KNOLLWOOD MANOR
NPI 1699872879
Skilled Nursing Facility in Lafayette, TN

Active since September 20, 2006CLIA 44D2023155 · Waiver
1/5
Overall Rating
405 TIMES AVE, LAFAYETTE, TN 37083(615) 666-3170(615) 666-9146 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Knollwood Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KNOLLWOOD MANOR (NPI 1699872879) is a healthcare organization registered as a skilled nursing facility in Lafayette, Tennessee and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 17, 2027, maintains a secondary practice location in Lafayette, and lists Linda Ruth Austin, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1699872879
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTRI-AGE ADVENTURES, INC.
Location Address405 TIMES AVELafayette, TN 37083-1247
Mailing Address405 Times AveLafayette, TN 37083-1247 · (615) 666-3170 · Fax (615) 666-9146
Fax(615) 666-9146
Organization SubpartNo
Authorized OfficialLinda Ruth AustinOwner/administrator · (615) 666-3170
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJune 21, 2022
NPPES CertifiedJune 21, 2022
NPI 1699872879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TN · 168
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
405 TIMES AVE, Lafayette, TN 37083

Other Names 2

Doing Business AsKnollwood Manor
Doing Business AsKnollwood Manor/the White House Assisted Living

Secondary Practice Location 1

Location 1405 Red Boiling Springs RdLafayette, TN 37083-1755 · Phone (615) 666-5566 · Fax (615) 666-6565

Other Identifiers 2

Medicaid0445410TN
Medicaid7440570TN

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2023155

Knollwood Manor · Lafayette, TN
Active · expires Apr 17, 2027
CLIA Number44D2023155
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 18, 2025
Certificate Expiration DateApril 17, 2027
Laboratory DirectorLinda R. Austin
Laboratory Phone(615) 666-3170
Laboratory LocationKnollwood Manor405 Times Ave, Lafayette, TN 37083
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Knollwood Manor (CMS certification number 445410), from CMS Care Compare.

Knollwood Manor

Nursing home · Lafayette, TN
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number445410
Certified Beds49 beds34 residents per day on average
Medicare & Medicaid Participant SinceMarch 12, 1998
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
117.5
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.96 · LPN 0.98 · RN 0.53
3.47 hrs per resident per day
Weekend Nurse Staffing
3.31 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
35.3%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
2 totaling $44,912.80
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-Age Adventures, Inc.'s NPI number?

The NPI number for Tri-Age Adventures, Inc. is 1699872879. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Knollwood Manor and Knollwood Manor/The White House Assisted Living.

Where is Tri-Age Adventures, Inc. located?

Tri-Age Adventures, Inc. is located at 405 Times Ave, Lafayette, TN 37083. The listed phone number is (615) 666-3170.

What is Tri-Age Adventures, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Tri-Age Adventures, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2023155) is associated with this NPI, valid through April 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Tri-Age Adventures, Inc. a Medicare-certified nursing home?

Yes. Knollwood Manor is a Medicare-certified nursing home with 49 certified beds.

What quality rating does Tri-Age Adventures, Inc. have?

CMS rates Knollwood Manor 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Tri-Age Adventures, Inc. accept?

Health plans from BlueCross BlueShield of Tennessee list Tri-Age Adventures, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tri-Age Adventures, Inc. was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.