Skilled nursing facility · CMS certification number 265763

KNOX COUNTY NURSING HOME DISTRICT

EDINA, Missouri · Medicare and Medicaid

Certified beds, as filed in Care Compare: 60

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 3 · Fines: 1 · Fines, total amount: $93,280.00 · Payment denials: 2. The most recent penalty on file: February 26, 2026, Fine, $60,632. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for September 1, 2024 to August 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 13, 2026.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$3,499,987	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$269,159	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,230,828	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,910,304	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$679,476	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$550,923	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$128,553	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$128,553 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	21,900	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	932	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	5,370	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	7,415	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	13,965	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	10	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	1	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	13	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	27	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	93.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	5,370	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	517.22	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448527, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended August 31, 2024

Cost report for September 1, 2023 to August 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 26, 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$3,184,852	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$253,100	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,931,752	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,742,234	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$810,482	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$475,004	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$335,478	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$339,103 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,937	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	24	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	301	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	564.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	580.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405820, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2023, ended August 31, 2023

Cost report for September 1, 2022 to August 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 12, 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$3,258,698	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$281,401	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,977,297	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,233,271	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$255,974	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$356,458	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$100,484	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $99,218 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,664	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	7	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	516	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,043.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	1,952	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1376308, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended August 31, 2022

Cost report for September 1, 2021 to August 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$2,958,856	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$226,629	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,732,227	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,871,405	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$139,178	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$361,483	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$222,305	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $220,608 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,357	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	68	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	159.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	277.84	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	196.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1345590, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2021, ended August 31, 2021

Cost report for September 1, 2020 to August 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$2,391,322	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$115,506	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,275,816	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,001,221	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$725,405	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$619,433	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$105,972	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$105,972 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,117	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	37	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	17.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	465.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	381.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313678, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended August 31, 2020

Cost report for September 1, 2019 to August 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 20, 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$2,568,629	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$180,714	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,387,915	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,887,464	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$499,549	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$426,220	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$73,329	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$73,329 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,148	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	52	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	262.92	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	272.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1289790, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended August 31, 2019

Cost report for September 1, 2018 to August 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 27, 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$2,745,419	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$313,486	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,431,933	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,686,333	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$254,400	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$263,093	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$8,693	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $4,655 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,068	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	161	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	40.39	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	87.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1251589, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2018, ended August 31, 2018

Cost report for September 1, 2017 to August 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 5, 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$2,558,745	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$288,449	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,270,296	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,449,954	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$179,658	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$306,046	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$126,388	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $79,024 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,532	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	87	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	176.96	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	155.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1220550, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended August 31, 2017

Cost report for September 1, 2016 to August 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$2,430,696	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$377,324	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,053,372	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,426,247	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$372,875	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$272,196	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$100,679	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$105,742 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,309	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	97	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	150.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	116.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188894, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2016, ended August 31, 2016

Cost report for September 1, 2015 to August 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 7, 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$2,201,042	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$321,075	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,879,967	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,274,483	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$394,516	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$798,319	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$403,803	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $403,803 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,155	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	72	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.65	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	239.74	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	154.93	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1153935, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2015, ended August 31, 2015

Cost report for September 1, 2014 to August 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 31, 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$1,941,702	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$362,725	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,578,977	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,136,261	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$557,284	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$236,072	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$321,212	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$395,623 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	8,884	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	67	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	201.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	132.6	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1121606, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2014, ended August 31, 2014

Cost report for September 1, 2013 to August 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 26, 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$2,285,830	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$371,553	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,914,277	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,198,482	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$284,205	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$240,183	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$44,022	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$45,348 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,806	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	88	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.62	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	170.22	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	122.8	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1086415, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2013, ended August 31, 2013

Cost report for September 1, 2012 to August 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 11, 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$2,522,966	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$465,492	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,057,474	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,179,308	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$121,834	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$222,834	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$101,000	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $101,000 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,262	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	82	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.87	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	176.7	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	137.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1055468, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2012, ended August 31, 2012

Cost report for September 1, 2011 to August 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 19, 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$2,257,951	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$340,497	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,917,454	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,079,142	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$161,688	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$334,566	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$172,878	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $172,878 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,570	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	83	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	201.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	139.4	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1027301, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2011, ended August 31, 2011

Cost report for September 1, 2010 to August 31, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 15, 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$1,839,511	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,107,828	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$268,317	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$213,511	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$50	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$54,856 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	11,352	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	88	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.76	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	183.77	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	129	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 426105, read from the public cost report file SNFFY2010.zip.

Fiscal year 2010, ended August 31, 2010

Cost report for September 1, 2009 to August 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 2, 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$1,701,072	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,904,565	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$203,493	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$221,772	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $18,279 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	11,009	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	51	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.86	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	577.64	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	215.86	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 394846, read from the public cost report file SNFFY2009.zip.

Fiscal year 2009, ended August 31, 2009

Cost report for September 1, 2008 to August 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 24, 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$1,639,110	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,900,995	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$261,885	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$228,430	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$33,455 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,721	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	93	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.21	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	196.88	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	115.28	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 364472, read from the public cost report file SNFFY2008.zip.

Fiscal year 2008, ended August 31, 2008

Cost report for September 1, 2007 to August 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 2, 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$1,782,278	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,972,206	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$189,928	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$231,557	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $41,629 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	12,683	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	124	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	24.37	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	191.14	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	102.28	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 334429, read from the public cost report file SNFFY2007.zip.

Fiscal year 2007, ended August 31, 2007

Cost report for September 1, 2006 to August 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 25, 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$1,879,310	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,862,407	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$16,903	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$217,770	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $234,673 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	13,872	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	96	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.89	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	262.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	144.5	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 305329, read from the public cost report file SNFFY2006.zip.

Fiscal year 2006, ended August 31, 2006

Cost report for September 1, 2005 to August 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 8, 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$1,813,262	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,813,238	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$24	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$199,246	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $199,270 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,248	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	123	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	43.23	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	245.83	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	115.84	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 295997, read from the public cost report file SNFFY2005.zip.

Fiscal year 2005, ended August 31, 2005

Cost report for September 1, 2004 to August 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$1,495,243	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,618,518	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$123,275	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$191,231	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $67,956 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	12,156	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	95	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	79	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	243.1	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	127.96	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 261398, read from the public cost report file SNFFY2004.zip.

Fiscal year 2004, ended August 31, 2004

Cost report for September 1, 2003 to August 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 18, 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$1,532,720	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,516,749	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$15,971	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$110,195	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $126,166 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	13,522	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	114	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	59.21	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	172.11	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	118.61	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 249726, read from the public cost report file SNFFY2003.zip.

Fiscal year 2003, ended August 31, 2003

Cost report for June 20, 2003 to August 31, 2003 — a reporting period of 72 days, not a full year, on form CMS-2540-96, settled, processed by CMS on June 18, 2004.

None of these figures is carried on this report.

CMS report record 183229, read from the public cost report file SNFFY2003.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
KNOX COUNTY NURSING HOME DISTRICT	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 05/09/1967
KNOX COUNTY NURSING HOME DISTRICT	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 05/09/1967
KNOX COUNTY NURSING HOME DISTRICT	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 05/09/1967
BERRY, KEN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 03/24/2021
EARLY, CONNIE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/15/2024
HAMLIN, TOM	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 04/07/2022
PALMER, LINDA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/27/2022
SAYRES, BRENDA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/27/2022
WITHEROW, PAMELA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 04/06/2021
KNOX COUNTY NURSING HOME DISTRICT	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 05/09/1967
MURRY, KATLIND	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/07/2022
STRANGE, LORI	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/06/2025

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of KNOX COUNTY NURSING HOME DISTRICT (enrollment ID O20040714001521).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
KNOX COUNTY NURSING HOME DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	5/9/1967	Private equity company: No Real estate investment trust: No Holding company: No
KNOX COUNTY NURSING HOME DISTRICT	Organization	5% OR GREATER MORTGAGE INTEREST	100	5/9/1967	Private equity company: No Real estate investment trust: No Holding company: No
KNOX COUNTY NURSING HOME DISTRICT	Organization	5% OR GREATER SECURITY INTEREST	100	5/9/1967	Private equity company: No Real estate investment trust: No Holding company: No
BRENDA SAYRES	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	10/27/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
CONNIE EARLY	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	11/15/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
KEN BERRY	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	3/24/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LINDA PALMER	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	10/27/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PAMELA SUE WITHEROW	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	4/6/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
TOM HAMLIN	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	4/7/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
KATLIND MURRY	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	7/7/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
KNOX COUNTY NURSING HOME DISTRICT	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	5/9/1967	Private equity company: No Real estate investment trust: No Holding company: No
LORI STRANGE	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	1/6/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

February 1, 2025: KATLIND MURRY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since July 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: KNOX COUNTY NURSING HOME DISTRICT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since May 9, 1967. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: KNOX COUNTY NURSING HOME DISTRICT (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since May 9, 1967. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: KNOX COUNTY NURSING HOME DISTRICT (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since May 9, 1967. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: KNOX COUNTY NURSING HOME DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since May 9, 1967. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: CONNIE EARLY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since November 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: PAMELA SUE WITHEROW (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 6, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: TOM HAMLIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: LORI STRANGE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: KEN BERRY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since March 24, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: LINDA PALMER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: BRENDA SAYRES (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
January 1, 2025: KAREN STONE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: LISA BUNCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: CONNIE EARLY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: PAMELA SUE WITHEROW no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: PAMELA SUE WITHEROW no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: TERESA BRADLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: TERESA BRADLEY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: KATLIND MURRY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: KNOX COUNTY NURSING HOME DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: KNOX COUNTY NURSING HOME DISTRICT no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: KNOX COUNTY NURSING HOME DISTRICT no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: KNOX COUNTY NURSING HOME DISTRICT no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: KEN BERRY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: BRENDA SAYRES no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
August 1, 2023: APRIL HRUSKA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
August 1, 2023: LISA BUNCH (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since September 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
August 1, 2023: KATLIND MURRY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since July 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv

Recent changes on this record

March 13, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
February 26, 2026: A penalty was recorded: Payment Denial. NH_Penalties_Sep2026_2.csv
March 26, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
February 1, 2025: KATLIND MURRY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since July 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: KNOX COUNTY NURSING HOME DISTRICT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since May 9, 1967. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: KNOX COUNTY NURSING HOME DISTRICT (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since May 9, 1967. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: KNOX COUNTY NURSING HOME DISTRICT (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since May 9, 1967. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: KNOX COUNTY NURSING HOME DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since May 9, 1967. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: CONNIE EARLY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since November 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: PAMELA SUE WITHEROW (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 6, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: TOM HAMLIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: LORI STRANGE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: KEN BERRY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since March 24, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: LINDA PALMER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
February 1, 2025: BRENDA SAYRES (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
January 1, 2025: KAREN STONE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: LISA BUNCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: CONNIE EARLY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: PAMELA SUE WITHEROW no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: PAMELA SUE WITHEROW no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: TERESA BRADLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: TERESA BRADLEY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: KATLIND MURRY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: KNOX COUNTY NURSING HOME DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: KNOX COUNTY NURSING HOME DISTRICT no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: KNOX COUNTY NURSING HOME DISTRICT no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: KNOX COUNTY NURSING HOME DISTRICT no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: KEN BERRY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
January 1, 2025: BRENDA SAYRES no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
April 12, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
August 1, 2023: APRIL HRUSKA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
August 1, 2023: LISA BUNCH (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since September 6, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
August 1, 2023: KATLIND MURRY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since July 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
April 18, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
April 21, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
July 20, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
February 27, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
March 5, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
May 2, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
March 7, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	February 26, 2026	February 26, 2026	14	6
2	February 1, 2024	February 1, 2024	16	8
3	September 30, 2020	September 30, 2020	11	7

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

41 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
February 26, 2026	Health	F 0569	Resident Rights Deficiencies	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.	D	No	Deficient, Provider has date of correction	April 8, 2026
February 26, 2026	Health	F 0637	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D	No	Deficient, Provider has date of correction	April 8, 2026
February 26, 2026	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	April 8, 2026
February 26, 2026	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	April 8, 2026
February 26, 2026	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	April 8, 2026
February 26, 2026	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	E	No	Deficient, Provider has date of correction	April 8, 2026
February 26, 2026	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	G	No	Deficient, Provider has date of correction	April 8, 2026
February 26, 2026	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	G	No	Deficient, Provider has date of correction	April 8, 2026
February 26, 2026	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	April 8, 2026
February 26, 2026	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	April 8, 2026
February 26, 2026	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E	No	Deficient, Provider has date of correction	April 8, 2026
February 26, 2026	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	April 8, 2026
February 26, 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	May 22, 2026
February 26, 2026	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	E	No	Deficient, Provider has date of correction	April 8, 2026
August 14, 2025	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	Yes	Deficient, Provider has date of correction	September 19, 2025
February 1, 2024	Health	F 0568	Resident Rights Deficiencies	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	E	No	Deficient, Provider has date of correction	March 1, 2024
February 1, 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E	No	Deficient, Provider has date of correction	March 1, 2024
February 1, 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	March 1, 2024
February 1, 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	No	Deficient, Provider has date of correction	March 1, 2024
February 1, 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	C	No	Deficient, Provider has date of correction	March 1, 2024
February 1, 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	March 1, 2024
February 1, 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	March 1, 2024
February 1, 2024	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	March 1, 2024
February 1, 2024	Health	F 0728	Nursing and Physician Services Deficiencies	Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.	F	No	Deficient, Provider has date of correction	March 1, 2024
February 1, 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	March 1, 2024
February 1, 2024	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	March 1, 2024
February 1, 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	March 1, 2024
February 1, 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	March 1, 2024
February 1, 2024	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	E	No	Deficient, Provider has date of correction	March 1, 2024
February 1, 2024	Health	F 0909	Environmental Deficiencies	Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.	E	No	Deficient, Provider has date of correction	March 1, 2024
September 30, 2020	Health	F 0567	Resident Rights Deficiencies	Honor the resident's right to manage his or her financial affairs.	C	No	Deficient, Provider has date of correction	November 27, 2020
September 30, 2020	Health	F 0568	Resident Rights Deficiencies	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	C	No	Deficient, Provider has date of correction	November 27, 2020
September 30, 2020	Health	F 0606	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Not hire anyone with a finding of abuse, neglect, exploitation, or theft.	D	No	Deficient, Provider has date of correction	November 27, 2020
September 30, 2020	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	November 27, 2020
September 30, 2020	Health	F 0678	Quality of Life and Care Deficiencies	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.	K	No	Deficient, Provider has date of correction	November 27, 2020
September 30, 2020	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	November 27, 2020
September 30, 2020	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	November 27, 2020
September 30, 2020	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E	No	Deficient, Provider has date of correction	November 27, 2020
September 30, 2020	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	November 27, 2020
September 30, 2020	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	November 27, 2020
September 30, 2020	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	November 27, 2020

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
February 26, 2026	Fine	$60,632			139433
February 26, 2026	Payment Denial		April 4, 2026	48
February 26, 2026	Payment Denial		April 7, 2026	45
August 14, 2025	Payment Denial		September 17, 2025	2

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Government - County
Legal Business Name	KNOX COUNTY NURSING HOME DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2003-06-20
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Knox
Telephone Number	6603972282
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	60
Average Number of Residents per Day	38.3
Overall Rating	1
Health Inspection Rating	1
QM Rating	1
Long-Stay QM Rating	1
Short-Stay QM Rating	1
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.

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