Knollwood Healthcare: Resident Rights Violations - AL
The September incident involved a resident with a history of surgeries on the right knee, ankle and hip who had been prescribed pain medication. LPN #6 administered acetaminophen but failed to document any pain assessment in the medical record.
When questioned by inspectors on September 11, the nurse said she couldn't remember if she had documented the resident's pain level before giving the medication. She believed the pain was no greater than three on a 1-to-10 scale, otherwise she would have contacted the doctor.
"She could have documented in a progress note but if it was not in the record, she did not document an assessment," according to the inspection report. The nurse said she didn't see the need to document because she thought the resident was fine after receiving the acetaminophen.
The facility's nurse practitioner told inspectors that nurses should evaluate pain using a 1-to-10 scale before giving PRN medications, then reassess 30 minutes later. Recording the pain level helps determine if the medication is working and whether further assessment is needed.
Director of Nursing confirmed no documentation existed in the medical record showing a pain assessment had been conducted. She said the LPN should have known to perform the assessment before administering pain medication.
The nursing director explained that pain assessments help evaluate medication effectiveness and determine whether pain represents a new occurrence or chronic issue. For residents with dementia, assessments include observing breathing patterns, vocalizations, facial expressions, body language and ability to be consoled.
The citation 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.
The September incident involved a resident with a history of surgeries on the right knee, ankle and hip who had been prescribed pain medication.
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.