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Assisted Living Home

John Knox Manor – Retirement Community

Assisted Living Home

John Knox Manor – Retirement Community

4401 Narrow Lane Rd, Montgomery, AL 36116 View map
Overview of John Knox Manor – Retirement Community

John Knox Manor is the retirement community of the John Knox senior living group; the retirement home creates an atmosphere where seniors maintain an active lifestyle or learn to. The staff is committed to creating a comfortable atmosphere for the residents to build a mutual level of trust and respect among each other. The resident-centered community promotes independence in a warm and welcoming atmosphere. For over 50 years, John Knox Manor has maintained a professional and compassionate level of service over the decades. 
John Knox Manor has provided a community where staff and residents have maintained a well-trusted friendship over the decades. There’s a list of activities in store for the members of the community; to name some of these include an outdoor seating area, an arts and crafts room, a beauty salon, and a barbershop; as well as having complimentary transportation, scheduled outings and events, and weekly housekeeping and linen services. 

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
2/5
Alabama average: 2.9/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
3/5
Alabama average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
3/5
Alabama average: 3.6/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
1/5
Alabama average: 3.0/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
5h 1m per day

This home provides 14% more nursing time per resident than the Alabama average.

Alabama average: 4h 23m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 98

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Alabama average
Occupancy rate 58.2%
Residents per day (avg) 61
Occupancy rate
58.2%
Residents per day (avg)
61

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

43% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

49% of new residents, often for short stays.

Typical stay 1 years

Medicaid

7% of new residents, often for long-term daily care.

Typical stay 3 years

Finances and operations

Privately-owned community
Home revenue
$7.8M
Profit
$914.0K
Privately-owned community
Home revenue
$7,760,108.00
Profit
$913,968.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.6M
46.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.9M
Total costs $6.5M
Bed community size
98-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 34 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

License details

Facility type
Nursing Home
Status Regular
County: Montgomery

Additional licensing details

Business type: Corporation

Ownership & operating entity

John Knox Manor – Retirement Community is administrated by Terri K. Howell.

Type Of Units

SNF (Skilled Nursing)
98 units
Total beds
98 units

Care Services

Accepts Medicaid
Accepts Medicare
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab

All Levels of Care

Independent Living
Assisted Living
Skilled Nursing
Memory Care
Home Care

Programs & Activities

Specific Programs
Independent Living, Catered Living, Assisted Living, Skilled Nursing, Rehab Services, Memory Care, Home Care

Types of Care at John Knox Manor – Retirement Community

Assisted Living Nursing Home Independent Living Home Care
Contact John Knox Manor – Retirement Community

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare

Health Inspection History

Inspections
Total health inspections 2

Alabama average 2.9


Last Health inspection on Jan 2024

Total health citations 4

Alabama average 10.4

Citations per inspection
2

Alabama average 3.46


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 4 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Alabama average

Alabama average: 0.7


Serious Health citations More info 0
100% better than Alabama average

Alabama average: 0.2

0 critical citations More info Alabama average: 0.7

0 serious citations More info Alabama average: 0.2

4 moderate citations More info Alabama average: 9.1

0 minor citations More info Alabama average: 0.4
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jan 04, 2024
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jan 04, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Jan 04, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Nov 08, 2018
Corrected

Compare Assisted Living around Montgomery The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.

John Knox Manor – Retirement Community
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Montgomery
98
No
-
34
-
Oak Grove Inn
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Montgomery
52
No
A+
2
-
Asher Point Independent Living of Montgomery
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Montgomery
-
No
-
60
-
Belmont Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Montgomery
-
No
A+
11
-
CaraVita Village
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Montgomery
-
No
A+
41
1 bed / 2 bed / 3 bed

Places of interest near John Knox Manor – Retirement Community

Address 5.4 miles from city center — 0.29 miles to nearest hospital (Encompass Health Rehabilitation Hospital of Montgomery)

Address 4401 Narrow Lane Rd, Montgomery, AL 36116

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 97
Employees 82
Contractors 15
Staff to resident ratio 1.67:1
6% better than Alabama average

Alabama average ratio: 1.57:1

Avg staff/day 43
Average shift 7.7 hours
0% compared with Alabama average

Alabama average: 7.9 hours

Total staff hours (quarter) 30,259
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 45
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

5.5%

1,678 contractor hours this quarter

Speech Language Pathologist: 4 Respiratory Therapy Technician: 3 Physical Therapy Assistant: 2 Physical Therapy Aide: 2 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant4504516,23191100%8.2
Licensed Practical Nurse170175,52591100%7.9
Registered Nurse8082,00491100%7.6
Clinical Nurse Specialist3031,4216774%8
Administrator2021,0406571%8
Other Dietary Services Staff3037997886%6.4
Mental Health Service Worker2026056571%6.9
Speech Language Pathologist0445607886%3.7
Physical Therapy Assistant0225246673%7.8
Nurse Practitioner1015206571%8
Dental Services Staff1014374954%8.9
Qualified Social Worker0114137380%5.7
Medical Director011651314%5
Occupational Therapy Aide011521314%4
Respiratory Therapy Technician033312123%1.4
Occupational Therapy Assistant0112233%7.3
Physical Therapy Aide0221055%2
45 Certified Nursing Assistant
% of Days 100%
17 Licensed Practical Nurse
% of Days 100%
8 Registered Nurse
% of Days 100%
3 Clinical Nurse Specialist
% of Days 74%
2 Administrator
% of Days 71%
3 Other Dietary Services Staff
% of Days 86%
2 Mental Health Service Worker
% of Days 71%
4 Speech Language Pathologist
% of Days 86%
2 Physical Therapy Assistant
% of Days 73%
1 Nurse Practitioner
% of Days 71%
1 Dental Services Staff
% of Days 54%
1 Qualified Social Worker
% of Days 80%
1 Medical Director
% of Days 14%
1 Occupational Therapy Aide
% of Days 14%
3 Respiratory Therapy Technician
% of Days 23%
1 Occupational Therapy Assistant
% of Days 3%
2 Physical Therapy Aide
% of Days 5%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
58 residents
Residents by payment source
Medicare
4 residents (6.9%)
Medicaid
14 residents (24.1%)
Private pay or other
40 residents (69%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 12.2
37% worse than Alabama average

Alabama average: 8.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.7
43% worse than Alabama average

Alabama average: 14.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 24.8%
79% worse than Alabama average

Alabama average: 13.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 23.1%
43% worse than Alabama average

Alabama average: 16.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 14.0%
In line with Alabama average

Alabama average: 13.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.6%
35% worse than Alabama average

Alabama average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.3%
11% better than Alabama average

Alabama average: 5.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.1%
21% better than Alabama average

Alabama average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.1%
44% better than Alabama average

Alabama average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Alabama average

Alabama average: 1.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.3%
11% better than Alabama average

Alabama average: 20.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
9% better than Alabama average

Alabama average: 91.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than Alabama average

Alabama average: 94.8%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.2%
8% better than Alabama average

Alabama average: 83.7%

Guides for Better Senior Living

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Financial Aid for Alabama Seniors

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Elderly and Disabled Waiver

Alabama Medicaid E&D Waiver

Age 65+ or disabled, Alabama resident, Medicaid-eligible, requires nursing home-level care but can live in community with support.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple) (excludes home, car).

Must be assessed by a nurse for nursing home-level care need.

Alabama Respite for Caregivers Program

Alabama Respite (via NFCSP)

Caregiver of someone 60+ (or with dementia), Alabama resident.

No strict limit; prioritizes low-income.

Not applicable.

Focus on rural caregivers; limited funding.

SenioRx Prescription Assistance Program

AL SenioRx

Age 55+, Alabama resident, chronic illness requiring daily medication, not fully covered by other drug plans.

~$3,000/month (individual, varies by AAA).

Not strictly enforced; income-focused.

High ROI; saved $43.5M for 6,825 participants in FY 2022.

Weatherization Assistance Program (WAP)

AL WAP

Age 60+ priority, Alabama resident, own or rent home, low-income status.

~$2,510/month (200% of poverty level, individual).

Not applicable; income-driven.

Prioritizes seniors and disabled; limited annual funding.

Section 202 Supportive Housing for the Elderly

AL Section 202

Age 62+, Alabama resident, very low income, able to live independently with support.

~$1,500/month (50% of area median income, individual, varies by county).

$10,000 (individual, excludes home if owned).

High demand in urban areas like Birmingham; limited units statewide.

Alabama CARES Program

AL CARES

Caregivers of Alabama residents aged 60+ needing assistance with 3+ daily activities; no age limit for caregivers.

No strict limit; cost-sharing based on recipient’s income (e.g., ~$2,500/month threshold).

Not applicable; focus on need.

Prioritizes caregivers with greatest economic/social need; complements respite programs like AL Lifespan Respite.