Knollwood Healthcare
KNOLLWOOD HEALTHCARE in MOBILE, AL — inspection on March 27, 2025.
Found 6 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
F-F580 was lowered to the lower severity of no actual harm with a potential for more than minimal harm that was not immediate jeopardy, to allow the facility time to monitor and/or revise their corrective actions as necessary to achieve substantial compliance.
This deficient practice affected residents on the second and third floors at the facility who were receiving medications.
This deficiency was cited as the result of the investigation of complaint/report number AL00050173.
Findings Include:
Cross-Reference
F-F600- Free from Abuse and Neglect.
The IJ began on 01/21/2025 and continued until 03/26/2025 when the facility implemented corrective action to remove the immediacy. On 03/27/2025 the immediate jeopardy was removed, F 600 was lowered to the lower severity of no actual harm with a potential for more than minimal harm that was not immediate jeopardy, to allow the facility time to monitor and/or revise their corrective actions as necessary to achieve substantial compliance.
This deficient practice affected all residents at the facility who received medications.
This deficiency was cited as the result of the investigation of complaint/report number AL00050173.
The facility further failed to protect Resident Identifier (RI) #15's right to be free from verbal abuse perpetrated by Certified Nursing Assistant (CNA) #10.
Specifically, on 01/30/2025, the facility failed to ensure RI #15 was not verbally abused by CNA #10, who stated she was tired and frustrated from working a double the day before, and who called RI #15 a stupid mother fucker while providing assistance to RI #15 who needed assistance to stand. RI #15 said, he/she was shocked when CNA #10 spoke to him/her that way.
015463
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 015463 B.
Wing 03/27/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Knollwood Healthcare 3151-A Knollwood Drive Mobile, AL 36693
Review of the facility's policy titled, Administering Medications, with a revised date of 04/2019, revealed the following:
Policy Statement
Medications are administered in a safe and timely manner, and as prescribed.
Policy Interpretation and Implementation .
015463
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 015463 B.
Wing 03/27/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Knollwood Healthcare 3151-A Knollwood Drive Mobile, AL 36693
During an interview with the Administrator (ADM) on 03/21/2025 at 5:38 PM the ADM was asked about CNA #10's abuse training/orientation.
The ADM said, the training for Abuse prevention, recognizing, and reporting abuse was done online.
When asked what actions had been implemented by the facility to address staff on resident abuse, the ADM stated monthly in-services on abuse.
When asked what type of supervision or monitoring was in place for staff who worked double shifts or extras hours, to make sure they were not burned out, frustrated, or too tired, ADM stated, they did not have a plan in place.
The ADM said, overtime and abuse were discussed in (town) meetings monthly.
The ADM was asked what type of training the staff received related to burnout or frustration after working increased hours and he stated there was no training or process for staff to express concerns.
An interview was conducted on 03/22/2025 at 12:35 PM with Social Services Director (SSD).
The SSD said, she had that position since January 6, 2025.
The SSD said she had not received training on the facility's abuse policy.
015463
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 015463 B.
Wing 03/27/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Knollwood Healthcare 3151-A Knollwood Drive Mobile, AL 36693
The facility failed to ensure:
1) food items in the freezer and cooler was labeled and dated;
2) the ice machine was free of a black substance;
3) a staff did not work on the dirty and clean side of the dish room without changing gloves and aprons.
This had the potential to affect 53 of 53 residents who received meals from the kitchen.
Finding Includes:
1) A review of a policy titled, DATING AND LABELING POLICY, with no date revealed: POLICY: All foods are to be labeled and dated appropriately to ensure food safety regulations are followed. PROCEDURE: .
Once opened, the label must be updated with the current date and a use by date . (including date opened) .
On 03/18/2025 at 8:39 AM, an during the initial tour of a large clear bag of okra and about six chicken fingers in a bag were observed in the freezer with no open or use by the date.
Corn beef was observed in the cooler with no open or use by date.
On 03/20/2025 at 12:43 PM, an interview was conducted with the Food Service Director (FSD).
The FSD stated that corn beef in the cooler did not have an open and a use by date on it.
She stated that the chicken tenders and okra in the freezer did not have an open or use by date on it.
She stated staff should label and date food items before putting them back in the freezer or cooler.
She continued to say it should be labeled with an opened and use by date on the item.
She stated that the food items should have the name of the item on it. On the label it should be the date, the name of the item, the opened date or prepared date, the use by date, and the initial of the person who put it in the freezer.
The FSD stated that food should be labeled and dated to keep in within the time line of safe food.
She stated that the person who opened the food was responsible for dating and labeling it.
The FSD stated that food that was not dated and label could cause food borne illness.
The FSD stated that food was supposed to be labeled and dated.
2) A review of a facility's policy titled, ICE MACHINE SANITATION POLICY, with no date revealed: POLICY: kitchen staff will wash, rinse and sanitize the ice making machine .
On 03/18/2025 at 8:39 AM, black substance was observed on the ice guard and lid on the inside of the ice machine in the kitchen.
015463
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 015463 B.
Wing 03/27/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Knollwood Healthcare 3151-A Knollwood Drive Mobile, AL 36693
During an interview with ADM on 03/22/2025 at 2:17 PM he stated, they reviewed the incident and investigation in Quality Assurance and Performance Improvement (QAPI) and felt like they handled it appropriately.
According to QAPI meeting conducted 02/21/2025: Resident is fine.
Abuse In-services conducted. CNA has been terminated .
015463
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 015463 B.
Wing 03/27/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Knollwood Healthcare 3151-A Knollwood Drive Mobile, AL 36693