Nursing home
John Knox Manor I I
4401 Narrow Lane Road, Montgomery, AL 36116 · Map
Non profit - Corporation · 98 certified beds
John Knox Manor I I is a Medicare-certified nursing home in Montgomery, Alabama. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.68 hours per resident per day, above the Alabama average of 3.91. Its most recent inspection on Jan 4, 2024 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How John Knox Manor I I compares
This facility vs. the Alabama and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Alabama avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.68 | 3.91 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.57 | 0.64 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.02 | 2.50 | 2.34 | above avg |
| Nursing staff turnover | 63.8% | 48.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 3.0 | 3.9 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 4, 2024 inspection was corrected by February 8, 2024
What inspectors found at John Knox Manor I I
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 4, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 4, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jan 4, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 8, 2018
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4401 Narrow Lane Road
Montgomery, AL 36116 - CMS certification #
- 015135
- Ownership
- Non profit - Corporation
- Certified beds
- 98
- Avg residents/day
- 61.7
- Provider type
- Medicare and Medicaid
- First certified
- 1976-05-10
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around John Knox Manor I I using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2016
- Workplace safety 1 OSHA workplace safety inspection since 2022, 1 violation cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Mar 28, 2016 to Mar 25, 2018. Violations found: Overtime. Back wages: $96,234 owed to 92 employees. Employer as DOL recorded it: John Knox Manor, Inc. II (John Knox Manor, Inc.). Case 1847394.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Mar 23, 2022: monitoring inspection, partial (health). Case closed Jun 6, 2022. 1 violation cited (1 other). Penalties: $1,450 proposed, $1,450 now. OSHA record. OSHA recorded the employer as John Knox @ Home, LLC.
Details
- Other than serious: Electronic submission of injury and illness records (1904.41(a)(2)). Penalty $1,450 proposed, $1,450 now.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Baptist Medical Center South, Montgomery. 0.5 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Arabella Health and Wellness of Montgomery, Montgomery. 2.5 miles away, straight line.
- Nearest home health agency office
- Amedisys Home Health Of Montgomery, Montgomery. 3.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 36116 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Monarch Dialysis, Montgomery, 1.3 miles away, straight line (CMS rating 2 of 5 stars)
Fkc Montgomery, Montgomery, 2.2 miles away, straight line (CMS rating 2 of 5 stars)
Davita Pdi-Montgomery, Montgomery, 3.2 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 13 Medicare hospices tell CMS they serve ZIP code 36116.
Baptist Hospice, office in Montgomery, 0.5 miles away, straight line (CMS family survey rating 4 of 5 stars)
Enhabit Hospice Prattville, office in Montgomery, 4.0 miles away, straight line (CMS family survey rating 4 of 5 stars)
Aveanna Hospice Of Montgomery, office in Montgomery, 7.5 miles away, straight line - Nearest geriatric medicine practice
- Gerination Medical Centers LLC, Auburn. 49.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado relatively high, heat wave relatively high, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is John Knox Manor I I a good nursing home?
CMS gives John Knox Manor I I an overall rating of 2 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is John Knox Manor I I staffed?
John Knox Manor I I reports 4.68 total nurse hours per resident per day, compared with the Alabama average of 3.91.
Has John Knox Manor I I had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does John Knox Manor I I have?
John Knox Manor I I is certified for 98 beds.