F628 in Alabama. Pick another state for the same tag.
Against expectation — 2025
Alabama cites F628 more often than its own record predicts
Versus expected share1.60×
1.60 times the share F628 takes of citations nationally.
Share of Alabama citations1.49%
Of every deficiency written in Alabama in 2025, this is the portion that was F628.
Alabama1.49%
National0.93%
Share of all citations that were F628.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F628 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.
D · No harm, potential for more than minimal, isolatedDecember 11, 2025
Based on record review, interview, and policy review, the facility failed to ensure the resident and resident representative (RP) received a written notice of transfer that included all required information for two of three residents (Resident (R) 6 and R60) reviewed for facility initiated emergent transfer to the hospital out of 36 sampled residents. In addition, the transfer notice document did not identify the specific reason the resident was being transferred to the hospital. …
B · No harm, potential for minimal, patternJune 30, 2026
Based on interviews and record review, the facility failed to provide Resident Identifier (RI) #80 and RI #80's representative a written notice of transfer when RI #80 was transferred to the hospital on [DATE] and 03/16/2026. This deficient practice affected RI #80, one of three residents reviewed for hospitalization. Failing to provide a written transfer notice when a resident is transferred to the hospital violates the residents right to return to their nursing facility after a hospital stay. Without a written notice documenting the specific medical reason for the transfer, the facility could discharge the resident and fill their bed while the resident is in the hospital. RI #80 was originally admitted to the facility on [DATE] and had a last readmit on 03/20/2026. …
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