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Nursing HomeMedicaid Investigative

Accura Healthcare of Knoxville, LLC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

606 North Seventh Street, Knoxville, IA 5013860 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.5/5

based on 11 Google reviews

5
4
3
2
1
Accura Healthcare of Knoxville, LLC Nursing Home in Knoxville, IA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (7 vs median 5)

Bottom 25% in IA · Worst in ACCURA HEALTHCARE chain · $16,153 in fines

Source: Medicare data

What this means for your family

This facility offers a clean environment with staff who are willing to accommodate specific monitoring needs for independent residents. However, families should be aware of inconsistent administrative communication and should conduct their own thorough tour to assess if the current management style aligns with their expectations.

Google Reviews

Google Reviews

11 reviews on Google
Accura Healthcare of Knoxville receives highly polarized feedback, with some families praising the compassionate staff and proactive care, while others express extreme dissatisfaction. Concerns center on administrative professionalism and the overall quality of care, with some reviewers warning against choosing this facility for loved ones.

Quality Themes

Tap a score for details
Food10.0Staff5.0Clean10.0Activities10.0MedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • Compassionate nursing staff
  • Proactive monitoring of residents
  • Inviting and clean facility environment

Concerns

  • Poor administrative professionalism and communication (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02019(1)1.02020(1)5.02021(1)1.02022(1)3.02024(2)2.02025(4)1.02026(1)

Distribution · 11 analyzed

5
4
4
0
3
0
2
0
1
7

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the current staffing levels, how does your team ensure that residents receive consistent, personalized attention throughout the day?
  • 2Could you walk me through your process for communicating updates or changes in a resident's care plan to family members, and how do you ensure that communication remains proactive and transparent?
  • 3With 7 recent health inspection deficiencies noted, what specific steps is the facility taking to address these areas and improve the quality of care for residents?
  • 4While I see the facility is kept clean and inviting, what specific daily activities or social programs are currently in place to keep residents engaged and active?
  • 5In the event of a medical emergency, what is your specific protocol for stabilizing a resident and notifying their family members immediately?
  • 6How does your administrative team work to resolve concerns or questions from families to ensure that everyone feels heard and supported?

Personalized based on this facility's data


Key Review Excerpts

She has a very nice room. They moved her across from the nurses station so that they could keep a closer eye on her because she is very independent and does not like to call for help.

Memory care family member · 2025★★★★★

Amazing facility with kind and compassionate staff. The nursing side of the facility was problem free on the state inspection

Long-term resident's family · 2024★★★★★

Great staff and a beautiful facility. Very inviting and caring to every resident and visitors. Great food and fun activities daily.

Long-term resident's family · 2019★★★★★
Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.61hrs
82%
Registered nurses for medical care
Total Nursing
3.98hrs
97%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
67%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility38.0%
Worse than Avg
Here
38.0%
US
15.3%
IA
17.5%
Marion
12.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.9%
Better than Avg
Here
1.9%
US
12.1%
IA
4.1%
Marion
22.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility34.7%
Worse than Avg
Here
34.7%
US
19.5%
IA
20.7%
Marion
20.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility20.9%
Worse than Avg
Here
20.9%
US
14.4%
IA
17.6%
Marion
9.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility19.1%
Better than Avg
Here
19.1%
US
19.4%
IA
25.9%
Marion
19.0%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility7.9%
Worse than Avg
Here
7.9%
US
3.2%
IA
3.7%
Marion
2.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility63.9%
Worse than Avg
Here
63.9%
US
81.8%
IA
84.0%
Marion
81.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility6.7%
Worse than Avg
Here
6.7%
US
1.6%
IA
2.0%
Marion
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
1penalties
Above state avg (6.2)
12 complaint-triggered
$16,153 in fines

Families have filed complaints that triggered serious deficiencies including medication errors and resident protection failures. This facility shows recurring problems with fire safety systems, abuse prevention, and care quality standards. While most issues have scheduled correction dates, the pattern of repeated fire safety violations and multiple complaint-driven investigations suggests ongoing operational challenges that families should carefully consider.

Feb 19, 2026Routine
8
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Feb 19, 2026Complaint
1
0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Oct 13, 2025Complaint
1
0760Immediate jeopardy · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Aug 6, 2025Complaint
1
0550Potential for harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Apr 22, 2025Complaint
2
0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Feb 3, 2025Routine
12
0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0342Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0362Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0342Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0362Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0943Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

0943Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Federal Penalties

Fine

Oct 13, 2025

$16,153

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
16deficiencies
Mar 25, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Feb 19, 2026Inspection
Clean

Fed violations: 5, State violations: 0

Oct 13, 2025Complaint
Clean

Fed violations: 1, State violations: 1

Aug 6, 2025Other
Clean

Fed violations: 1, State violations: 0

Apr 30, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Apr 22, 2025Complaint
Clean

Fed violations: 1, State violations: 0

Feb 25, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Feb 3, 2025Inspection
Clean

Fed violations: 4, State violations: 1

Ownership & Operations

Who Operates This Facility

Owner / Operator

Accura Healthcare of Knoxville, LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Accura Healthcare

Chain Size

41 facilities nationwide

Chain avg rating: 2.4/5 · Rank 29 of 37 (Worst)

Ownership & Management

Key personnel

Conner, RobertW-2 Managing EmployeeLehman, DwalaW-2 Managing EmployeeToti, LisaW-2 Managing EmployeeToti, LisaOfficer / DirectorLeneave, TedOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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