Accura Healthcare Of Knoxville, Llc
Accura Healthcare of Knoxville, LLC in Knoxville, IA — inspection on October 13, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
jeopardy to resident health or safety
she yelled R#1's name but she didn't respond to verbal stimuli or to a sternal rub.
The ADON said to administer Narcan.
Staff A retrieved the Narcan from the medication cart.
The ADON administered the Narcan while Staff A called the ambulance.
Staff D reported she got the paper work ready for transfer that included both R#1 and R#3's lists of medications.
She reported R#1 got both medications listed.An interview on 10/8/25 at 9:25 AM, Staff E, Provider RN, reported on 10/3/25 about 7:30 AM she received a call from Staff A.
Staff A reported she gave R#1 her medications and R#3's medications in error.
Staff E instructed Staff A to monitor R#1 every hour and to send her to the emergency room if she had changes including lethargy.
Staff E hung up and consulted Staff F, NP, who directed to monitor R#1 with increased frequency and add IV fluids.An interview on 10/8/25 at 9:32 AM, R#1's Family Member stated the facility and hospital staff informed him that R#1 received someone else's medication. R#1's Family Member explained this forced him to make major decisions on treatments for sustaining her life. R#1's Family reported R#1 required ICU care, she now had new concerns regarding swallowing abilities, and continued receiving evaluation at the hospital.A Medication Management, Medication Administration policy updated 4/16/24 instructed general procedures to follow for all medications, included to identify the resident before administering medications.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.