Based on interviews, record review and review of a facility policy titled ABUSE PREVENTION, the facility failed to ensure Certified Nursing Assistant (CNA) #8 immediately reported abuse she observed when Licensed Practical Nurse (LPN) #5 placed his hands over RI #1's mouth and nose to prevent RI #1 from spitting out medication on 09/19/2025 at approximately 8:47 AM, placing RI #1 at risk of aspirating the medications and being fearful, as RI #1 struggled, pushing his/her head from side to side and turning red in the face. CNA #8 said she tried to tell LPN #10, but LPN #10 did not want to be involved. …
F609 citations in Alabama
Reporting alleged violations · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alabama cites F609 more often than its own record predicts
1.83 times the share F609 takes of citations nationally.
Of every deficiency written in Alabama in 2025, this is the portion that was F609.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F609 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 interview, record review, facility document review, facility policy review, the facility failed to report allegations of resident abuse for 2 (Residents #24 and #59) of 6 residents sampled for abuse. Specifically, the facility failed to report allegations of sexual abuse that occurred on 03/20/2025 and 03/24/2025 between Resident #24 and Resident #59 (who were deemed incapable of making informed decisions). This was cited as a result of the investigation of complaint/report 3121131.Findings included: Cross-reference F600. …
The short window
Recent years
| Year | Share of Alabama citations | vs expected |
|---|---|---|
| 2023 | 1.55% | 0.79× |
| 2024 | 5.47% | 2.40× |
| 2025 | 4.48% | 1.83× |
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