Based on interviews, record review, and review of a facility policy titled, Change in Condition: Notification of, the facility failed to ensure the physician was when a significant change was identified on 04/07/2025 when Resident Identifier (RI) #9 was noted to have continued bleeding from a surgical incision ten days after being admitted and 13 days after the surgical procedure. The facility further failed to ensure the physician was notified on 04/09/2025 Resident Identifier (RI) #9's hemoglobin was 7.7 g/dL (grams per deciliter). On 04/07/2025 a change of condition was noted in RI #9's medical record related to bleeding from his/her surgical incision. …
F580 citations in Alabama
Notifying of changes · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alabama cites F580 more often than its own record predicts
1.68 times the share F580 takes of citations nationally.
Of every deficiency written in Alabama in 2025, this is the portion that was F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F580 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.
Based on interviews, record review and review of facility policies titled, Pain Management and Assessment, Incidents and Accidents, Change in Medical Condition of Residents, and review of a facility form titled Pain Assessment, the facility failed to ensure: 1) Resident Identifier (RI) #14's physician was notified when RI #14 exhibited facial grimaces when moved on 11/26/2023; and continued to exhibit facial grimaces and complained of pain on 11/27/2024, 2) RI #14's physician was notified when RI #14 did not have a physician's order for pain management; and 3) RI #14's family was notified when RI #14 was ordered x-rays on 11/27/2024 after complaining of pain. This deficient practice affected RI #14, one of five residents sampled for falls. …
Based on interviews and record review, the facility failed to ensure staff followed a physician's order to notify the medical provider when the Resident Identifier (RI) #89's blood glucose exceeded the ordered parameter of 250 mg/dL (milligrams/deciliter). Record review revealed a physician's order dated 03/07/2025 directing staff to check the resident's blood glucose four times daily before meals and at bedtime, document the results, and notify the medical provider for blood glucose readings below 70 mg/dL or above 250 mg/dL.Review of the Nurse Medication Administration History dated 03/01/2025 through 03/31/2025 revealed RI #89's had multiple blood glucose readings that exceeded the physician ordered notification and the medical provider was not notified. …
The short window
Recent years
| Year | Share of Alabama citations | vs expected |
|---|---|---|
| 2023 | 1.55% | 1.09× |
| 2024 | 2.55% | 1.68× |
| 2025 | 2.49% | 1.68× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alabama surveyors cite →
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