Knox County Nursing Home
Strong Medicare quality ratings; families often praise caring and attentive nursing staff. Still worth an in-person visit.
based on 35 Google reviews
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What this means for your family
This facility is highly regarded by many for its cleanliness and active environment. However, because some families have reported significant issues with administrative communication and staffing, we recommend you ask specifically about their current nurse-to-resident ratios and the process for resolving billing or administrative concerns before admission.
Google Reviews
Google Reviews
35 reviews on Google“Knox County Nursing Home receives high praise from many families and healthcare professionals for its caring staff, clean facilities, and engaging activities. However, a minority of reviewers report significant concerns regarding administrative responsiveness, billing issues, and occasional lapses in care quality due to staffing levels. Prospective families should weigh the strong community reputation against these specific reports of operational friction.”
Quality Themes
Tap a score for detailsStrengths
- Caring and attentive nursing staff
- Clean and well-maintained facility
- Engaging resident activities
- Excellent food quality
Concerns
- Administrative and billing communication issues (mentioned by 2 reviewers)
- Staffing shortages impacting care quality (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 41 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1Given that you have a 5-star CMS rating for health inspections, what specific protocols do you have in place to maintain such high standards of cleanliness and care?
- 2I noticed your team is very active in responding to feedback online; how do you typically handle communication with families regarding administrative or billing questions to ensure everything stays transparent?
- 3With a capacity of 169 residents, how do you manage staffing levels to ensure that every resident receives the attentive care that your facility is known for?
- 4Could you walk me through the variety of activities offered here and how you help new residents get involved and feel connected to the community?
- 5In the event of a medical emergency, what is your process for stabilizing a resident and how quickly are family members typically notified?
- 6Since you have a 4-star staffing rating, what steps are you currently taking to support your nursing team and minimize the impact of any potential staffing shortages on daily care?
Personalized based on this facility's data
Key Review Excerpts
“Never had a client that developed a bed sore, never complained of the food or staff. Knox County residents always visiting and participating regardless if they had a client there or not.”
“They were always helpful and called us at the least change in her health. We had at least one family member at the facility daily, so we saw how they cared for all.”
“They are always short staffed therefore the care supplied is terrible. The food is nasty and makes my loved one sick to his stomach every time he eats it.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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 · 17 measures
11
measures
3
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Knox County Nursing Home has concerning patterns with recurring issues in fire safety, emergency preparedness, and basic care quality appearing across multiple surveys from 2022-2024. Families have filed complaints that triggered inspections, including issues with nursing staffing and resident bladder/bowel care. While the facility has corrected deficiencies when cited, the repeated fire safety violations and complaint-driven inspections suggest ongoing operational challenges families should investigate further.
Aug 1, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Aug 16, 2024Routine7
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Egress Deficiencies
Have exits that are accessible at all times.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jun 15, 2023Routine7
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Egress Deficiencies
Have exits that are accessible at all times.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Provide properly protected cooking facilities.
Pharmacy Service Deficiencies
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.
Jun 15, 2023Complaint2
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Apr 28, 2022Routine4
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ownership & Operations
Who Operates This Facility
Knox County Nursing Home
government
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
35 reviews from families & visitors
Official Website
Visit knoxcountynursinghome.com
Medicare data downloads
Original nursing home datasets
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