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Knox County Nursing Home

800 North Market Street, Knoxville, IL 61448 · Knox County · (309) 289-2338

169 certified beds, about 105 residents a day · Government - County · Medicare and Medicaid since 1991

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 145697 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 16, 2024, inspectors cited 2 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 8 health citations since April 2022, 1 was rated as actual harm or immediate jeopardy to residents.

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

Nurses and nurse aides worked 3.73 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.

34.0% of nursing staff left within the year CMS measured (Illinois average 44.5%).

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.

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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
3D
2E
2F
Potential for minimal harm
0A
0B
0C
July 30, 2026Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 24, 2026
    Inspectors wroteBased on interview and record review, the facility failed to provide adequate supervision and implement resident-specific fall prevention interventions to prevent accidents/injuries for two (R48 and R92) of six residents reviewed for accidents and supervision in the sample of 106. These failures resulted in actual harm to R92 after a fall forward from the wheelchair sustaining a laceration requiring sutures
August 1, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 15, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to monitor nephrostomy output for one of one resident (R18) reviewed for nephrostomy tubes, failed to wear appropriate Personal Protective Equipment and cleanse the urinary catheter during urinary catheter cares for one of six residents (R40), reviewed for urinary catheter care in a sample of 96.
August 16, 2024Standard inspection · 2 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 15, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to serve all residents at a table at the same time for five (R9, R27, R32, R36 and R45) of 26 residents reviewed for residents' rights in a sample of 28.
  2. 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) October 15, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Enhanced Barrier Precautions were implemented and failed to ensure proper disposal of Personal Protective Equipment for four residents (R6, R11, R51, R150) of 28 residents reviewed for Infection Control in a sample of 28.
June 15, 2023Standard inspection · 3 citations
  1. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 28, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide sufficient staff to care for dependent residents. This failure has the potential to affect all 79 residents residing in the facility.
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 28, 2023
    Inspectors wroteBased on interview and record review, the facility failed to provide incontinent care for one of three residents (R16) reviewed for bowel and bladder incontinence in the sample of 30.
  3. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 28, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to document behaviors to warrant the initiation of an antipsychotic medication for one of one resident (R16) reviewed for antipsychotics in the sample of 30.
April 28, 2022Standard inspection · 1 citation
  1. F
    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, widespread · Corrected (the home has a date of correction) May 25, 2022
    Inspectors wroteBased on observation, interview, and record review, the facility failed to date opened food, date food received or thawed, date thawed health shakes, clean the convection oven, ensure a covering for a food cart to keep food warm, and failed to wear a hair net in the kitchen. These failures have the potential to affect all 61 residents except R32 who is NPO (nothing by mouth).

Fire safety inspections

14 fire safety citations on file: 5 on August 16, 2024, 6 on June 15, 2023, 3 on April 28, 2022.

Every fire safety citation14 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 16, 2024 · Corrected (the home has a date of correction)
  2. F
    Have simulated fire drills held at unexpected times.
    K 712 · August 16, 2024 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 16, 2024 · Corrected (the home has a date of correction)
  4. E
    Have exits that are accessible at all times.
    K 271 · August 16, 2024 · Corrected (the home has a date of correction)
  5. E
    Have properly located and lighted "Exit" signs.
    K 293 · August 16, 2024 · Corrected (the home has a date of correction)
  6. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 15, 2023 · Corrected (the home has a date of correction)
  7. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 15, 2023 · Corrected (the home has a date of correction)
  8. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 15, 2023 · Corrected (the home has a date of correction)
  9. E
    Have exits that are accessible at all times.
    K 271 · June 15, 2023 · Corrected (the home has a date of correction)
  10. E
    Have an enclosure around a vertical opening shaft.
    K 311 · June 15, 2023 · Corrected (the home has a date of correction)
  11. E
    Provide properly protected cooking facilities.
    K 324 · June 15, 2023 · Corrected (the home has a date of correction)
  12. F
    Address patient/client population and determine types of services needed.
    E 7 · April 28, 2022 · Corrected (the home has a date of correction)
  13. F
    Conduct testing and exercise requirements.
    E 39 · April 28, 2022 · Corrected (the home has a date of correction)
  14. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 28, 2022 · 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.

MeasureThis homeIllinoisUnited States
All nursing staff (RN, LPN and aides)3.733.453.86
Registered nurses0.470.720.69
All nursing staff on weekends3.573.073.42
Nurse aides2.40
Licensed practical nurses0.86
Nursing staff turnover (share who left in a year)34.0%44.5%45.8%
Registered nurse turnover27.3%41.8%42.9%
Administrators who left0

CMS expects 3.34 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 3.80 on weekdays and 3.57 on weekends, 6% 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 3.74 in April to June 2025 to 3.73 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.730.473.803.57 0.0%0 of 90105
Oct to Dec 20253.690.423.743.54 0.0%0 of 92107
Jul to Sep 20253.700.413.793.49 0.0%0 of 92106
Apr to Jun 20253.740.493.843.51 0.0%0 of 91109
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Illinois, Jan to Mar 20263.260.653.402.925.4%0.6% 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 Illinois

JobMedianMiddle halfEmployed
Illinois, all employers
CNAs (nursing assistants)$22.10$18.95 to $23.2668,640
LPNs and LVNs$36.06$30.57 to $38.2517,440
Registered nurses$46.15$38.47 to $50.94138,910
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIllinoisUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.413.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.30.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.71.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.13.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.92.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
22.814.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.74.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
0.721.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.626.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.213.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.32.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.12.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Knox County Nursing Home's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

44.1% this home

No different from the national rate

US median of homes 51.5% · Illinois: 106 better, 85 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 118 eligible stays.

Potentially preventable readmissions

10.5% this home

No different from the national rate

US median of homes 10.7% · Illinois: 2 better, 14 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 128 eligible stays.

Infections that led to a hospital stay

7.3% this home

No different from the national rate

US median of homes 7.1% · Illinois: 3 better, 10 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 95 eligible stays.

Self-care and mobility at discharge

48.2% this home

Median of homes: Illinois50.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 83 residents counted.

Falls with major injury

0.0% this home

Median of homes: Illinois0.3% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 106 residents counted.

New or worsened pressure ulcers

6.0% this home

Median of homes: Illinois1.5% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 106 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Illinois100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 5 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: COUNTY OF KNOX.

NameRoleTypeShareSince
Mines, JodiCorporate directorIndividual01/15/2021
Mines, JodiOperational/managerial controlIndividual01/15/2021
Wicks, MeghanOperational/managerial controlIndividual09/07/2021
County of KnoxAdp of the SNFOrganization07/06/2012
Ahearn, MichaelAdp of the SNFIndividual05/15/2023
Mines, JodiAdp of the SNFIndividual01/15/2021
Wicks, MeghanAdp of the SNFIndividual09/07/2021

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.

  1. 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 30, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on August 16, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 16, 2024: "Provide and implement an infection prevention and control program."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on June 15, 2023: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."

Other nursing homes nearby

Illinois contacts for a concern about a nursing home

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

Common questions

What is Knox County Nursing Home's Medicare star rating?
CMS rates Knox County Nursing Home 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Knox County Nursing Home get at its last inspection?
2 health deficiencies at the standard inspection on August 16, 2024. The Illinois average is 12.6.
Has Knox County Nursing Home been fined?
CMS lists no fines in the last three years.
Does Knox County Nursing Home 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 Knox County Nursing Home?
CMS lists 7 owners and managers. Legal business name: COUNTY OF KNOX.

Sources

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