Knollwood Healthcare: Food Safety Violations - AL
LPN #6 at Knollwood Healthcare administered acetaminophen to Resident #20 on September 3 but could not remember if she had documented the resident's pain level beforehand. When questioned by federal inspectors, she said she believed the pain was no greater than three on a 10-point scale, otherwise she would have contacted the medical doctor.
The nurse acknowledged she could have documented the assessment in a progress note, but said if it wasn't in the record, she didn't document it. She told inspectors she didn't see the need to document the assessment because she thought the resident was fine after receiving the acetaminophen.
Resident #20 had been prescribed pain medication due to a history of surgeries on the right knee, right ankle, and right hip.
The facility's Certified Registered Nurse Practitioner explained proper protocol to inspectors: nurses should evaluate pain levels using a 1-to-10 scale before administering PRN pain medication, then reassess the resident 30 minutes after administration. She said documenting pain levels was essential to determine if medication was working and whether further assessment was needed.
The Director of Nursing confirmed there was no documentation in the medical record showing a pain assessment had been conducted. She said the LPN should have known to perform the assessment before giving pain medication.
The nursing director explained that pain assessments help evaluate medication effectiveness and determine whether pain represents a new problem or chronic issue. For residents with dementia, she said assessments should include observations of breathing patterns, vocalizations, facial expressions, body language, and the resident's ability to be consoled.
The violation stemmed 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.
The nurse acknowledged she could have documented the assessment in a progress note, but said if it wasn't in the record, she didn't document it.
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.