Based on interviews, record review, and a review of a policy titled, Behavioral Health Services, the facility failed to ensure there were sufficient staff who had the knowledge, training, competencies, and skills sets to address the behavioral health care needs of Resident Identifier (RI) #335 after RI #335 was sent to the hospital for aggressive behaviors and suicidal and homicidal ideations. The facility did not develop and implement interventions to ensure resident's safety or to provide additional supervision. On 06/23/2023 during lunch, RI #335 was physically and verbally abusive to staff and had suicidal and homicidal ideation before being sent to the hospital. …
F741 citations in Alabama
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Alabama cites F741 more often than its own record predicts
14.57 times the share F741 takes of citations nationally.
Of every deficiency written in Alabama in 2024, this is the portion that was F741.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F741 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 and a review of the Facility assessment dated [DATE], the facility failed to ensure substance abuse training was provided to staff. This deficient practice affected Resident Identifier (RI) #286 one of seven residents sampled for behaviors. Findings include: Cross Reference F740 RI #286 was admitted to the facility on [DATE]. RI #286 had diagnoses that included Paraplegia, Muscle weakness, and Stimulant Dependence. RI #286 Admission Minimum Data Set (MDS) dated [DATE] assessed by MDS #6, revealed a Brief Interview for Mental Status (BIMS) score 15 of 15 which indicated he/she was cognitively intact. …
What else Alabama surveyors cite →
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