Knollwood Healthcare: Respiratory Care Failures - AL
The x-ray confirmed a broken tibia.
The incident involving the resident identified in inspection records as RI #20 began on September 5, 2025. According to the facility's own investigation, CNA #5 observed that RI #20's leg was swollen that day. No x-ray was taken. The facility's nurse practitioner was not called.
The certified registered nurse practitioner who oversees RI #20's care told inspectors she first learned about the injury on September 9, four days later, when someone called to report bruising, swelling, and x-ray results showing a fracture. She said she immediately ordered the resident sent out for evaluation.
She was direct about what should have happened. If a resident reported on September 5 that someone had run over their foot with a wheelchair and swelling was observed, she said, she would expect the facility to conduct an x-ray and inform her of the results.
Nobody had.
The director of nursing told inspectors on September 11 that she learned of the injury the morning of September 9. The x-ray was performed at the facility between 10:00 and 10:40 that morning. Results came back at 1:30 in the afternoon showing a broken tibia. The director of nursing said she then informed the doctor.
The September 11 inspection was triggered by a complaint. Federal inspectors cited the facility under F0689, the tag covering accidents and supervision, rating the violation as causing minimal harm or potential for actual harm.
RI #20 spent four days with an undiagnosed broken bone, moving through a nursing facility where at least one staff member had already seen the swelling.
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: August 5, 2026 · Our methodology
KNOLLWOOD HEALTHCARE in MOBILE, AL was cited for violations during a health inspection on September 11, 2025.
The x-ray confirmed 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.