Based on interviews, resident record review, and review of a facility reported incident, the facility failed to ensure Resident Identifier (RI) #58, a resident with moderate cognitive impairment, was assessed for self-administration of medication before Licensed Practical Nurse (LPN) #13 gave RI #58 a rectal suppository for RI #58 to self-administer on 12/06/2023. This affected RI #58, one of 10 residents for whom medications were reviewed. Findings include: On 12/07/2023 the facility reported to the Alabama Department of Public Health Online Incident Report System an incident involving RI #58 in which RI #58's Resident Representative alleged negligence due to RI #58 being handed a suppository by LPN #13 for RI #58 to self-administer on 12/06/2023. …
F554 citations in Alabama
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Alabama cites F554 more often than its own record predicts
2.00 times the share F554 takes of citations nationally.
Of every deficiency written in Alabama in 2024, this is the portion that was F554.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F554 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.
The short window
Recent years
| Year | Share of Alabama citations | vs expected |
|---|---|---|
| 2023 | 1.55% | 2.81× |
| 2024 | 1.09% | 2.00× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alabama surveyors cite →
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