knollwood Manor been fined?: CMS lists no fines in the last three years.
Does Knollwood Manor 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 Knollwood Manor?: CMS lists 5 owners and managers. Legal business name: TRI-AGE ADVENTURES, INC..

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.