Based on interviews, review of Resident Identifier (RI) #1's medical record, the facility's Care Planning Policy and Procedure, the Prehospital Care Report Summary and the (local hospital's) Clinical Documentation Report, the facility failed to ensure staff implemented RI #1's plans of care related to the resident's DNR (Do Not Resuscitate) code status when the resident became unresponsive without a pulse or respiration on [DATE]. During the 10:00 p.m. to 6:00 a.m. shift on [DATE], while being assisted to the bathroom, RI #1 became unresponsive with no pulse or respiration. The facility staff activated the emergency response system, then initiated Cardio [MEDICAL CONDITION] Resuscitation (CPR) on RI #1, in an attempt to revive the resident. …
F659 citations in Alabama
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F659 citations were recorded in Alabama for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Alabama surveyors wrote
F659 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 observation, interview and a record review, the facility failed to ensure staff followed Resident Identifier (RI) #12's care plan titled, . impaired cardiovascular status related to medical [DIAGNOSES REDACTED].#12's heart rate/vital signs as ordered. This affected one of 11 residents observed during medication administration observation and one of 15 residents whose care plans were reviewed. Findings Include: RI #12 was admitted to the facility on [DATE] and readmitted on [DATE] with [DIAGNOSES REDACTED]. A review of RI #12's Quarterly Minimum Data Set ((MDS) dated [DATE], revealed RI #12's Brief Interview for Mental Status (BIMS) score 12, indicating moderate impairment in cognition. …
What else Alabama surveyors cite →
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