Knollwood Healthcare: Resident Rights Violations - AL
The x-ray revealed a broken tibia.
According to the September 11 inspection report, the swelling was observed on September 5, 2025. CNA #5 noted it during the facility's own internal investigation. But the certified registered nurse practitioner who oversees the resident's care said she heard nothing about it that day, and nothing about swelling or pain at all until September 9, when a call came in reporting bruising, swelling, and a fracture confirmed by imaging.
The CRNP told inspectors she would have expected the facility to conduct an x-ray on September 5 and inform her of the results. "If a resident had reported on 09/05/2025 that someone had run over their foot with a wheelchair and swelling was observed," she said, she would have expected exactly that.
Nobody did.
The director of nursing told inspectors she became aware of the injury on the morning of September 9. The x-ray was done at the facility between 10:00 and 10:40 AM. Results came back at 1:30 PM showing a broken tibia. She said she informed the doctor.
The gap between what staff observed and what the CRNP was told is four days. The resident had reported the wheelchair incident. The swelling was visible. The CRNP learned about it only after imaging confirmed the bone was broken.
CMS cited the facility under F0689, the tag covering protection from accidents and injuries, at a level of minimal harm or potential for actual harm.
The resident spent those four days with a fractured tibia, in a facility that had already been told someone ran over their foot.
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: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
KNOLLWOOD HEALTHCARE in MOBILE, AL was cited for violations during a health inspection on September 11, 2025.
The x-ray revealed a broken tibia.
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.