Based on interviews and record review, the facility failed to ensure Resident Identifier (RI) #21 was invited to and allowed to participate in his/her care plan meeting on 05/16/2025.This affected RI #21, one of two residents reviewed for care plan concerns.Findings include:RI #21 was admitted to the facility on [DATE] with Diagnoses to include: Paraplegia, Anemia, and Osteoarthritis.RI #21's Quarterly Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 05/15/2025 documented a Brief Interview of Mental Status (BIMS) of 15 which indicated cognitively intact mental status.RI #21's most recent CARE PLAN MEETING SUMMARY document dated 05/15/2025 was reviewed and revealed: . Family . was contacted no answer, left voicemail . …
F657 citations in Alabama
Care plan timing and revision · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alabama cites F657 less often than its own record predicts
0.27 times the national share — cited less often here than elsewhere.
Of every deficiency written in Alabama in 2025, this is the portion that was F657.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F657 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, record review and review of a facility policy titled, CARE PLANS, the facility failed to ensure the required disciplines of the Interdisciplinary team (IDT), specifically the Certified Nursing Assistants (CNAs), attended the care plan meetings This deficient practice affected RI #'s 6, 9, 19, 23, 26, 30, 31, 34, 43, 44, 49, 52, 54, 62, 70, 75, 77, and 78, 18 of 41 sampled residents. Findings include: A review of the facility policy titled, CARE PLANS, with a reviewed date of 01/31/2023 revealed: . PURPOSE: 1. To assure that all disciplines coordinate the care of each resident. PROCEDURE: . 4. …
The short window
Recent years
| Year | Share of Alabama citations | vs expected |
|---|---|---|
| 2023 | 1.55% | 0.72× |
| 2024 | 0.36% | 0.19× |
| 2025 | 0.50% | 0.27× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alabama surveyors cite →
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