Cycle 1
Health 2025-11-21 · Fire 2022-07-14
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Lafayette, TN
Knollwood Manor
1-star overall rating with 1-star inspections with 5 recent health deficiencies
405 Times Ave, Lafayette, TN
(615) 666-3170
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
49
Certified beds
Average residents
36
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1998-03-12
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.47
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.91
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.45
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.38
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.21
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.35
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.50
CMS adjusted RN staffing hours
Adjusted total hours
3.67
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
31%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,083
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.12
Composite VBP score used to determine payment impact.
Payment multiplier
0.9994
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.73% · Performance 22.11% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
6.63
Baseline 9.07% · Performance 6.17% · Measure score 6.63 · Achievement 5.58 · Improvement 6.63
Total nurse turnover
10
Baseline 39.13% · Performance 19.36% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
1.82
Baseline 3.53 hours · Performance 3.60 hours · Measure score 1.82 · Achievement 1.82 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.85% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 83 · Observed rate 7.23% · Lower 95% interval 6.45% |
| Discharge to community | 44.46% |
50.57%
6.1 pts worse
|
No Different than the National Rate · Eligible stays 108 · Observed rate 36.11% · Lower 95% interval 34.76% |
| Medicare spending per beneficiary | 1.23 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 93.62% |
95.27%
1.6 pts worse
|
Numerator 44 · Denominator 47 |
| Falls with major injury | 2.13% |
0.77%
1.4 pts worse
|
Numerator 1 · Denominator 47 |
| Discharge self-care score | 38.24% |
53.69%
15.4 pts worse
|
Numerator 13 · Denominator 34 |
| Discharge mobility score | 61.76% |
50.94%
10.8 pts better
|
Numerator 21 · Denominator 34 |
| Pressure ulcers or injuries, new or worsened | 4.26% |
2.29%
2 pts worse
|
Numerator 2 · Denominator 47 · Adjusted rate 3.91% |
| Healthcare-associated infections requiring hospitalization | 6.17% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 64 · Observed rate 3.13% · Lower 95% interval 3.22% |
| Staff COVID-19 vaccination coverage | 8.2% |
8.2%
About the same
|
Numerator 5 · Denominator 61 |
| Staff flu vaccination coverage | 44% |
42%
2 pts better
|
Numerator 33 · Denominator 75 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 17 · Denominator 34 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 3.7% |
25.2%
21.5 pts worse
|
Numerator 1 · Denominator 27 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.6
0.1 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.6
0.4 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
89.9%
10.1 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.3% |
94.5%
2.8 pts better
|
95.5%
1.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.8% |
3.6%
4.2 pts worse
|
3.3%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.6% · Q3 9.7% · Q4 13.3% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.7% |
11.8%
0.9 pts worse
|
11.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 6.7% · Q3 11.1% · Q4 24.0% · 4Q avg 12.7% |
| Percentage of long-stay residents who lose too much weight | 8.6% |
6.2%
2.4 pts worse
|
5.4%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 10.7% · Q3 4.2% · Q4 12.0% · 4Q avg 8.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 36.8% |
32.2%
4.6 pts worse
|
19.6%
17.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.7% · Q2 42.9% · Q3 36.0% · Q4 32.0% · 4Q avg 36.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.6% |
18.1%
7.5 pts better
|
16.7%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 9.1% · Q4 10.0% · 4Q avg 10.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 38.1% |
19.9%
18.2 pts worse
|
16.3%
21.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 38.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.6% |
15.3%
11.3 pts worse
|
14.9%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 33.3% · Q3 30.4% · Q4 13.0% · 4Q avg 26.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.0% |
0.9%
3.1 pts worse
|
1.0%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 5.4% · Q3 4.8% · Q4 2.9% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.9% |
1.9%
2 pts worse
|
1.7%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.7% · Q3 3.3% · Q4 3.3% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 41.9% |
20.2%
21.7 pts worse
|
19.8%
22.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 50.3% · Q2 53.3% · Q3 35.1% · Q4 26.7% · 4Q avg 41.9% |
| Percentage of long-stay residents with pressure ulcers | 3.4% |
5.4%
2 pts better
|
5.1%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 6.3% · Q4 4.6% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.9% |
79.6%
7.3 pts better
|
81.7%
5.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 95.7% · Q3 84.6% · Q4 73.3% · 4Q avg 86.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.4% |
11.2%
3.8 pts better
|
12.0%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.4% · Observed 6.7% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.3% |
1.6%
1.7 pts worse
|
1.6%
1.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q4 5.0% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.8% |
79.8%
2 pts better
|
79.7%
2.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.6% |
22.2%
1.6 pts better
|
23.9%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.6% · Observed 17.8% · Expected 20.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-07-14 · Fire 2019-08-27
11 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Cycle 3
Health 2019-08-27 · Fire 2018-11-15
2 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2019-08-27
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2019-10-11
D · Potential for more than minimal harm
2019-08-27
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2019-10-11
D · Potential for more than minimal harm
2019-08-27
E32 · Emergency Preparedness Deficiencies
Fire Safety
Provide primary/alternate means for communication.
Corrected 2019-10-11
D · Potential for more than minimal harm
2019-08-27
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-10-11
D · Potential for more than minimal harm
2019-08-27
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-10-11
D · Potential for more than minimal harm
2018-11-15
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2018-12-30
D · Potential for more than minimal harm
2018-11-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-12-30
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-11-21
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-11-22
E · Potential for more than minimal harm
2025-11-21
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-11-22
E · Potential for more than minimal harm
2025-11-21
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-11-22
E · Potential for more than minimal harm
2025-11-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-11-22
D · Potential for more than minimal harm
2025-11-21
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-11-22
J · Immediate jeopardy
2022-07-14
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-09-08
J · Immediate jeopardy
2022-07-14
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-09-08
J · Immediate jeopardy
2022-07-14
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2022-09-08
G · Actual harm
2022-07-14
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-09-08
E · Potential for more than minimal harm
2022-07-14
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2022-09-08
D · Potential for more than minimal harm
2022-07-14
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-09-08
D · Potential for more than minimal harm
2022-07-14
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2022-09-08
D · Potential for more than minimal harm
2022-07-14
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2022-09-08
D · Potential for more than minimal harm
2022-07-14
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-09-08
D · Potential for more than minimal harm
2022-07-14
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-09-08
D · Potential for more than minimal harm
2022-07-14
F888 · Infection Control Deficiencies
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-09-08
D · Potential for more than minimal harm
2019-08-27
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2019-09-01
D · Potential for more than minimal harm
2019-08-27
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-10-11
Penalties and ownership
What sits behind the stars
Ownership
Austin, Linda
5% Or Greater Direct Ownership Interest · Individual
Austin, Linda
Corporate Officer · Individual
Austin, Linda
W-2 Managing Employee · Individual
Walker, Beverly
5% Or Greater Direct Ownership Interest · Individual
Walker, Beverly
Corporate Officer · Individual
Nearby options
Other facilities in reach
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#2
Hartsville Convalescent Center
Hartsville, TN
2-star overall rating with 2-star inspections with $16,796 in total fines with 8 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#3
Westmoreland Care & Rehab Ctr
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4-star overall rating with 3-star inspections with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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