Based on interviews, resident's medical records, review of Facility Reported Incidents (FRIs) received by the State Agency, the facility's investigative files, and the facility policy titled Abuse, Neglect, and Exploitation, the facility failed to ensure its abuse policy was implemented to establish a safe environment and implement protocols for preventing, identifying, and investigating an allegation of sexual abuse on 02/11/2025. On 12/18/2024 Resident Identifier (RI) #97 began having documented episodes of sexually inappropriate behaviors towards staff. Progress notes in RI #97's medical record included seven entries of sexually inappropriate behaviors documented by six different staff members from 12/18/2024 until 02/11/2025. …
F607 citations in Alabama
Abuse-prevention policies · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alabama cites F607 more often than its own record predicts
2.27 times the share F607 takes of citations nationally.
Of every deficiency written in Alabama in 2025, this is the portion that was F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F607 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, resident record review, review of a facility policy titled, Resident-to-Resident Altercations, review of a Facility Reported Incident (FRI) received by the State Agency, and review of the facility's investigative file, the facility failed to ensure the abuse policy was implemented to take steps to protect Resident Identifier (RI) #2 from further abuse on 05/15/2024 when RI #2 was being physically abused by RI #1. Certified Nursing Assistant (CNA) #3 heard RI #2 yelling and saw RI #1 sitting on RI #2's arm and slapping RI #2 in the face. …
Based on record review, interviews, review of a facility policy titled Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Uknown Source, Exploitation and review of a Facility Reported Incident (FRI), the facility failed to ensure Resident Identifier (RI) #114 was protected from RI #19 when RI #19 was placed back in the room with RI #114 without 15-minute checks or supervision upon returning from the hospital's psychiatric unit on 08/22/2025. RI #19 was sent to the hospital's psychiatric unit on 08/21/2025 after he/she became agitated and began yelling, cursing, and slamming doors in the room shared by RI #19 and RI #114. RI #114 stated the actions of RI #19 scared him/her. …
The short window
Recent years
| Year | Share of Alabama citations | vs expected |
|---|---|---|
| 2023 | 1.04% | 1.39× |
| 2024 | 2.19% | 2.90× |
| 2025 | 1.49% | 2.27× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alabama surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction