Mobile, AL

Knollwood Healthcare

0-star overall rating with 0-star inspections with Special Focus status with abuse icon flag with $318,070 in total fines with 7 recent health deficiencies

3151-A Knollwood Drive, Mobile, AL

(251) 661-7608

Compare this facility

Overall

0 / 5

CMS overall stars

Health inspections

0 / 5

Survey and complaint cycles

Staffing

0 / 5

RN + nurse staffing

Quality measures

0 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

71

Certified beds

Average residents

57

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ephram Lahasky

Operator or chain grouping

Approved since

2012-05-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

28 facilities

Chain averages 2 overall / 2 health / 2 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.66

Registered nurse staffing · state 0.64 · national 0.68

LPN hours / resident day

0.80

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.28

Nurse aide staffing · state 2.50 · national 2.35

Total nurse hours

3.74

All reported nurse hours · state 3.91 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

3.15

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.40

Weekend registered nurse coverage · state 0.36 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.73

CMS adjusted RN staffing hours

Adjusted total hours

4.13

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

82%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

83%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,592

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

16.15

Composite VBP score used to determine payment impact.

Payment multiplier

0.9816

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 21.49% · Performance 23.28% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

1.47

Baseline 7.40% · Performance 7.39% · Measure score 1.47 · Achievement 1.47 · Improvement 0

Total nurse turnover

0

Performance 78.16% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

4.99

Baseline 4.16 hours · Performance 4.50 hours · Measure score 4.99 · Achievement 4.99 · Improvement 1.58

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.69%
10.72%
1 pts worse
No Different than the National Rate · Eligible stays 66 · Observed rate 16.67% · Lower 95% interval 8.23%
Discharge to community 48.69%
50.57%
1.9 pts worse
No Different than the National Rate · Eligible stays 51 · Observed rate 39.22% · Lower 95% interval 32.08%
Medicare spending per beneficiary 0.88
1.02
0.1 pts better
Drug regimen review with follow-up 90.48%
95.27%
4.8 pts worse
Numerator 38 · Denominator 42
Falls with major injury 4.76%
0.77%
4 pts worse
Numerator 2 · Denominator 42
Discharge self-care score 77.27%
53.69%
23.6 pts better
Numerator 17 · Denominator 22
Discharge mobility score 40.91%
50.94%
10 pts worse
Numerator 9 · Denominator 22
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 42 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 7.39%
7.12%
0.3 pts worse
No Different than the National Rate · Eligible stays 31 · Observed rate 9.68% · Lower 95% interval 3.44%
Staff COVID-19 vaccination coverage 10.1%
8.2%
1.9 pts better
Numerator 10 · Denominator 99
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score 45.45%
56.45%
11 pts worse
Numerator 10 · Denominator 22
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 25 · Denominator 25
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 45.45%
25.2%
20.3 pts better
Numerator 10 · Denominator 22

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 89.0%
91.3%
2.3 pts worse
93.4%
4.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 93.9% · Q3 86.5% · Q4 78.4% · 4Q avg 89.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.1%
94.8%
0.7 pts worse
95.5%
1.4 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.1%
Percentage of long-stay residents experiencing one or more falls with major injury 1.0%
3.4%
2.4 pts better
3.3%
2.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 3.7%
1.3%
2.4 pts worse
11.4%
7.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 5.9% · Q3 0.0% · Q4 0.0% · 4Q avg 3.7%
Percentage of long-stay residents who lose too much weight 9.5%
5.3%
4.2 pts worse
5.4%
4.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 7.0% · Q3 18.6% · Q4 7.7% · 4Q avg 9.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.3%
24.9%
4.6 pts better
19.6%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 18.6% · Q3 21.7% · Q4 20.5% · 4Q avg 20.3%
Percentage of long-stay residents who received an antipsychotic medication 12.2%
22.8%
10.6 pts better
16.7%
4.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 15.2% · Q3 13.5% · Q4 10.7% · 4Q avg 12.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.6%
0.6 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 22.0%
14.8%
7.2 pts worse
16.3%
5.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 26.3%
13.4%
12.9 pts worse
14.9%
11.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 26.3% · Q3 35.0% · Q4 21.1% · 4Q avg 26.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0%
1.3%
0.3 pts better
1.0%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.6%
2.6%
About the same
1.7%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 6.1% · Q3 2.0% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.5%
13.5%
7 pts worse
19.8%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 15.3% · Q3 22.8% · Q4 17.5% · 4Q avg 20.5%
Percentage of long-stay residents with pressure ulcers 4.9%
5.7%
0.8 pts better
5.1%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 3.7% · Q3 3.7% · Q4 6.0% · 4Q avg 4.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 28.1%
84.3%
56.2 pts worse
81.7%
53.6 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 42.4% · Q2 30.2% · Q3 19.6% · Q4 25.9% · 4Q avg 28.1%
Percentage of short-stay residents who had an outpatient emergency department visit 18.9%
11.5%
7.4 pts worse
12.0%
6.9 pts worse
Short Stay · 20240701-20250630 · Adjusted 18.9% · Observed 23.1% · Expected 13.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.7%
2.1%
0.4 pts better
1.6%
0.1 pts worse
Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 5.9% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 30.2%
80.3%
50.1 pts worse
79.7%
49.5 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 30.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 28.9%
24.5%
4.4 pts worse
23.9%
5 pts worse
Short Stay · 20240701-20250630 · Adjusted 28.9% · Observed 35.9% · Expected 29.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-11 · Fire 2025-09-11

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2025-03-27 · Fire 2025-03-27

31 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (8 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2024-10-10 · Fire 2024-10-10

5 health deficiencies

Top issue: Administration (2 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-10

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2024-11-20

F · Potential for more than minimal harm 2024-10-10

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-11-20

F · Potential for more than minimal harm 2024-10-10

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-11-20

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-11

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-10-30

F · Potential for more than minimal harm 2025-09-11

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-10-30

E · Potential for more than minimal harm 2025-09-11

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-10-30

D · Potential for more than minimal harm 2025-09-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-10-30

D · Potential for more than minimal harm 2025-09-11

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-10-30

C · Minimal harm 2025-09-11

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-10-30

D · Potential for more than minimal harm 2025-05-22

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-06

L · Immediate jeopardy 2025-03-27

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-04-25

L · Immediate jeopardy 2025-03-27

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-04-25

L · Immediate jeopardy 2025-03-27

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-04-25

L · Immediate jeopardy 2025-03-27

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-04-25

F · Potential for more than minimal harm 2025-03-27

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-27

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-27

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-27

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-27

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-27

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-27

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-27

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-27

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-27

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2025-04-25

F · Potential for more than minimal harm 2024-10-10

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-11-14

F · Potential for more than minimal harm 2024-10-10

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-11-14

E · Potential for more than minimal harm 2024-10-10

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-11-14

E · Potential for more than minimal harm 2024-10-10

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2024-11-14

E · Potential for more than minimal harm 2024-10-10

F848 · Administration Deficiencies

Health

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Corrected 2024-11-14

D · Potential for more than minimal harm 2024-09-19

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-08-05

L · Immediate jeopardy 2024-04-25

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-05-29

L · Immediate jeopardy 2024-04-25

F837 · Administration Deficiencies

Health

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Corrected 2024-05-29

L · Immediate jeopardy 2024-04-25

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-05-29

J · Immediate jeopardy 2024-04-25

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-29

I · Actual harm 2024-04-25

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-09-16

G · Actual harm 2024-04-25

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-07-17

G · Actual harm 2024-04-25

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-07-17

G · Actual harm 2024-04-25

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-09-16

F · Potential for more than minimal harm 2024-04-25

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-09-16

F · Potential for more than minimal harm 2024-04-25

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-05-29

F · Potential for more than minimal harm 2024-04-25

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-09-16

E · Potential for more than minimal harm 2024-04-25

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-09-16

E · Potential for more than minimal harm 2024-04-25

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-05-29

D · Potential for more than minimal harm 2024-04-25

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-05-29

D · Potential for more than minimal harm 2024-04-25

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-07-17

D · Potential for more than minimal harm 2024-04-25

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-05-29

Penalties and ownership

What sits behind the stars

$187,110 2025-03-27

Fine

Fine · fine $187,110

Fine

$6,661 2024-04-25

Fine

Fine · fine $6,661

Fine

$10,555 2024-04-25

Fine

Fine · fine $10,555

Fine

$113,744 2024-04-25

Fine

Fine · fine $113,744

Fine

$0 2024-04-25

Payment Denial

Payment Denial · denial start 2024-05-23 · 116 days

116 day denial

Ownership

Lahasky, Ephram

5% Or Greater Direct Ownership Interest · Individual

100% 60 facilities 2022-10-27
Freeman, Jeanne

W-2 Managing Employee · Individual

0% 2 facilities 2022-10-27

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Staffing
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#3

Mobile Nursing And Rehabilitation Center

Mobile, AL

2-star overall rating with 2-star inspections with $13,520 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$13,520

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