Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Knox County Nursing Home during CMS and state inspections, most recent first.
Staff did not consistently monitor or document nephrostomy tube output for a resident with bilateral nephrostomy tubes, as required by policy and physician orders. In a separate case, a CNA failed to use appropriate PPE and did not cleanse the catheter tubing during urinary catheter care for a resident, contrary to facility infection control protocols. Both deficiencies were confirmed by facility leadership and involved residents with complex medical histories.
The facility failed to serve meals simultaneously to residents seated at the same table, leading to dissatisfaction and feelings of neglect. Several residents reported delays in receiving their meals, with some having to wait while their table mates finished eating. Insufficient staffing in the dining room was cited as a contributing factor, and the facility's administrator acknowledged the need for improvement in meal service timing.
The facility failed to implement Enhanced Barrier Precautions and ensure proper PPE disposal for four residents. Staff did not wear gowns during high-contact care activities for residents with wounds and indwelling devices. Additionally, an LPN improperly disposed of soiled gowns by carrying them down the hallway instead of disposing of them in the residents' rooms.
Failure to Monitor Nephrostomy Output and Adhere to Catheter Care Protocols
Penalty
Summary
Facility staff failed to consistently monitor and document nephrostomy tube output for a resident with bilateral nephrostomy tubes. According to facility policy and physician orders, nephrostomy output was to be measured and recorded every eight hours, with separate documentation for each kidney. However, review of the resident's medical records revealed numerous gaps in documentation, indicating that staff did not reliably monitor or record the required output. The Director of Nursing confirmed these omissions and stated that it was her expectation for staff to document nephrostomy output as ordered. In a separate incident, staff did not adhere to infection control protocols during urinary catheter care for another resident. The facility's policy required the use of enhanced barrier precautions, including gown and gloves, during high-contact care activities involving indwelling medical devices such as urinary catheters. During observed catheter care, a CNA failed to wear a gown and did not cleanse the catheter tubing as required by the facility's performance skills guidelines. The CNA acknowledged these lapses during the observation. The Director of Nursing and Infection Preventionist both confirmed that staff are expected to use appropriate PPE and follow catheter care procedures. Both deficiencies involved residents with significant medical histories, including chronic kidney disease, urinary tract infections, and indwelling urinary devices. The failures were identified through observation, interview, and record review, and were confirmed by facility leadership. These lapses represent noncompliance with facility policies and physician orders regarding the care and monitoring of residents with nephrostomy tubes and urinary catheters.
Failure to Serve Meals Simultaneously at Resident Tables
Penalty
Summary
The facility failed to serve all residents at a table simultaneously during meal times, which is a violation of residents' rights to a dignified existence and self-determination. Observations during lunch hours revealed that several residents, including R36, R27, R9, and R45, were not served their meals at the same time as their table mates. For instance, R36 was left without a meal while others at the table had already finished eating, leading to feelings of neglect and frustration. Similarly, R27 had to wait for ten minutes after their table mate was served, and R9 and R45 experienced similar delays, with their table mates finishing their meals before they were served. Residents expressed dissatisfaction with the meal service, citing insufficient staffing in the dining room as a contributing factor to the delays. R27 mentioned a previous instance where it took two hours to receive a meal due to staff shortages. The facility's administrator acknowledged the issue, noting that while residents do not have assigned seating, many prefer to sit with the same people daily, and there is a need to improve the timing of meal service to ensure all residents at a table are served together.
Failure to Implement Enhanced Barrier Precautions and Proper PPE Disposal
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) and ensure proper disposal of Personal Protective Equipment (PPE) for four residents. For Resident 11, staff members were observed providing incontinence care and administering medication through a J-Tube without wearing gowns, despite the resident having a Stage Four Pressure Wound and being on EBP. Similarly, for Resident 150, staff did not wear gowns while performing glucose monitoring, transferring the resident, and administering insulin, even though the resident had a Non-Pressure Wound and was on EBP. Additionally, improper disposal of PPE was noted for Residents 6 and 51. A Licensed Practical Nurse (LPN) was observed carrying soiled gowns down the hallway instead of disposing of them in the residents' rooms. This occurred after providing wound care to Resident 6, who had an infected blister on the left heel, and Resident 51, who had a coccyx wound. The LPN acknowledged the mistake, and the facility's Infection Preventionist stated that contaminated gowns should be disposed of in the room or placed in a plastic trash bag if a linen barrel is not available.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Knoxville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Allure Of Knox County | 5 mi | — | 2 | 1 |
| Seminary Manor | 5.8 mi | — | 5 | 0 |
| Marigold Rehabilitation And Health Care Center | 5.9 mi | — | 6 | 2 |
| Allure Of Galesburg | 6.1 mi | — | 13 | 5 |
| Allure Of Lake Storey | 6.8 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.