Knollwood Healthcare: Pain Management Failures - AL
Four days later, someone finally did.
On September 9, 2025, the facility conducted an x-ray that revealed a broken tibia. The results came back at 1:30 in the afternoon. The director of nursing said she then informed the doctor.
The certified registered nurse practitioner who oversees the resident's care said she first heard about the injury that same morning, when she received a call reporting bruising, swelling, and a fracture. She wrote an order to send the resident out for evaluation. She said no one had contacted her on September 5 about any swelling or pain.
She was direct about what should have happened. If a resident reported on September 5 that a wheelchair had run over their foot and staff observed swelling, she said, she would have expected the facility to conduct an x-ray and inform her of the results.
The director of nursing confirmed during the September 11 inspection that CNA #5 had reported the resident's leg was swollen on September 5. That detail surfaced during the facility's own internal investigation, not before.
The resident's name was not released in the inspection report. The fracture was to the tibia. The gap between when swelling was first observed and when an x-ray was taken was four days.
Federal inspectors cited the facility under F0689, which covers the obligation to protect residents from accidents. The citation was classified as minimal harm or potential for actual harm.
A broken bone went undiagnosed for four days while the person who could have ordered an x-ray sat waiting for a call that never came.
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: July 27, 2026 · Our methodology
KNOLLWOOD HEALTHCARE in MOBILE, AL was cited for violations during a health inspection on September 11, 2025.
Four days later, someone finally did.
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.