F686 in Alabama. Pick another state for the same tag.
Against expectation — 2025
Alabama cites F686 less often than its own record predicts
Versus expected share0.25×
0.25 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 F686.
Alabama0.50%
National1.97%
Share of all citations that were F686.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F686 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, isolatedMay 21, 2026
Based on interviews, review of residents' medical records, and review of the facility policy titled Pressure Injury , the facility failed to provide ongoing skin assessments to ensure pressure injuries or pressure ulcers were identified at an early stage which resulted in pressure injuries being identified at advanced stages of unstageable wounds. Specifically:1. On [DATE], Resident Identifier (RI) #108 was noted to have excoriation and redness to his/her buttocks/sacral area. The facility did not perform a detailed assessment of the area such as measurements, drainage, or odor. An order was obtained on [DATE] to clean and cover the area three times a week. …
Based on observation, interview, record review, and facility policy review, the facility failed to ensure residents with pressure ulcers received necessary care and services to promote healing and prevent new ulcers from developing for three (3) of three (3) residents identified with pressure ulcers out of 37 sampled residents (Resident #70, Resident #77, and Resident #81).
The facility failed to reposition Resident #70 every two (2) hours and failed to elevate the heels off the bed and the resident developed an unstageable pressure ulcer to the left heel. The facility failed to reassess the resident's nutritional status after the development of the pressure ulcer and failed to follow the physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . …
D · No harm, potential for more than minimal, isolatedMarch 27, 2025
Based on observations, interview, and resident record review, the facility failed to ensure care was provided in a manner to prevent skin breakdown. The facility failed to ensure a care planned preventive measure to prevent skin breakdown was implemented for Resident Identifier (RI) #43, a resident with a potential for impaired skin integrity, when unpadded oxygen (O2) tubing was observed behind RI #43's ears.
This was observed on 03/18/2025 and 03/19/2025, and had the potential to affect RI #43, one of 18 sampled residents.
Findings Include:
RI #43 was admitted to the facility on [DATE].
RI #43's care plan with a need of POTENTIAL FOR IMPAIRED SKIN INTEGRITY had an approach initiated 07/23/2024 for licensed staff to . PAD TUBING AROUND EARS WHEN O2 IS IN USE . …
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