All citations for Knolls West Post Acute LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Knolls West Post Acute LLC

Last standard health inspection on record

May 22, 2025

Showing 51 to 75 of 82 citations

  1. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  2. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  3. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  4. No harm, with potential for more than minimal harm

    Establish policies and procedures for medical documentation.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  5. No harm, with potential for more than minimal harm

    Provide family notifications of emergency plan.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  6. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  7. No harm, with potential for more than minimal harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  8. No harm, with potential for more than minimal harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  9. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  10. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  11. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  12. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  13. No harm, with potential for more than minimal harm

    Assess the resident when there is a significant change in condition

    Isolated (one or a few residents). CMS level D.

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 13, 2023).

  14. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 13, 2023).

  15. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 13, 2023).

  16. No harm, with potential for more than minimal harm

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0691, Quality of Life and Care Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 13, 2023).

  17. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 13, 2023).

  18. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 13, 2023).

  19. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 13, 2023).

  20. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2023).

  21. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2023).

  22. No harm, with potential for more than minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Isolated (one or a few residents). CMS level D.

    Health citation F-0868, Administration Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 13, 2023).

  23. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2023).

  24. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2023).

  25. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of December 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.