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Complaint Investigation

Accura Healthcare Of Knoxville, Llc

October 13, 2025 · Knoxville, IA · 606 North Seventh Street
Citations 1
CMS Rating 2/5
Beds 60
Provider ID 165382
Healthcare Facility
Accura Healthcare Of Knoxville, Llc
Knoxville, IA  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF0760
Pharmacy Service Deficiencies
Immediate Jeopardy

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.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Knoxville, IA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Accura Healthcare of Knoxville, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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