Citations in Alabama
Statistics, citations and compliance trends for long-term care facilities in Alabama.
Statistics for Alabama (Last 12 Months)
Financial Impact (Last 12 Months)
Latest citations in Alabama
Resident-to-resident physical abuse occurred when one resident, after complaining that another resident entered his/her room, shoved the wandering resident out into the hallway. The injured resident fell face down and sustained a laceration above the eye, bleeding, bruising, pain, and CT/X-ray-confirmed facial fractures. Witnesses, the ADON, CNAs, LPN, and the facility’s investigation all described the event as physical abuse.
Menu portion sizes were not followed for chopped and puree diet items when staff used a 3 oz spoodle, a #8 dipper, and a #12 dipper instead of the #10 and #6 dippers listed on the preplanned menu. An employee and the Dietary Supervisor both confirmed the utensils used did not match the menu, and the Dietary Supervisor said the shortage of serving dippers/scoops contributed to the issue and that residents could potentially be affected by weight loss.
Frozen Food Storage and Temperature Control Failure: The facility failed to keep food frozen solid in a reach-in bread freezer and failed to maintain proper cold holding temperatures. During a kitchen tour, items such as pancakes, French fries, onion rings, and hush puppies were soft to touch, and the freezer’s internal thermometer read 45 degrees F. A service invoice noted the condenser coils were completely clogged with dirt, and the Maintenance Director said the freezer went down because the A/C was broken and hot, humid air from the kitchen contributed to the coils clogging.
No Refrigerated Storage for Outside Food: The facility failed to provide a refrigerator area for food brought in by family or visitors, despite a policy allowing such items to be stored in the food service dept. The Dietary Supervisor said staff stopped the food at the door and had no room for resident food, and Resident Council members reported there was no place to store it, so it had to be thrown away or eaten the same day.
Improper Dumpster and Grease Refuse Area Sanitation: Surveyors observed trash debris around dumpsters, a heavy greasy buildup on the oil/grease refuse container, and a large fly concentration near the refuse area. Staff said Maintenance and Housekeeping shared responsibility for keeping the area clean, but the area was not maintained free of litter and attractants. Flies were also observed in the kitchen and a resident reported flies in his room, while residents in Council reported flies landing on food and disturbing sleep.
Inaccurate PBJ Staffing Data Submission: The facility failed to submit complete and accurate direct care staffing data to CMS for a quarter of PBJ reporting. The PBJ report showed an excessively low weekend staffing trigger, and the ADM stated she compiled the data, sent it to corporate, and a third-party company submitted it to CMS, while also acknowledging she did not know why the low weekend staffing was triggered.
Resident-to-Resident Physical Abuse After Room Intrusion
Penalty
Summary
The facility failed to ensure one resident was free from resident-to-resident physical abuse when another resident pushed him/her out of a room and into the hallway, causing a fall and injuries. The injured resident had diagnoses including unspecified dementia, mood disorder, anxiety, cognitive deficit, and adjustment disorder, and had a BIMS score of 11/15 with documented long- and short-term memory problems. The resident was also identified in the care plan as wandering into other residents’ rooms. The other resident involved had diagnoses including dementia with agitation, psychotic behaviors, mood disturbance, anxiety disorder, and memory impairment, and had a BIMS score of 15/15. On the day before the incident, the resident told the SSD and ADON that another resident had entered his/her room and that he/she wanted that resident to leave him/her alone. The SSD and ADON told the resident they would discuss it with the other resident and let him/her know not to come into the room, and the resident stated he/she understood. The next day, the resident who had complained pushed the wandering resident out of the room after the wandering resident entered the room without permission. Witness statements and staff interviews described the wandering resident being shoved into the hallway, falling face down, and sustaining a laceration above the left eye, bleeding, bruising, and pain. Hospital imaging documented mildly displaced fractures of the left maxillary sinus wall and lateral border of the left orbit, and the facility’s investigation substantiated resident-to-resident physical abuse.
Menu Portion Sizes Not Followed for Texture-Modified Diets
Penalty
Summary
The facility failed to follow the planned menu and the posted scoop and dipper sizes for texture-modified diets. The Spring/Summer 2026 menu specified that chopped Hamburger Steak for lunch on Tuesday, 06/23/2026, was to be served with a #10 dipper, and Puree Lasagna for dinner that same day was to be served with a #6 dipper. On Wednesday, 06/24/2026, the menu specified that chopped Fried Chicken and Puree Fried Chicken for lunch were each to be served with a #10 dipper. The facility’s diet manual and menu policy stated that menus are to be preplanned, followed, and include the correct portion size for each modified diet item. During observations, a 3 oz. spoodle was used for chopped Hamburger Steak at lunch, a #8 dipper was used for Puree Lasagna at dinner, and a 3 oz. spoodle was used for chopped Fried Chicken while a #12 dipper was used for Puree Fried Chicken at lunch. The Dietary Supervisor and an employee both stated the menu was not followed and acknowledged that the utensils used were not equal to the portion sizes listed on the menu. The Dietary Supervisor also stated there was a shortage of serving dippers/scoops because some had broken, and that the residents could potentially be affected by weight loss from the menu not being followed.
Frozen Food Storage and Temperature Control Failure
Penalty
Summary
The facility failed to ensure food was frozen solid in the Two-door Reach-in Bread Freezer and failed to maintain the internal temperature at or below 41 degrees F. During the initial kitchen tour on 06/22/2026 at 4:04 PM, the freezer contained pancakes, French fries, onion rings, and hush puppies that were soft to touch, and the internal thermometer read 45 degrees F while the external digital thermometer read 31 degrees F. The report states this affected 84 of 84 residents receiving meals from the Food Service Department. A service invoice dated 06/22/2026 documented that the freezer had reached 45 degrees and was brought down to 0 degrees after the condenser coils were found completely clogged with dirt. The invoice also stated the maintenance man needed to clean the coils monthly. On 06/25/2026, the Maintenance Director said filters and coils were cleaned every 30 days or as needed, that he drained the condenser line and checked defrosting, and that the freezer went down because the A/C was broken and the blowers pushed hot air and humidity from the kitchen through the condenser coils. He also said the A/C had been out for 10 days and that the coils had been cleaned two to three weeks earlier. The Maintenance Director did not provide the requested maintenance records.
No Refrigerated Storage for Food Brought in by Family or Visitors
Penalty
Summary
The facility failed to ensure there was a refrigerated area for storing food brought in for residents by family and friends, despite having a policy titled FOOD FROM OUTSIDE SOURCES that stated food brought to residents by family, visitors, or volunteers is to be handled in a safe and sanitary manner and may be stored in the food service department in a refrigerator or freezer immediately. The policy also stated refrigerated cooked food not prepared in the facility is to be held no longer than 24 hours and labeled with the resident’s name, room number, date received, and discard date. On 06/23/2026, the Dietary Supervisor stated the facility did not keep items brought in by friends and family for individual residents, that dietary staff stopped the food at the door, and that dietary did not have room for resident food. At Resident Council on 06/24/2026, 11 of 11 members said there was no refrigerator available for residents’ food when family brought items in, and that the food had to be thrown away or eaten the same day. The council members also said dietary staff told them there was no place to put the food, and all 11 said residents wanted a refrigerator to store their food.
Improper Dumpster and Grease Refuse Area Sanitation
Penalty
Summary
The facility failed to keep the Dumpster/Oil & Grease Refuse Area clean and free of debris. On 6/22/2026, surveyors observed small particles of trash around the two dumpsters, including a balled-up piece of aluminum foil, a piece of a clothes hanger, and a small bottle with an eye-dropper. In the same area, there was a concentration of about 30 to 40 flies in a small grassy section within the pavement near the dumpsters. The Dietary Supervisor stated Maintenance was responsible for maintaining the area and said Maintenance rinsed the dumpster area daily. Surveyors also observed a build-up of greasy particles on the outside of the oil/grease refuse container. The build-up was around the top opening of the container and extended to the top of the opening's cover, measuring approximately two inches. The Dietary Supervisor stated the build-up should be washed down when the dumpsters were washed down, which should be daily or as needed, and said it did not appear the oil/grease refuse container had been washed daily when observed. The facility's pest control records showed fly treatment was last documented on 02/18/2026, despite later records dated 04/29/2026 and 06/08/2026. During the survey, a fly was observed in the kitchen on the plate lowerator, and later flies were observed flying in the kitchen during meal preparation and trayline activity. RI #8 complained of flies in his room, and during Resident Council, residents reported flies landing on food and waking them while sleeping. Staff interviews confirmed flies were present near the dumpsters and that the area could allow flies to enter the building.
Inaccurate PBJ Staffing Data Submission
Penalty
Summary
The facility failed to electronically submit complete and accurate direct care staffing information to CMS based on payroll and other verifiable and auditable data for the quarter of 01/01/2026 through 03/31/2026. The PBJ report for that quarter documented a staffing data concern for excessively low weekend staffing, and the report stated that this metric was triggered because the submitted weekend staffing data was excessively low. During an interview on 06/25/2026, the Administrator stated she was responsible for submitting staffing data to CMS, did not know why the low weekend staffing was triggered for the second quarter of 2026, and explained that she compiled the data, sent it to corporate, and a third-party company submitted it to CMS. She also stated that if incorrect data was submitted, CMS would not have accurate information concerning staffing.
Find your facility
Search by name to see its inspection history, citations and penalties — and how to prepare for the next survey.
Get alerted when Immediate Jeopardy citations hit in Alabama — free
You're all set
Compliance trends in Alabama
Data through May 2026Comparisons below measure the most recent period Jun 2025 – May 2026 against the prior period Jun 2024 – May 2025 (two equal 12-month windows). The most recent 1 months are excluded because CMS is still publishing them.
Top tags by month · last 24 months
dashed = still reportingMonthly citation counts for the 5 most-cited tags. The dashed tail is the 1-month reporting lag.
Care domain movers
Citations grouped into CFR care domains — F-tags by their §483 regulatory section (CMS State Operations Manual, Appendix PP) — measured as a rate per 100 inspections: Jun 2025 – May 2026 vs the prior period Jun 2024 – May 2025. Share is the domain's portion of citations this period; avg severity is the mean scope/severity letter and immediate jeopardy the percentage cited at J–L, both over the current period. Domains with at least 20 citations in both periods are shown; the sparkline tracks the last 12 months (left = oldest).
Immediate jeopardies · this period
Citations at the most serious scope/severity — J–L, immediate jeopardy, residents placed at risk of serious harm or death — over Jun 2025 – May 2026 vs the prior period Jun 2024 – May 2025. "Surveys with an IJ" counts distinct health inspections that had at least one.
Survey activity · by month
faded/dashed = still reportingCitations each month split into complaint-driven (unscheduled, triggered by grievances) vs standard surveys — bars, left axis — with the number of inspections as a line on the right axis. Rising inspections signal more scrutiny; a rising complaint share means more off-cycle surveys. The most recent 1 months are still being reported.
Deficiency-free survey rate
Share of health surveys that found zero deficiencies — the odds of a clean survey. Jun 2025 – May 2026 vs the prior period Jun 2024 – May 2025; the most recent 1 months are still being reported (dashed).
Penalties · by month
faded = still reportingTotal civil money penalty dollars imposed on the state's facilities each month — how hard the state is enforcing. The most recent 1 months are still being reported, and penalties often lag citations by several months.
Emerging tags
Tags that weren't established last period but surged — an early warning, distinct from movers (which track already-common tags). Criteria: fewer than 20 citations in the prior period, but at least 10 this period and 2.5× their prior volume. The sparkline shows monthly counts over the last 12 months (left = oldest).
Trusted data from CMS and state health departments
Every citation, penalty and Plan of Correction is sourced from public CMS records (latest release August 26, 2026) and official state health department websites — never guesswork.
In your survey window? See what surveyors are citing.
The Survey-Prep Report maps your facility's risk from 12 months of CMS and state citation data — what's being cited around you and what to check first. $129 one-time.
