All states › Iowa › Knoxville › Accura Healthcare of Knoxville
606 North Seventh Street Knoxville, IA 50138 · Marion County
All 2 nursing homes in Knoxville, IA (2 take Medicaid)
CMS certification number 165382 · See this home on Medicare Care Compare
Is Accura Healthcare of Knoxville a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Accura Healthcare of Knoxville as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.45 hours per resident per day at Accura Healthcare of Knoxville, below the Iowa median of 3.76 (US median: 3.72). About 0.45 of those hours are from registered nurses. On weekends it falls to 2.89 hours, 16% below its all-week average. Ask how weekends are staffed. 56.9% of nursing staff left within a year (Iowa median 41.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Accura Healthcare of Knoxville: Medicare and Medicaid
Accura Healthcare of Knoxville is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 19, 2026 and found 4 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 15 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 15 citations at Accura Healthcare of Knoxville across 7 inspection dates, 8 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on October 13, 2025 (complaint inspection). The most common areas cited were resident assessment and care planning (4) and nutrition and dietary (3). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level J, October 13, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
February 19, 2026 · 5 citations · includes complaint inspection
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
DAssess the resident when there is a significant change in condition
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
October 13, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that residents are free from significant medication errors.
August 6, 2025 · 1 citation · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
April 22, 2025 · 1 citation · includes complaint inspection
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
February 3, 2025 · 4 citations · includes complaint inspection
EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure services provided by the nursing facility meet professional standards of quality.
DGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
March 28, 2024 · 2 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
January 18, 2024 · 1 citation · includes complaint inspection
EProvide 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.
Questions to ask on a tour of Accura Healthcare of Knoxville
- Inspectors cited the home at the immediate-jeopardy level on October 13, 2025 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 3, 2025. How are staff trained, and how are concerns reported?
- Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 56.9% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $16,153 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 13, 2025 | Fine | $16,153 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 3/5 | 2/5 |
| August 2026 | 2/5 | 2/5 | 3/5 | 3/5 |
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Location
Hospitals near Accura Healthcare of Knoxville
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.4 mi
Knoxville Hospital & Clinics KnoxvilleEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 18m for patients treated and sent home
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11.2 mi
Pella Regional Health Center PellaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 32m for patients treated and sent home
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23.2 mi
Lucas County Health Center CharitonEmergency roomMedian ER visit 1h 48m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Accura Healthcare of Knoxville › All nursing homes in Knoxville ›
Compare Accura Healthcare of Knoxville with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- West Ridge Specialty Care · Knoxville · 4 stars · 1.5 mi
Other Accura Healthcare nursing homes in Iowa
- Accura Healthcare of New Hampton · New Hampton · 5 stars
- Accura Healthcare of Bancroft · Bancroft · 5 stars
- Accura Healthcare of Sioux City · Sioux City · 5 stars
- Accura Healthcare of Milford · Milford · 5 stars
- Accura Healthcare of Stanton · Stanton · 4 stars
- Accura Healthcare of Ogden · Ogden · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 44 Accura Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.