Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F584 in Alabama. Pick another state for the same tag.
Against expectation — 2025
Alabama cites F584 less often than its own record predicts
Versus expected share0.71×
0.71 times the national share — cited less often here than elsewhere.
Share of Alabama citations1.49%
Of every deficiency written in Alabama in 2025, this is the portion that was F584.
Alabama1.49%
National2.10%
Share of all citations that were F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F584 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.
L · Immediate jeopardy, widespreadMay 19, 2023
Based on observations, interviews, record reviews, review of a facility policy titled, Resident Environmental Quality, a facility policy document titled, Resident Rights, a facility document used for weekly testing of fire door exits, and the State Agency's Online Incident Reporting System Report, the facility failed to ensure residents were safe and their property was protected by failing to provide a safe environment.
The facility failed to repair a broken, unsecured door in the facility, allowing anyone to gain access to the facility, unauthorized and without staff knowledge. Also, the facility failed to ensure unauthorized person (i.e., former employees) did not have the active door entry code to gain access to resident care areas. …
E · No harm, potential for more than minimal, patternAugust 15, 2026
Based on observation, interview, and facility policy review, the facility failed to maintain a clean, comfortable, homelike environment; specifically, shower rooms had numerous tiles discolored with a black, mold-like substance. This had the potential to affect 104 residents that utilized shower rooms of 110 total residents residing in the facility. This was cited as a result of the investigation of complaint/report 2792622.Findings included:The facility's undated policy titled, Nursing Home Shower Room Cleaning, indicated, To maintain a safe, hygienic, and dignified environment for residents and prevent the spread of infection through routine daily cleaning and disinfection. …
B · No harm, potential for minimal, patternMarch 23, 2024
Based on observations, interviews and a facility's policy titled, Homelike Environment, the facility failed to ensure rooms on one of seven halls were not found in need of repair.
This deficient practice affected eight resident's rooms on one hall.
Findings Include:
A facility policy titled, Homelike Environment, with a revised dated of 02/2021, revealed, Policy Statement Residents are provided with a safe, clean, comfortable and homelike environment . Policy Interpretation and Implementation . the facility staff and management maximizes, to the extent possible the characteristics of the facility that reflect a . homelike setting . These characteristics include: a. clean, sanitary and orderly environment; .
1. …
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