F281 in Alabama. Pick another state for the same tag.
No F281 citations were recorded in Alabama for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Alabama surveyors wrote
F281 findings written in Alabama, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
J · Immediate jeopardy, isolatedDecember 30, 2016
Based on observations, interviews and record reviews, the facility's nursing staff failed to ensure Resident Identifier (RI) #1 received a pureed diet as ordered by the physician. On [DATE], Employee Identifier (EI) #12, a Licensed Practical Nurse (LPN) gave RI #1 a roast beef and cheese sandwich, that was not of a pureed texture. Afterwards during the 11:00 PM - 7:00 AM shift, EI #13, a Certified Nursing Assistant (CNA) gave RI #1 a half of roast beef sandwich, that was not of a pureed texture. Shortly after EI #13 left RI #1's room another CNA responded to a call light and found RI #1 hitting his/her chest as if he/she was choking. The nursing staff performed the [MEDICATION NAME] maneuver to include a manual sweep of RI #1's mouth. …
Based on interviews, record review and review of a facility policy titled: Physician's Orders, the facility failed to correctly transcribe Physician's Orders to administer Resident Identifier (RI) #1's medication, [MEDICATION NAME] (A medication used the treatment of [REDACTED].
According to hospital records, RI #1 had complained to the facility of swelling in the lower extremities, being mildly short of breath, and not receiving a medicine that was prescribed to treat [MEDICAL CONDITION] (weight gain). The medication, [MEDICATION NAME] was not administered, as ordered by the physician because the order was not transcribed to the resident's medical record or sent to the pharmacy to be filled.
RI #1 was admitted to the local hospital's Cardiology service with severe volume overload. …
D · No harm, potential for more than minimal, isolatedNovember 16, 2017
Based on an observation, interviews, record reviews, and a review of the facility policy titled, Diet Orders, the facility failed to ensure the Physician's diet order was followed. No meat was served at a breakfast meal for RI (Resident Identifier) #2.
This affected RI #2, one of twelve residents whose meals were observed.
Findings Include:
A review of the facility's Policy and Procedure titled, Diet Orders, with an effective date of August 23, 2017, revealed:
. PURPOSE:
To provide a standardized method for the preparation of foods to resident/guests, consistent with the resident/guests' individual needs and recommended dietary allowances (RDA). …
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