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Complaint Investigation

Knollwood Healthcare

September 11, 2025 · Mobile, AL · 3151-a Knollwood Drive
Citations 6
Beds 71
Provider ID 015463
Healthcare Facility
Knollwood Healthcare
Mobile, AL  ·  View full profile →
Inspection Summary

KNOLLWOOD HEALTHCARE in MOBILE, AL — inspection on September 11, 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.

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Inspection Findings

FF0577
Resident Rights Deficiencies
Potential for Minimal Harm

Federal health inspectors cited KNOLLWOOD HEALTHCARE in MOBILE, AL for a deficiency under regulatory tag F-F0577 during a standard health inspection conducted on 2025-09-11.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Scope/Severity Level C: pattern, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of KNOLLWOOD HEALTHCARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-30.

Registered Nurse Practitioner (CRNP) was questioned regarding the incident involving RI #20.

The CRNP indicated she first became aware of the incident concerning RI #20 on 09/09/2025 when she received a call reporting bruising, swelling, and an x-ray revealed a fracture.

The CRNP said she wrote an order for RI #20 to be sent out for an evaluation.

The CRNP stated she had not been informed on 09/05/2025 about any swelling or pain related to RI #20.

The CRNP said, if a resident had reported on 09/05/2025 that someone had run over their foot with a wheelchair and swelling was observed she would expect the facility to conduct an x-ray and inform her of the results. On 09/11/2025 at 10:00 AM the DON was asked when she became aware of RI #20's injury.

The DON said, the morning of 09/09/2025, the x-ray was done at the facility at 10:00 until 10:40 AM; the results were reported at 1:30 showing a broken tibia; and she informed the doctor.

The DON said, RI #20 told them someone ran over his/her foot with a wheelchair.

The DON said, during the facility investigation CNA #5 reported RI #20's leg was swollen on 09/05/2025.This citation was written as a result of Incident #2612850.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/11/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Knollwood Healthcare

3151-A Knollwood Drive Mobile, AL 36693

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited KNOLLWOOD HEALTHCARE in MOBILE, AL for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-09-11.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of KNOLLWOOD HEALTHCARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-30.

During the interview the DON was asked whether the nurse had performed a pain assessment before administering RI #20 pain medication on 09/03/2025.

The DON stated there was not any documentation in the medical record confirming that a pain assessment had been conducted.

Furthermore, the DON stated the LPN should have been aware of the necessity to carry out the pain assessment prior to administering the pain medication.

The DON said the significance of performing a pain assessment before the administration of pain medication was to evaluate its effectiveness and to ascertain whether the pain was a new occurrence or a chronic issue.

Additionally, the DON said, RI #20 was prescribed pain medication due to a history of surgeries on the right knee, right ankle, and right hip.

When questioned about how nurses would assess pain in residents with dementia, she explained that the assessment would encompass observations of breathing patterns, negative vocalizations, facial expressions, body language, and the ability to be consoled.

This citation was written as a result of Incident #2612850.

Facility ID:

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Federal health inspectors cited KNOLLWOOD HEALTHCARE in MOBILE, AL for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-11.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of KNOLLWOOD HEALTHCARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-30.

Federal health inspectors cited KNOLLWOOD HEALTHCARE in MOBILE, AL for a deficiency under regulatory tag F-F0814 during a standard health inspection conducted on 2025-09-11.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Dispose of garbage and refuse properly.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of KNOLLWOOD HEALTHCARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-30.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MOBILE, AL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from KNOLLWOOD HEALTHCARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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