Knolls West Post Acute LLC Complaints, Violations and Inspection Records

June 12, 2026, complaint inspection

2 deficiencies cited. Surveyors cited the facility for immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident and safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

• F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)
• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)

May 7, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for let each resident or the resident's legal representative access or purchase copies of all the resident's records.

• F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (scope and severity D)

April 2, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for let each resident or the resident's legal representative access or purchase copies of all the resident's records.

• F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (scope and severity D)

May 22, 2025, standard inspection

15 deficiencies cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, keep all essential equipment working safely, and ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
• F0908Keep all essential equipment working safely. (scope and severity F)
• F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (scope and severity E)
• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
• F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (scope and severity D)
• F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (scope and severity D)
• F0641Ensure each resident receives an accurate assessment. (scope and severity D)
• F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (scope and severity D)
• F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (scope and severity D)
• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity D)
• F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits. (scope and severity D)
• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
• F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity D)
• F0880Provide and implement an infection prevention and control program. (scope and severity D)
• F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. (scope and severity C)

March 26, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)

January 23, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate pressure ulcer care and prevent new ulcers from developing.

• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity D)

December 30, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)

December 17, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate care for a resident to maintain and/or improve range of motion (rom), limited rom and/or mobility, unless a decline is for a medical reason.

• F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (scope and severity D)

November 26, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

• F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity D)

October 3, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)

September 12, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for not hire anyone with a finding of abuse, neglect, exploitation, or theft.

• F0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (scope and severity D)

June 18, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)

May 23, 2024, standard inspection

5 deficiencies cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months, and assure that each resident’s assessment is updated at least once every 3 months.

• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (scope and severity D)
• F0638Assure that each resident’s assessment is updated at least once every 3 months. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
• F0758Implement 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. (scope and severity D)

December 15, 2022, standard inspection

18 deficiencies cited. Surveyors cited the facility for provide appropriate pressure ulcer care and prevent new ulcers from developing, honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing, and employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity G)
• F0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. (scope and severity F)
• F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (scope and severity F)
• F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity E)
• F0803Ensure 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. (scope and severity E)
• F0825Provide or get specialized rehabilitative services as required for a resident. (scope and severity E)
• F0637Assess the resident when there is a significant change in condition (scope and severity D)
• F0641Ensure each resident receives an accurate assessment. (scope and severity D)

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
• F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. (scope and severity D)
• F0692Provide enough food/fluids to maintain a resident's health. (scope and severity D)
• F0698Provide safe, appropriate dialysis care/services for a resident who requires such services. (scope and severity D)
• F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity D)
• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)
• F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (scope and severity D)
• F0880Provide and implement an infection prevention and control program. (scope and severity D)
• F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. (scope and severity C)