F604 in Alabama. Pick another state for the same tag.
Against expectation — 2025
Alabama cites F604 more often than its own record predicts
Versus expected share1.31×
1.31 times the share F604 takes of citations nationally.
Share of Alabama citations0.50%
Of every deficiency written in Alabama in 2025, this is the portion that was F604.
Alabama0.50%
National0.38%
Share of all citations that were F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F604 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, isolatedMay 21, 2026
Based on interview, record review, the facility investigation, and a policy titled titled Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation the facility failed to ensure Resident Identifier (RI) #48 was free from physical restraint when staff forcibly restrained him/her after he/she refused care. The facility further failed to ensure staff utilized non-forceful, resident centered approaches during care interactions. Specifically On 08/04/2025 RI #48 refused care on multiple occasions. Despite the refusal Registered Nurse (RN) #63 and Certified Nursing Assistant (CNA) #64 proceeded to forcibly hold RI #48 down and provide incontinent care. …
D · No harm, potential for more than minimal, isolatedJuly 4, 2025
Based on interview, record review, facility document review, and facility policy review, the facility failed to ensure residents were free from any physical restraint not required to treat the resident's medical symptoms, which affected 1 (Resident #299) of 1 resident reviewed for use of restraints.
Findings included:
A facility policy titled, Restraint, dated 11/28/2016, revealed, Upon determination a patient/resident presents with medical symptoms that may require a restraint, they are evaluated for the least restrictive device. This evaluation includes physical considerations, medical issues and possible restraint alternatives such as referrals to rehab [rehabilitation] therapy or mental health services.
An admission Record indicated the facility admitted Resident #299 on 03/22/2024. …
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