Based on interviews, record review and review of a facility policy titled, Pain Management and Assessment, the facility failed to ensure Resident Identifier (RI) #14's pain was assessed on a daily basis, especially after RI #14 fell on [DATE]. According to the facility's policy, an ongoing assessment of pain utilizing either a numerical scale of 0-10 or a verbal descriptor scale should be conducted daily and documented on the Medication Administration Record (MAR). Upon review of RI #14's MAR, there was no evidence RI #14's pain was being assessed daily; nor was there a physician's order for pain management. The facility further failed to medicate RI #14 for his/her complaint of pain. …
F697 citations in Alabama
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alabama cites F697 more often than its own record predicts
1.28 times the share F697 takes of citations nationally.
Of every deficiency written in Alabama in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F697 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, Pain Management and Assessment , review of a Facility Reported Incident (FRI) received by the State Agency and review of the facility's investigative file, the facility nurses failed to provide pain management for Resident Identifier (RI) #120. On 04/02/2026 around 3:35 AM RI #120 was admitted to the facility and was assessed as having a pain level of 7 on a scale of 1-10. The pain medication ordered, Oxycodone 5 milligrams (mg), was not in the facility for administration. On 04/02/2026 at 12:44 AM the pain medication was delivered to the facility, but it was not until 04/03/2026 at approximately 8 AM, when RI #120's pain level was between 8-9, that RI #120 was medicated for his/her pain. …
The short window
Recent years
| Year | Share of Alabama citations | vs expected |
|---|---|---|
| 2023 | 0.52% | 0.71× |
| 2024 | 0.36% | 0.50× |
| 2025 | 0.99% | 1.28× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alabama surveyors cite →
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