Knollwood Healthcare: Waste Disposal Failures - AL
Licensed Practical Nurse #6 administered acetaminophen to Resident #20 on September 3, 2025, but failed to record the resident's pain level before giving the medication. When questioned by inspectors, LPN #6 said she couldn't remember if she had documented an assessment.
The nurse told inspectors she believed the resident's pain was no greater than three on a 10-point scale, "otherwise she would have contacted the medical doctor." She said she could have documented the assessment in a progress note, but if it wasn't in the record, she didn't write one down.
"She did not see the need to document the assessment because she thought RI #20 was fine after receiving the acetaminophen," according to the inspection report.
The facility's Certified Registered Nurse Practitioner explained proper protocol to inspectors. When giving as-needed pain medication, "the nurse should evaluate the pain level using a scale from 1 to 10, and then reassess the pain after 30 minutes of medication administration."
The practitioner said documenting pain levels was essential "to determine if the medication was working and if further assessment was needed."
Director of Nursing confirmed no documentation existed in the medical record showing a pain assessment had been conducted. She told inspectors the LPN "should have been aware of the necessity to carry out the pain assessment prior to administering the pain medication."
Resident #20 was prescribed pain medication due to previous surgeries on the right knee, right ankle, and right hip. For residents with dementia, the Director of Nursing explained, pain assessment should include observing "breathing patterns, negative vocalizations, facial expressions, body language, and the ability to be consoled."
The violation was documented as minimal harm with few residents affected.
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.
When questioned by inspectors, LPN #6 said she couldn't remember if she had documented an assessment.
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.