F520 in Alabama. Pick another state for the same tag.
No F520 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
F520 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.
K · Immediate jeopardy, patternNovember 3, 2017
Based on observations, record review, interviews, and review of the facility's policy titled Quality Improvement Committee, the facility's Quality Assessment and Assurance Committee failed to develop an action plan that addressed all causal factors after RI #1 sustained a second degree burn during the provision of a bed bath on 10/19/2017.
This deficient practice placed all 42 residents residing on the B-wing, one of four units in the facility, in immediate jeopardy, as the deficient practice was likely to result in serious harm, impairment, injury, or death to these residents.
On 11/02/2017 at 4:30 p.m. …
E · No harm, potential for more than minimal, patternOctober 5, 2017
Based on a review of the quarterly Quality Assurance/Performance Improvement (QAPI)committee attendance records, and interviews with the QAPI Coordinator and Medical Director, the facility failed to ensure the Medical Director attended and actively participated in three of four meetings from October 2016 through October 2017.
Findings included:
During the entrance conference on 10/03/17 at 4:00 p.m., the facility Administrator/QAPI Coordinator provided a copy of the facility's quarterly QAPI Sign In records, dated: 10/05/16, 01/25/17, 04/25/17 and 07/25/17. …
C · No harm, potential for minimal, widespreadJanuary 26, 2017
Based on record reviews and interview the facility failed to ensure the Medical Director attended QAA (Quality Assessment Assurance) meetings at least quarterly. This was confirmed by a review of 7 of 7 attendance sign in sheets. This had the potential to affect all residents in the facility.
Findings Include:
A review of a facility policy titled Quality Assessment Assurance with an effective date of November 1, 2001 revealed .STANDARD: The Quality Assessment and Assurance Committee should meet at least quarterly . and consist of the Director of Nursing, physician and three other staff members.
On 1/24/17 during the entrance meeting, the surveyor requested sign in sheets for the last three QAA meetings.
On 1/24/17 the QAA sign in sheets for March 17, 2016, April 27. …
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