Accura Healthcare of Knoxville, LLC

In the surveyor’s words

From the most serious findings on record at Accura Healthcare of Knoxville, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Oct 13, 2025

  Based on clinical record review, staff interview, family interview, provider interview, and facility policy review the facility failed to ensure 1 of 4 residents reviewed received only their prescribed medications. Resident #1 (R#1) became unresponsive and required emergency medical interventions. R#1 transferred to the hospital and admitted to the Intensive Care Unit (ICU) due to a multi-drug interaction with diagnoses of cardiogenic shock and toxic encephalopathy. The facility reported census was 41.The State Agency informed the facility of the Immediate Jeopardy (IJ) on 10/8/25 at 1:55 PM. The IJ began on 10/3/25, following the administration of Resident #3's (R#3) medications to R#1. […]

• Immediate jeopardy, isolatedF689Sep 2, 2021

  Based on observation, record review and staff interviews, the facility failed to provide adequate supervision and proper use of assistive devices to mitigate a resident's risk for elopement (when a resident leaves the facility without staff knowledge or permission) for 1 out of 3 residents reviewed for wandering/elopement risk. Resident #6 exited the facility unattended through a door that had not been latching properly for several weeks and did not have an alarm attached to alert staff to a resident's attempt to exit unattended. These findings constituted an Immediate Jeopardy to resident health and safety. […]

• Immediate jeopardy, isolatedF742Sep 2, 2021

  Based on observations, chart review and interviews the facility failed to provide mental health treatment for 1 of 5 residents reviewed. Resident #1 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . According to the Pre-admission Screening and Resident Review (PASRR) dated [DATE], Resident #1 was admitted to the facility on [DATE] and according to the screening, it was recommended the resident participate in mental health services based on the diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . On [DATE] staff discovered Resident #1 with a bag over her head and a cord wrapped tightly around her neck. The suicide attempt caused an Immediate Jeopardy (IJ) situation. The facility reported a census of 48 residents. […]

• No harm, potential for more than minimal, widespreadF801Feb 19, 2026

  Based on staff interview, personnel file review, and facility policy review, the facility failed to designate a person to serve as the director of food and nutrition services who met the minimum qualifications to carry out the food and nutrition services. Findings include: During an interview on 2/16/26 at 9:15 a.m. with the Dining Services Manager, she revealed she had been promoted from cook to Dining Services Manager last month, January 2026. Further interview on 2/17/26 at 10:30 a.m. with the Dining Services Manager revealed she had been hired 9/8/23 as a housekeeper and soon after her hire, she then accepted a position in the facility's kitchen as dietary aide. She then accepted a position as [NAME] in January 2024. […]

• No harm, potential for more than minimal, widespreadF812Sep 15, 2022

  Based on observation, record review, and interview, the facility failed to maintain adequate kitchen sanitation and failed to carry out sanitary food handling practices. The facility reported a census of 55 residents. Findings include: A tour of the kitchen on 9/12/22 at 3:00 p.m. revealed the following concerns: a. Brown and yellow residue around burners and on the metal backsplash of the range b. White substance, dried, dripped down the outside of the oven door c. Burnt french fries in the left oven d. Burnt substances on the bottom of both ovens e. Crumbs in all the slots of the Cambro pellet heater f. 9 pieces of leftover breakfast egg bake, uncovered, in a pan on top of the toaster g. Cherry dessert sat out, uncovered, in pan on prep counter h. […]