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Knox County Nursing Home

⌖ Knoxville, IL · Knox County
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Medicare overall rating 4 of 5 stars
Certified beds169
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (county)

About Knox County Nursing Home

Knox County Nursing Home is a 169-bed government-run nursing home in Knoxville, IL. Medicare rates it 4 out of 5 stars overall (above average); the average in Illinois is 2.5. At its last full inspection (Aug 2024), inspectors found 3 problems, fewer than the Illinois average of 12.6. 1 citation in its recent inspections was for residents being harmed or put in immediate danger. Nurses and aides spend about 3 hr 44 min a day with each resident, about the same as the Illinois average of 3 hr 27 min. About 34% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are stronger for long-term care than for short-term rehab.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameKnox County Nursing Home
LocationKnox County, Illinois
Address800 North Market Street, Knoxville, IL 61448 · Knox County
CMS provider number145697
Ownership typeGovernment (county)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceSeptember 1, 1991 (35 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating4 of 5Above average
Health inspections4 of 5Above average
Quality measures3 of 5Average
Staffing4 of 5Above average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

3 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home.

Strengths

  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength
  • Health citations at last inspection3 (Aug 2024)Illinois average: 12.6. Most citations are minor and corrected within weeks.
    Strength
  • Nursing staff turnover34% a yearIllinois average: 44%
    Strength

About average

  • Nurse staffing per resident3 hr 44 min a dayIllinois average: 3 hr 27 min
    About average

Things to ask about

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  • Serious health citations1 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Jul 2026 (within the past year). All 1 were later corrected.
    Ask about this
  • Registered nurse time per resident28 min a dayIllinois average: 43 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Illinois average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 2 of 5 (below average)

  • Sent back to the hospital22.6%State average: 26.1%
    About average
  • Needed an emergency room visit12.2%State average: 13.9%
    About average
  • Newly given antipsychotic drugs0.9%State average: 2.2%
    Better than average

Physical therapist time: about 1 minute per resident a day. That is less than the state average of 3 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 4 of 5 (above average)

  • Falls with a major injury3.1%State average: 3.1%
    About average
  • Pressure sores (bedsores)3.7%State average: 4.8%
    Better than average
  • Given antipsychotic drugs0.7%State average: 21.7%
    Better than average
  • Hospital stays per 1,000 resident days1.3State average: 2.0
    Better than average

Source: Medicare (CMS) quality measures, compared with the Illinois average. Lower is better for every rate shown.

Who pays, and how full it is

Many residents here pay privately or through insurance. In Illinois, Medicaid pays for 62% of resident days at a typical home.

  • 10% Medicaid
  • 7% Medicare
  • 83% Private pay, insurance and other
Beds in use, on average64%Illinois typical: 73%
Cost of care per resident day$289Illinois typical: $320

Shares of resident days, from the home’s Medicare cost report for the year ending November 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 4 stars now, down from 5 stars in January 2019. It has ranged from 2 to 5 stars and changed 16 times.

Overall rating4★
Health inspections4★
Staffing4★
Quality of care3★
Nurse hours per resident per day3.7
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201955433.8
Jan 202042454.0
Jan 202132443.6
Jan 202222333.0
Jan 202333343.6
Jan 202444443.6
Feb 202555333.5
Feb 202655443.7
Sep 202644433.7

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Explore the area

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.