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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