Based on interviews, review of the facility's policy titled Wesley Manor Laboratory Protocol, a complaint received by the Alabama State Survey Agency and Resident Identifier (RI) #1's medical record, the facility failed to identify and respond to the critical laboratory (lab) value that was reported to the facility. On 5/14/2018, RI #1 had a lab specimen drawn for a [MEDICATION NAME] and [MEDICATION NAME] level. The results of the lab tests were faxed to the facility on [DATE] at 8:12 AM; however, the Medical Doctor and/or Nurse Practitioner were not made aware of the lab results until 5/17/2018. RI #1's [MEDICATION NAME] level was critically high at 52.0; normal range is 10.0 to 20.0. …
F770 citations in Alabama
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alabama cites F770 more often than its own record predicts
2.40 times the share F770 takes of citations nationally.
Of every deficiency written in Alabama in 2025, this is the portion that was F770.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F770 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, medical record review, review of a facility policy titled, Diagnostic Testing Services, and a review of a Facility Incident Report (FRI) received by the State Agency, the facility failed to ensure RI #412's laboratory services were provided timely when an order was received on 07/19/2024 to obtain a Urinalysis (UA) and Culture and Sensitivity (C&S) for RI #412. This deficient practice affected RI #412, one of 27 sampled residents. Findings include: RI #412 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses to include Benign Prostatic Hyperpasia and History of Cystitis. RI #412's July 2024 Physician Orders were reviewed and revealed an order dated 07/19/2024 for a laboratory test of urinalysis and culture and sensitivity. …
What else Alabama surveyors cite →
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