Knollwood Healthcare: Accident Hazard Failures - AL
The incident occurred on September 3rd when LPN #6 administered acetaminophen to Resident #20, who has a history of surgeries on the right knee, right ankle, and right hip. When questioned by inspectors eight days later, the nurse said she believed the resident's pain level was no greater than three on a 10-point scale, "otherwise she would have contacted the medical doctor."
But LPN #6 admitted she had not documented any pain assessment in the medical record. She told inspectors she "did not see the need to document the assessment because she thought RI #20 was fine after receiving the acetaminophen."
The facility's own Certified Registered Nurse Practitioner explained to inspectors that nurses should evaluate pain levels using a 1-to-10 scale before giving PRN pain medication, then reassess the patient 30 minutes after administration. "It would be important to determine the pain level to see if the medication was working and if further assessment was needed," the CRNP said.
Director of Nursing confirmed there was no documentation in the medical record showing any pain assessment had been conducted. She told inspectors the LPN "should have been aware of the necessity to carry out the pain assessment prior to administering the pain medication."
The significance of proper pain assessment, the DON explained, is "to evaluate its effectiveness and to ascertain whether the pain was a new occurrence or a chronic issue." For residents with dementia, she said, assessment should include observations of breathing patterns, negative vocalizations, facial expressions, body language, and the ability to be consoled.
The violation resulted from Incident #2612850.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Knollwood Healthcare from 2025-09-11 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
KNOLLWOOD HEALTHCARE in MOBILE, AL was cited for violations during a health inspection on September 11, 2025.
"It would be important to determine the pain level to see if the medication was working and if further assessment was needed," the CRNP said.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.