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Statistics for Alabama (Last 12 Months)

225
Total Providers
45
Total Inspections in the last 12 months
Information
This includes all types of inspections: standard annual surveys, life safety code surveys, re-surveys, complaint investigations, and follow-up inspections.
7.6%
Providers with Citations in the last 12 months
Information
Among all providers that received one or more inspections in the last 12 months, this represents the percentage that received at least one citation of any severity level.
3.1%
Providers with Serious Citations in the last 12 months

Financial Impact (Last 12 Months)

$355,230
Maximum Single Fine
$66,471
Median Fine
96
Max Payment Suspension Days
23
Median Suspension Days

Some of the Latest Corrective Actions taken by Facilities in Alabama

  • Implemented monthly printing of the Medication Administration Record (MAR) to ensure availability during internet outages, with responsibility assigned to the Director of Nursing, Assistant Director of Nursing, or Unit Manager (L - F0760 - AL) (L - F0580 - AL) .
  • Conducted in-service training for all LPNs and RNs to ensure they know the location of the paper MAR and update it promptly with any new admissions or physician order changes (L - F0760 - AL) (L - F0580 - AL) .
  • Educated all nursing and administrative staff on the policy titled Policy on Computer or Internet Downtime and EHR, including the importance of documenting medication administration at the time of administration (L - F0760 - AL) (L - F0580 - AL) .
  • Established a monthly MAR printout schedule to ensure clarity and preparedness for potential internet downtimes (L - F0760 - AL) (L - F0580 - AL) .
  • Conducted mock drills for nursing personnel to practice procedures during internet outages (L - F0760 - AL) (L - F0580 - AL) .
  • Replaced the facility's router to improve internet reliability and reduce the likelihood of future outages (L - F0760 - AL) (L - F0580 - AL) .
  • Held an ad-hoc Quality Assurance meeting to discuss the deficient practice and plan of correction, ensuring continuous improvement and oversight (L - F0760 - AL) (L - F0580 - AL) .

Latest Citations in Alabama

Where do we get this info
Information
Our data comes from the CMS latest release (July 30, 2025) and state websites, both sourced from public records.
Failure to Notify Physician of Medication Administration Issues During Internet Outage
L
F0580
Short Summary

During an internet outage, the facility failed to notify the physician and relevant parties when residents on the second and third floors did not receive their medications and treatments as ordered. The outage prevented access to the EHR system, and staff did not have pre-printed documentation forms to administer medications. The DON and ADM were not informed of the issue until much later, and the Physician/Medical Director was not notified at all, leading to an Immediate Jeopardy citation.

Fine: $187,110
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Administer Medications and Perform CBG Monitoring
L
F0658
Short Summary

The facility failed to ensure that nurses adhered to professional standards of practice and facility policies regarding medication administration and CBG monitoring. Several nurses did not administer medications or perform CBG checks as ordered, nor did they notify the appropriate personnel about the missed medications and checks. This affected a significant number of residents, with many not receiving their medications as ordered during the specified period. The facility's policy on Computer or Internet Downtime and EHR Access was not followed, contributing to the deficiency.

Fine: $187,110
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Medication Administration Failure During Internet Outage
L
F0760
Short Summary

During a snowstorm, a facility lost internet access, preventing staff from accessing the eMAR and leading to significant medication errors. Residents with conditions such as diabetes and epilepsy missed critical medications, including insulin and anticonvulsants. Interviews revealed that staff were unable to administer medications or monitor blood glucose due to the lack of access to records.

Fine: $187,110
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Neglect and Verbal Abuse During Internet Outage
L
F0600
Short Summary

During a forecasted winter storm, a facility experienced an internet outage that prevented access to the EHR system, leading to neglect as residents did not receive medications as ordered. The nursing staff failed to implement a backup plan or notify management of the issue. Additionally, a CNA verbally abused a resident, which was substantiated by the facility's investigation, resulting in the CNA's termination.

Fine: $187,110
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Food Safety and Sanitation Deficiencies
F
F0812
Short Summary

The facility failed to follow its food safety and sanitation policies, affecting all residents receiving meals. Observations revealed unlabeled and undated food items in storage, a dirty ice machine, and improper hand hygiene practices in the dish room. The Food Service Director acknowledged these lapses, which could lead to foodborne illnesses and cross-contamination.

Fine: $187,110
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Inadequate QAPI Review of Abuse Allegation
D
F0867
Short Summary

The facility's QAPI committee failed to adequately review and analyze an abuse allegation involving a resident who was verbally abused by a CNA. The incident was not reported to the State Agency within the required timeframe, and the committee did not conduct a thorough investigation or root cause analysis. Contributing factors, such as the CNA's fatigue after a double shift, were not identified, and no action plan was developed to address these issues.

Fine: $187,110
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Delayed Reporting of Verbal Abuse Allegation
D
F0609
Short Summary

A facility failed to report an allegation of verbal abuse within the required two-hour timeframe. A resident reported being verbally abused by a CNA, and the incident was reported to the Administrator at 11:20 AM. However, the Facility Reported Incident was not submitted to the State Agency until after 3:00 PM, exceeding the two-hour reporting requirement.

Fine: $187,110
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Investigate and Address Verbal Abuse Incident
D
F0610
Short Summary

A facility failed to thoroughly investigate and address a verbal abuse incident involving a resident and a CNA. The CNA, frustrated from working double shifts, verbally abused the resident. The investigation lacked clarity, did not identify contributing factors, and failed to involve other residents or staff. Additionally, the Social Services Director and Mental Health Nurse were not notified, leaving the resident without necessary support.

Fine: $187,110
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Implement Preventive Measures for Skin Integrity
D
F0686
Short Summary

A facility failed to implement a care-planned preventive measure for a resident with potential for impaired skin integrity. The resident's oxygen tubing was observed without padding behind the ears on multiple occasions, despite the care plan's directive. An LPN confirmed the absence of padding and its importance in preventing skin breakdown.

Fine: $187,110
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Provide Social Services After Verbal Abuse Incident
D
F0745
Short Summary

A resident was verbally abused by a CNA, but the facility failed to provide necessary social services and mental health evaluation as per policy. The SSD was unaware of the incident and did not assess the resident, while the DON failed to ensure communication and documentation. The Administrator was aware but the mental health evaluation was not conducted.

Fine: $187,110
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

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