Special Focus Facility Abuse citation flag CCRC

Overview

Address
3151-A KNOLLWOOD DRIVE, MOBILE, AL 36693
Phone
2516617608
Certified beds
71
Avg daily residents
57 (80% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2012-05-21
Setting
Urban
Rating not available

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
Footnote 18.
— Not Available
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
Footnote 18.
— Not Available
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Footnote 18.
— Not Available
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
Footnote 18.
— Not Available

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.74 3.50 4.13 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.66 0.61 0.73 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.80 0.78 0.88
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.28 2.11 2.52
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.46
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.01

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.15
hrs / resident / day
RN (weekend)
0.40
hrs / resident / day
Total nurse (adjusted, weekend)
3.48
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
83.1%
annual
RN turnover
81.8%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.24
higher acuity than avg
Case-Mix Index Ratio
0.90
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-09-11 7 6 3 52 1 52
Cycle 2/3 (prior) 2025-03-27 31 14 30 1,412 1 1,412
Total weighted health score
392.0
lower is better

Deficiencies (43)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
30 D/E/F Actual harm — potential for minor
4 G/H/I Actual harm
8 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0577 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. C 2025-09-11 2025-10-30
0695 Provide safe and appropriate respiratory care for a resident when needed. E 2025-09-11 2025-10-30
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-09-11 2025-10-30
0814 Dispose of garbage and refuse properly. F 2025-09-11 2025-10-30
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-09-11 2025-10-30
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2025-09-11 2025-10-30
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-05-22 2025-05-06
0943 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. D 2025-03-27 2025-04-25
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-03-27 2025-04-25
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. L 2025-03-27 2025-04-25
0583 Keep residents' personal and medical records private and confidential. D 2025-03-27 2025-04-25
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. L 2025-03-27 2025-04-25
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-03-27 2025-04-25
0610 Respond appropriately to all alleged violations. D 2025-03-27 2025-04-25
0658 Ensure services provided by the nursing facility meet professional standards of quality. L 2025-03-27 2025-04-25
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-03-27 2025-04-25
0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. D 2025-03-27 2025-04-25
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-03-27 2025-04-25
0760 Ensure that residents are free from significant medication errors. L 2025-03-27 2025-04-25
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-03-27 2025-04-25
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. D 2025-03-27 2025-04-25
0803 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. E 2024-10-10 2024-11-14
0814 Dispose of garbage and refuse properly. F 2024-10-10 2024-11-14
0847 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. E 2024-10-10 2024-11-14
0848 Provide a neutral and fair arbitration process and agree to arbitrator and venue. E 2024-10-10 2024-11-14
0908 Keep all essential equipment working safely. F 2024-10-10 2024-11-14
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2024-09-19 2024-08-05
0558 Reasonably accommodate the needs and preferences of each resident. D 2024-04-25 2024-05-29
0583 Keep residents' personal and medical records private and confidential. E 2024-04-25 2024-09-16
0584 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. E 2024-04-25 2024-05-29
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2024-04-25 2024-07-17
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. G 2024-04-25 2024-07-17
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-04-25 2024-07-17
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2024-04-25 2024-05-29
0692 Provide enough food/fluids to maintain a resident's health. G 2024-04-25 2024-09-16
0758 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. D 2024-04-25 2024-05-29
0803 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. I 2024-04-25 2024-09-16
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-04-25 2024-09-16
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. L 2024-04-25 2024-05-29
0837 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. L 2024-04-25 2024-05-29
0865 Have a plan that describes the process for conducting QAPI and QAA activities. F 2024-04-25 2024-05-29
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. L 2024-04-25 2024-05-29
0908 Keep all essential equipment working safely. F 2024-04-25 2024-09-16

Penalties (5)

Fines issued
4
last 3 years
Total fines
$318,070
Payment denials
1
Date Type Fine amount
2024-04-25 Fine $6,661
2024-04-25 Fine $10,555
2024-04-25 Fine $113,744
2025-03-27 Fine $187,110
2024-04-25 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 6.5% Medicaid 75.3% Other 18.2%

Operating performance

Operating Margin
-12.1%
Total Margin
-9.6%
Occupancy Rate
81.3%
Cost per Resident Day
$28

Revenue & costs

Net Patient Revenue
$7.0M
Total Costs
$585K
Net Income
-$683K

Balance sheet

Total Assets
-$175K
Total Liabilities
$573K
Fund Balance
-$748K

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: EPHRAM LAHASKY

Chain ID
205
Facilities in chain
28
Legal business name
KNOLLWOOD HEALTHCARE AND REHABILITATION LLC
Chain-average star ratings (for peer context)
Overall
1.8
Health
1.9
Staffing
2.1
QM
2.7

Owner / manager individuals (2)

Name Role Association
LAHASKY, EPHRAM 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/27/2022
FREEMAN, JEANNE W-2 MANAGING EMPLOYEE since 10/27/2022

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
Yes
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Special focus status
SFF
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 112 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $28 metrics.cost_per_resident_day
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 75.3% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 6.5% metrics.medicare_day_share
Cost Report Net Income ($) $-683,206 metrics.net_income
Cost Report Net Patient Revenue ($) $6,972,275 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 81.3% metrics.occupancy_rate
Cost Report Operating Margin (%) -12.1% metrics.operating_margin
Cost Report Total Assets ($) $-175,197 metrics.total_assets
Cost Report Total Costs ($) $585,312 metrics.total_costs
Cost Report Total Fund Balances ($) $-748,228 metrics.fund_balance
Cost Report Total Liabilities ($) $573,031 metrics.total_liabilities
Cost Report Total Margin (%) -9.6% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.88420 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.52004 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.72719 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.13144 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.48332 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 56.6 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.77603 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.10907 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.61168 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.49678 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.08205 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 1.8 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.7 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.1 Chain Average Staffing Rating
Provider Information Chain ID 205 Chain ID
Provider Information Chain Name EPHRAM LAHASKY Chain Name
Provider Information City/Town MOBILE City/Town
Provider Information CMS Certification Number (CCN) 015463 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish Mobile County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2012-05-21 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating Health Inspection Rating
Provider Information Health Inspection Rating Footnote 18 Health Inspection Rating Footnote
Provider Information Latitude 30.6249 Latitude
Provider Information Legal Business Name KNOLLWOOD HEALTHCARE AND REHABILITATION LLC Legal Business Name
Provider Information Location 3151-A KNOLLWOOD DRIVE,MOBILE,AL,36693 Location
Provider Information Long-Stay QM Rating Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote 18 Long-Stay QM Rating Footnote
Provider Information Longitude -88.174 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 71 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 28 Number of Facilities in Chain
Provider Information Number of Fines 4 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.23875 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.89918 Nursing Case-Mix Index Ratio
Provider Information Overall Rating Overall Rating
Provider Information Overall Rating Footnote 18 Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 3151-A KNOLLWOOD DRIVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name KNOLLWOOD HEALTHCARE Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 480 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating QM Rating
Provider Information QM Rating Footnote 18 QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 52 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 3 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 6 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-09-11 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 52 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 7 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 14 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2025-03-27 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 1412 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 30 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 1412 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 31 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.39772 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 81.8 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.45941 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.80081 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.28237 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.01296 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.65861 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.74178 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 18 Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Special Focus Status
Provider Information Staffing Rating Staffing Rating
Provider Information Staffing Rating Footnote 18 Staffing Rating Footnote
Provider Information State AL State
Provider Information Telephone Number 2516617608 Telephone Number
Provider Information Total Amount of Fines in Dollars 318070.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.15479 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 5 Total Number of Penalties
Provider Information Total nursing staff turnover 83.1 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 392.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 36693 ZIP Code