Total health inspections
2
Alabama average 2.9
Last Health inspection on Jan 2024
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.
John Knox Manor – Retirement Community
Nursing Home, Assisted Living, Independent Living & Home Care · Montgomery, AL
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
John Knox Manor – Retirement Community
Nursing Home, Assisted Living, Independent Living & Home Care · Montgomery, AL
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
John Knox Manor – Retirement Community accepts Medicaid, Medicare, and private pay.
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
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.
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.
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.
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 21st out of 130 homes in Alabama. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 21st out of 130 homes in Alabama. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 1m per day
Rank #21 / 130Nurse hours — State benchmarkedThis home is ranked 21st out of 130 homes in Alabama. Shows adjusted nurse hours per resident per day benchmarked to the Alabama average, with a ranking across 130 Alabama SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Alabama avg
+14%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 3m per day |
Types of Care at John Knox Manor – Retirement Community
Assisted Living
Nursing Home
Independent Living
Home Care
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
58.2%
Rank #113 / 129Occupancy rate — State benchmarkedThis home is ranked 113th out of 129 homes in Alabama. Shows this facility's occupancy rate versus the Alabama average, with its Statewide rank out of 129. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
367 days
Occupancy rate
58.2%
Rank #113 / 129Occupancy rate — State benchmarkedThis home is ranked 113th out of 129 homes in Alabama. Shows this facility's occupancy rate versus the Alabama average, with its Statewide rank out of 129. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
367 days
98-bed community Rank #83 / 131Bed count — State benchmarkedThis home is ranked 83rd out of 131 homes in Alabama. Shows this facility's certified or reported bed count compared to other Alabama SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 34 / 100 Rank #74 / 131Walk Score — State benchmarkedThis home is ranked 74th out of 131 homes in Alabama. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Alabama SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeNursing Home
StatusRegular
CountyMontgomery
Business TypeCorporation
John Knox Manor – Retirement Community is administrated by Terri K. Howell.
SNF (Skilled Nursing)
98 units
Total beds
98 units
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
Short-Term Rehab
Doctor on Staff
Home Care
Specific ProgramsCatered Living, Rehab Services
Health Inspection History
Inspections
Total health citations
4
Rank #14 / 130Health citations — State benchmarkedThis home is ranked 14th out of 130 homes in Alabama. Shows this facility's total health deficiency citations benchmarked to the Alabama State average, with a ranking across all 130 AL SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Alabama average 10.4
Citations per inspection
2
Rank #14 / 130Citations per inspection — State benchmarkedThis home is ranked 14th out of 130 homes in Alabama. Shows average deficiency citations per CMS inspection for this facility versus the Alabama mean across 130 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 8 years)
Critical Health citations
0
100% better than Alabama averageAlabama average: 0.7
Serious Health citations
0
100% better than Alabama averageAlabama average: 0.2
Citations history (last 8 years)
Infection Control moderate citation
Jan 04, 2024
Corrected
Nutrition moderate citation
Jan 04, 2024
Corrected
Care Planning moderate citation
Jan 04, 2024
Corrected
Infection Control moderate citation
Nov 08, 2018
Corrected
Staffing Data
Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
Total staff
97
Employees
82
Contractors
15
Staff to resident ratio
1.67:1
6% better than Alabama average
Avg staff/day
43
Average shift
7.7 hours
0% compared with Alabama average
Total staff hours (quarter)
30,259
Nursing staff breakdown
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
45
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Contractor staffing
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
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
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 45 | 0 | 45 | 16,231 | 91 | 100% | 8.2 |
| Licensed Practical Nurse | 17 | 0 | 17 | 5,525 | 91 | 100% | 7.9 |
| Registered Nurse | 8 | 0 | 8 | 2,004 | 91 | 100% | 7.6 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,421 | 67 | 74% | 8 |
| Administrator | 2 | 0 | 2 | 1,040 | 65 | 71% | 8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 799 | 78 | 86% | 6.4 |
| Mental Health Service Worker | 2 | 0 | 2 | 605 | 65 | 71% | 6.9 |
| Speech Language Pathologist | 0 | 4 | 4 | 560 | 78 | 86% | 3.7 |
| Physical Therapy Assistant | 0 | 2 | 2 | 524 | 66 | 73% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 437 | 49 | 54% | 8.9 |
| Qualified Social Worker | 0 | 1 | 1 | 413 | 73 | 80% | 5.7 |
| Medical Director | 0 | 1 | 1 | 65 | 13 | 14% | 5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 52 | 13 | 14% | 4 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 31 | 21 | 23% | 1.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 22 | 3 | 3% | 7.3 |
| Physical Therapy Aide | 0 | 2 | 2 | 10 | 5 | 5% | 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%
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.2
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 averageAlabama average: 8.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.7
43% worse than Alabama averageAlabama average: 14.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.8%
Percent of long-stay residents whose need for help with daily activities has increased
24.8%
79% worse than Alabama averageAlabama average: 13.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
23.1%
Percent of long-stay residents whose ability to move independently worsened
23.1%
43% worse than Alabama averageAlabama average: 16.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.0%
In line with Alabama averageAlabama average: 13.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
35% worse than Alabama averageAlabama average: 3.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.3%
Percent of long-stay high risk residents with pressure ulcers
5.3%
11% better than Alabama averageAlabama average: 5.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.1%
Percent of long-stay residents with a urinary tract infection
2.1%
21% better than Alabama averageAlabama average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.1%
Percent of long-stay residents who lose too much weight
3.1%
44% better than Alabama averageAlabama average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Alabama averageAlabama average: 1.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.3%
Percent of long-stay residents who received an antipsychotic medication
18.3%
11% better than Alabama averageAlabama average: 20.7%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Alabama averageAlabama average: 91.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Alabama averageAlabama average: 94.8%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.2%
8% better than Alabama averageAlabama average: 83.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
58
Medicare
4
6.9% of residents
Medicaid
14
24.1% of residents
Private pay or other
40
69% of residents
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for John Knox Manor – Retirement Community based on CMS SNF Cost Reports.
Occupancy Rate
58.2%
↑ 4.8pp vs 2023
Net Income
$914.0K
↑ ~$2.0M vs 2023
Total Payroll
$3.6M
↑ ~$334.0K vs 2023
Profit Margin
14.8%
↑ 36.6pp vs 2023
Finances and operations
Privately-owned community
Home revenue
$7.8M
Profit
$914.0K
Privately-owned community
Home revenue
$7.8M Rank #103 / 129Revenue — State benchmarkedThis home is ranked 103rd out of 129 homes in Alabama. Shows this facility's annual revenue compared to the Alabama SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$914.0K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #108 / 129Payroll — State benchmarkedThis home is ranked 108th out of 129 homes in Alabama. Shows total annual staff payroll benchmarked to the Alabama average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #108 / 129Payroll — State benchmarkedThis home is ranked 108th out of 129 homes in Alabama. Shows total annual staff payroll benchmarked to the Alabama average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.5M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near John Knox Manor – Retirement Community
5.4 miles from city center
Estimated distance in miles from Montgomery's city center to John Knox Manor – Retirement Community's address, calculated via Google Maps.
— 0.29 miles to nearest hospital (Encompass Health Rehabilitation Hospital of Montgomery)
Calculate Travel Distance to John Knox Manor – Retirement Community
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Financial Assistance for
Nursing Home in Alabama
John Knox Manor – Retirement Community is located in Montgomery, Alabama.
Here are the financial assistance programs available to residents in Alabama.
Frequently Asked Questions about John Knox Manor – Retirement Community
What neighborhood is John Knox Manor – Retirement Community in?
John Knox Manor – Retirement Community is in the Seth Johnson Estates neighborhood of Montgomery.
Is John Knox Manor – Retirement Community in a walkable area?
John Knox Manor – Retirement Community has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Who is the administrator of John Knox Manor – Retirement Community?
Terri K. Howell is the administrator of John Knox Manor – Retirement Community.
How many beds does John Knox Manor – Retirement Community have?
John Knox Manor – Retirement Community has 98 beds.
What is the phone number of John Knox Manor – Retirement Community?
(334) 288-6462 will put you in contact with the team at John Knox Manor – Retirement Community.
What county is John Knox Manor – Retirement Community located in?
John Knox Manor – Retirement Community is in Montgomery County.
Is John Knox Manor – Retirement Community Medicare or Medicaid certified?
Yes — John Knox Manor – Retirement Community is a CMS-certified provider of Medicare and Medicaid.
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