Based on observations, interviews, and record reviews, the facility failed to ensure a Registered Nurse (RN) was consistently scheduled to administer Resident Identifier (RI) #9's 12:00 AM dose of intravenous (IV) antibiotic, Piperacillin-Tazobactam (Zosyn). Six doses of RI #9's Zosyn scheduled to be administered at 12: AM were either not documented as administered or documented days later by RN #25 who was not clocked in at the time the documented doses were scheduled. It was determined the facility's noncompliance with one or more requirements of participation has caused, or was likely to cause, serious injury, harm, impairment, or death to residents. …
F725 citations in Alabama
Sufficient nursing staff · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alabama cites F725 less often than its own record predicts
0.64 times the national share — cited less often here than elsewhere.
Of every deficiency written in Alabama in 2025, this is the portion that was F725.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F725 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 record reviews, interviews, document reviews, and policy review, the facility failed to ensure sufficient staff were available to provide supervision for residents on the facility's secured unit during the night shift. On 01/09/2023 at approximately 2:30 AM, staff left residents on the [NAME] Haven Unit (a locked, secured unit where 24 residents resided) unsupervised to take care of residents on other units because there was an insufficient number of staff. While the locked/secured unit was unsupervised, Resident #404 struck their roommate, Resident #403, with a cane which resulted in a facial laceration, facial bruising and swelling, and multiple other injuries to the resident's body. This failure affected one of nine units in the facility. …
Based on interview, record review and the Center Assessment Tool the facility failed to provide sufficient nursing staff to meet resident needs when the Registered Nurse (RN) #40 did not respond to a residents call light or notification of a fall, stating she did not have time because she was responsible for 50 residents. In addition, the facility did not have a restorative program to ensure residents maintained mobility and range of motion in place due to lack of staffing availability. These failures limited the facility's ability to provide timely care and services and had the potential to affect all residents who require nursing supervision and restorative services. …
The short window
Recent years
| Year | Share of Alabama citations | vs expected |
|---|---|---|
| 2024 | 0.73% | 0.91× |
| 2025 | 0.50% | 0.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alabama surveyors cite →
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