Based on interviews, review of the Administrator's (ADM) and Director of Nursing (DON) Job Responsibilities, and review of the facility's ABUSE PREVENTION policy, the facility's ADM and DON failed to provide oversight and guidance to facility staff to ensure the facility's abuse policy was implemented to identify abuse, report suspected abuse, and take corrective actions to protect residents following an incident of abuse. On 09/19/2025 Resident Identifier (RI) #1 was abused by Licensed Practical Nurse (LPN) #5 when LPN #5 placed his hand over RI #1's mouth and pinched RI #1's nose to prevent RI #1 from spitting out medication during medication administration. Two staff reported that RI #1's face was red after the incident. …
F835 citations in Alabama
Administration · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alabama cites F835 more often than its own record predicts
6.76 times the share F835 takes of citations nationally.
Of every deficiency written in Alabama in 2025, this is the portion that was F835.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F835 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, and review of a facility document titled Administrator Job Description, the facility Administrator (ADM) failed to take appropriate corrective action to ensure the facility's compliance with Federal Regulations.The ADM failed to develop an approved plan to correct the non-compliance and failed to take appropriate corrective action to correct deficiencies identified during the Recertification survey that was conducted on 06/30/2026. F801 and F847 were recited during the revisit survey. This had the potential to affect 90 out of 90 residents residing at the facility. Findings Include:Cross-Reference F801 and F847.An unsigned and undated facility document titled ADMINISTRATOR JOB DESCRIPTION documented: . …
The short window
Recent years
| Year | Share of Alabama citations | vs expected |
|---|---|---|
| 2024 | 1.82% | 5.58× |
| 2025 | 1.99% | 6.76× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alabama surveyors cite →
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