F656 in Alabama. Pick another state for the same tag.
Against expectation — 2025
Alabama cites F656 less often than its own record predicts
Versus expected share0.14×
0.14 times the national share — cited less often here than elsewhere.
Share of Alabama citations0.50%
Of every deficiency written in Alabama in 2025, this is the portion that was F656.
Alabama0.50%
National3.43%
Share of all citations that were F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F656 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, isolatedMarch 23, 2024
Based on interviews, review of Resident Identifier (RI) #195's medical records, review of a third-party complaint, and the facility's policies titled, Care Plans, Comprehensive Person-Centered and Perineal Care, the facility failed to ensure care planned interventions were developed to instruct staff how to safely position RI #195 in bed during incontinent care; including how many staff members were required to safely provide incontinent care for RI #195.
The facility further failed to ensure RI #195's care planned interventions for bilateral half side rails for safety during care was implemented by Certified Nursing Assistance (CNA) #6. …
Based on interviews, record reviews, facility document review, Resident #14's emergency department medical records, and the facility's policy titled Person Centered Care Plans the facility failed to ensure staff implemented the care plan for transfers with a mechanical lift for Resident #14. Specifically, on 04/11/2023 Certified Nursing Assistant (CNA) #1 and CNA #2 failed to implement Resident #14's care planned intervention for transfers with mechanical lift, which resulted in the resident having arm pain while being transferred without the use of the mechanical lift and being lowered to the floor. The incident resulted in a left humerus fracture and numerous rib fractures.
This deficient practice affected Resident #14, one of three residents reviewed for falls. …
D · No harm, potential for more than minimal, isolatedJune 30, 2026
Based on interviews, observations, record review and review of a facility policy titled, Care Plans the facility failed to develop a comprehensive person-centered care plan to address the use of oxygen for Resident Identifier (RI) #1 and RI #35.This deficient practice affected RI #1 and RI #35 two of 30 residents whose care plans were reviewed. Findings Include:Review of a facility policy titled, Care Plans with a revised date of 09/2009 documented: . PURPOSE: Plans of Care are developed by the interdisciplinary team, to coordinate and communicate the plan of care for the resident. STANDARD: . …
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