Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
F493 in Alabama. Pick another state for the same tag.
No F493 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
F493 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, isolatedJuly 21, 2017
Based on a review of the Regional Nurse Consultant JOB DESCRIPTION and staff interview, the governing body of the facility failed to ensure policies were developed and implemented regarding the use of the facility's ELOPEMENT RISK ASSESSMENT. With an incomplete assessment and no behavioral interventions to redirect the resident's behavior, during the early morning hours on 6/9/2017, Resident Identifier (RI) #1, a cognitively impaired resident, eloped from the facility, without staff knowledge. RI #1 was found by a bystander one quarter to a half mile away from the facility. RI #1 had fallen on the ground and complained of pain. Emergency Medical Technicians (EMTs) responded and assessed RI #1 for injuries. …
E · No harm, potential for more than minimal, patternAugust 17, 2017
Based on record review, interviews, and review of the job description for the Vice President of Quality Management and Clinical Services, corporate staff failed to ensure a policy was developed and/or the facility procedure was revised for side rail use. This had the potential to affect all 57 of 92 residents in the facility, identified as utilizing side rails.
Findings include:
Cross Reference F323.
Review of an undated job description for the Vice President of Quality Management and Clinical Services, Corporate Office, revealed the following:
. KEY RESPONSIBILITIES .
4. …
C · No harm, potential for minimal, widespreadApril 6, 2017
Based on interviews, review of a facility policy titled, ABUSE PREVENTION IMPLEMENTATION POLICY AND PROCEDURE, and review of the Job Description for the Executive Director, Employee Identifier (EI) #1, the Executive Director (owner) of the facility failed to provide training to the facility Administrator and other facility staff related to regulatory changes effective 11/2016. Further, she failed to ensure the facility's Abuse policy was updated to reflect these regulatory changes. This had the potential to affect all 134 residents residing in the facility.
Findings include:
EI #1's job description, dated 03/17/2009, documented the following:
JOB DESCRIPTION
. …
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