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Compiled from official CMS federal data

Accura Healthcare of Knoxville, LLC, Knoxville, IA — Violations & Inspection Reports

CCN 165382 · 606 North Seventh Street, Knoxville, IA, 50138

Record as of Jun 2026 · Updated monthly from CMS

Does Accura Healthcare of Knoxville, LLC have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Accura Healthcare of Knoxville, LLC (CCN 165382), in Knoxville, IA, has federal inspection findings.

In its current inspection cycle, CMS cited the facility for 7 deficiencies; the most severe is rated J, which CMS classifies as Immediate Jeopardy — its most serious level, for noncompliance it found likely to cause serious harm or death. The latest standard health inspection on file is dated 2026-02-19. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $16,153 in civil money penalties on file against the facility. The record also includes 1 abuse- or neglect-related citation in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Feb 2025). This page restates the federal record and draws no conclusion of its own.

Abuse-, fall-, and care-related findings on the federal record

  • 1 citation in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Feb 2025.
  • 8 findings on file from complaint-triggered inspections.

Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.

FOR FAMILIES

What brings you to this record?

The Federal Record

At its most recent federal inspection, CMS cited this facility at the Immediate Jeopardy level — the most serious category CMS uses, for situations it found likely to cause serious harm or death.

Below is this facility's federal inspection record as on file with CMS.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.

Civil money penalties on file

$16,153

Have a lawyer review this record →

About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

Deficiency timeline

How to read these codes ↓

Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.

2025-10-13
CURRENT CYCLE
F760S/S J

Ensure that residents are free from significant medication errors.

2026-02-19
CURRENT CYCLE
F801S/S F

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.

2026-02-19
CURRENT CYCLE
F657S/S D

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

12 more citations on file — Abuse & neglect 1 · Medication & pharmacy 1 · Resident rights 2 · Other citations 8 (expand)
2026-02-19
CURRENT CYCLE
F755S/S D

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

2026-02-19
CURRENT CYCLE
F637S/S D

Assess the resident when there is a significant change in condition

2026-02-19
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2025-08-06
CURRENT CYCLE
F550S/S D

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

2025-04-22
HISTORICAL
F921S/S E

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

2025-02-03
HISTORICAL
F561S/S E

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

2025-02-03
HISTORICAL
F600S/S E

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-02-03
HISTORICAL
F943S/S D

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

2025-02-03
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2024-03-28
HISTORICAL
F812S/S E

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

2024-03-28
HISTORICAL
F801S/S D

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.

2024-01-18
HISTORICAL
F688S/S E

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Overall CMS star rating

This facility: 2  ·  CMS state average: 3.1

Both figures as published by CMS.

You may be reading this record for the first time.

If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.

Your federal record — tap to preview

Federal record

Accura Healthcare of Knoxville, LLC — Federal Record

CMS overall 2/5 · 7 current-cycle deficiencies


Section 7 — Case Context

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SECTION 7 — CASE CONTEXT

Add what you saw at Accura Healthcare of Knoxville, LLC to this record

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Strict time limits can apply to taking legal action — consider consulting a qualified attorney promptly.

What happened

What happened? Tap a category to see options — select all that apply. 'Other / I'm not sure' is fine.

No personal details on this step.

If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.

How to read this record

Making sense of a CMS inspection record

CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.

Three questions to ask on a tour

  • How is the home staffed on nights, weekends, and holidays?
  • What happens when a resident’s condition changes suddenly?
  • How, and how quickly, are families told about an incident?

Compare this facility on CMS’s own Care Compare →

Download the full federal record (PDF) →