Based on interviews and resident record reviews the facility failed to ensure: 1) a system was in place to ensure newly admitted residents vital signs were assessed at a frequency expected by the Physician/Certified Registered Nurse Practitioner (CRNP); and 2) resident specific vital sign parameters were established including when the physician should be notified of abnormal values. Specifically, RI #497 was admitted to the facility on [DATE] after being admitted to the hospital on 12/17/2024 with Atrial Fibrillation with RVR (Rapid Ventricular Response). The facility's orders indicated RI #497's vitals were to be assessed every month and no parameters were established. The physician/CRNP reported they expected vitals to be assessed at least daily for newly admitted residents. …
F684 citations in Alabama
Quality of care · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alabama cites F684 less often than its own record predicts
0.23 times the national share — cited less often here than elsewhere.
Of every deficiency written in Alabama in 2025, this is the portion that was F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F684 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, review of a facility policy titled, Negative Pressure Wound Therapy, review of Resident Identifier (RI) #150's hospital records and review of a complaint received by the State Agency, the facility failed to provide, in a timely manner, a wound vacuum (vac) as prescribed by RI #150's hospital physician. On 11/10/2022 RI #150 was admitted to the facility with hospital physician orders for a wet-to-dry packing and a wound vac was to be placed to RI #150's right abdominal surgical wound once RI #150 was admitted to the facility. According to facility staff the wound vac was not placed until 11/14/2022, four days after RI #150 was admitted to the facility. …
Based on interview, record review, and document review, the facility failed to provide timely follow-up orthopedic care for 1 (Resident #62) of 8 residents sampled for accidents. Specifically, the facility failed to reschedule an orthopedic appointment for Resident #62 after the original appointment scheduled for 05/06/2025 was cancelled by the ambulance service.Findings included: A Resident Face Sheet indicated the facility admitted Resident #62 on 06/07/2020. According to the Resident Face Sheet, the resident had a medical history that included diagnoses of intellectual disability, schizophrenia, insomnia, and pain. …
The short window
Recent years
| Year | Share of Alabama citations | vs expected |
|---|---|---|
| 2023 | 2.59% | 0.72× |
| 2024 | 0.73% | 0.18× |
| 2025 | 0.99% | 0.23× |
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