CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1653822026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Accura Healthcare Of Knoxville, Llc

CMS lists this provider in Knoxville, IA, with 60 certified beds, an overall rating of 2/5, and 31 citation rows in the current August 2026 release.

606 North Seventh Street · Knoxville, IA 50138 · Marion County

CMS OVERALL RATING★★☆☆☆2/5CMS field—not our score or recommendation
Certified beds60CMS provider file
Recent citation rows31current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Accura Healthcare Of Knoxville, Llc survey cycles in this release

CMS supplies 3 survey-cycle rows for Accura Healthcare Of Knoxville, Llc in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-02-1972026-02-194
Cycle 22025-02-0352025-02-035
Cycle 32024-03-2832024-03-287
02 / CITATION DETAIL

Accura Healthcare Of Knoxville, Llc citations in the current release

CMS reports 31 citation rows, including 1 with G–L codes and 1 with J–L codes.

1 row carry G–L scope/severity codes; 1 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-02-19 · FIREE0039Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Correction field: Deficient, Provider has date of correction · 2026-03-20
2026-02-19 · HEALTHF0637Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

Correction field: Deficient, Provider has date of correction · 2026-03-25
2026-02-19 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2026-03-25
2026-02-19 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2026-03-25
2026-02-19 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-03-25 · complaint
2026-02-19 · HEALTHF0801Severity F · widespread; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2026-03-25
2026-02-19 · FIREK0161Severity E · pattern; potential for more than minimal harm

Construction Deficiencies

Use approved construction type or materials.

Correction field: Deficient, Provider has date of correction · 2026-03-20
2026-02-19 · FIREK0324Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2026-03-20
2026-02-19 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2026-03-20
2025-10-13 · HEALTHF0760Severity J · isolated immediate jeopardy

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Past Non-Compliance · 2025-10-03 · complaint
2025-08-06 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Past Non-Compliance · complaint
2025-04-22 · HEALTHF0921Severity E · pattern; potential for more than minimal harm

Environmental Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-04-30 · complaint
2025-02-03 · HEALTHF0561Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-02-25 · complaint
2025-02-03 · HEALTHF0600Severity E · pattern; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-02-25 · complaint
2025-02-03 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-02-25 · complaint
2025-02-03 · HEALTHF0943Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-02-25
2025-02-03 · FIREK0281Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Install proper backup exit lighting.

Correction field: Deficient, Provider has date of correction · 2025-02-18
2025-02-03 · FIREK0342Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-02-17
2025-02-03 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2025-01-31
2025-02-03 · FIREK0362Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-01-31
2025-02-03 · FIREK0711Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

Correction field: Deficient, Provider has date of correction · 2025-02-10
2024-03-28 · HEALTHF0801Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2024-04-17
2024-03-28 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-04-17
2024-03-28 · FIREK0161Severity D · isolated; potential for more than minimal harm

Construction Deficiencies

Use approved construction type or materials.

Correction field: Deficient, Provider has date of correction · 2024-04-29
03 / ENFORCEMENT FILE

CMS penalties reported for Accura Healthcare Of Knoxville, Llc

The August 2026 file contains 1 penalty row and $16,153 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2025-10-13Fine$16,1530
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Accura Healthcare Of Knoxville, Llc

CMS matched 6 ownership disclosure rows to Accura Healthcare Of Knoxville, Llc; names and roles are reported fields, not independently verified identities.

  • CONNER, ROBERTIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 01/01/2024
  • LEHMAN, DWALAIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 01/01/2023
  • TOTI, LISAIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 01/01/2020
  • TOTI, LISAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2020
  • LENEAVE, TEDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2016
  • AMERICAN HEALTHCARE MANAGEMENT SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2016

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Staffing hours and turnover for Accura Healthcare Of Knoxville, Llc

CMS reports 3.47 total nurse hours and 0.49 RN hours per resident day for this provider.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.47per resident day
RN hours0.49per resident day
Weekend nurse hours2.82per resident day
Staff turnover53.2%CMS reported field
06 / LOCAL RECORDS

Facilities published near Accura Healthcare Of Knoxville, Llc

The local peer set contains 1 other published facility record near Knoxville, IA, with separate bed, rating, and citation-row fields.

Open the Knoxville ledger →
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.