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: July 19, 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

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating - 1 out of 5 stars - Much Below Average
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 1 out of 5 stars - Much Below Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 1 out of 5 stars - Much Below Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating - 1 out of 5 stars - Much Below Average
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
Staffing Rating - 3 out of 5 stars - Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours1.96 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours0.53 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
Ownership TypeFor profit - Corporation
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds49 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day34 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents0 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints0 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties2 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines2 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$44,912.80
Total monetary amount of fine imposed on the facility in the last 3 years.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2023155
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
April 18, 2025
Certificate Expiration Date
April 17, 2027
Laboratory Director
LINDA R. AUSTIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Knollwood Manor to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for KNOLLWOOD MANOR

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699872879, enumerated as an "organization" on September 20, 2006.

The provider is located at 405 TIMES AVE LAFAYETTE, TN 37083 and the phone number is (615) 666-3170.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to verify.