Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
KNOLLWOOD MANOR
LAFAYETTE, TN · 49 certified beds · Last Life Safety survey July 14, 2022
CMS Certification Number 445410 · first certified March 1998
Ownership
Independently operated (no chain recorded by CMS) · For profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within TN
7 citations — more than 45% of the 303 certified nursing homes in TN. Compared within TN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 0 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Past the typical window (October 2023 to March 2026). Most TN facilities have been surveyed by June 2027. This facility’s last Life Safety survey was July 2022. Facilities in TN are typically surveyed 15–44 months after the last one (median 33), measured over 279 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
3 of the 7 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 7 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 7 |
| Median facility in TN | 8 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| November 15, 2018 | 2 |
| August 27, 2019 | 5 |
| July 14, 2022 | 0 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2018-11-15 |
| E-0015 | Address subsistence needs for staff and patients. | 1 | 2019-08-27 |
| E-0032 | Provide primary/alternate means for communication. | 1 | 2019-08-27 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2019-08-27 |
| E-0030 | List the names and contact information of those in the facility. | 1 | 2019-08-27 |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | 1 | 2019-08-27 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2018-11-15 |
What the citations cover
- Emergency Preparedness Deficiencies 3
- Smoke Deficiencies 3
- Gas, Vacuum, and Electrical Systems Deficiencies 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 3 |
| Smoke Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
August 27, 2019 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (October 11, 2019) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (October 11, 2019) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (October 11, 2019) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (October 11, 2019) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (October 11, 2019) |
November 15, 2018 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (December 30, 2018) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (December 30, 2018) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.