Based on interviews, record reviews, and the job description for Center Sr. Executive Director the Governing Body failed to provide oversight to ensure residents were free from abuse, neglect, and significant medications errors. Further the Governing Body failed to ensure the facility staff responsible for administering medications and parenteral fluids via PICC were trained on the standards of practice. The Governing Body further failed to ensure facility staff were trained on proper resident care for residents with a PICC. 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. The Immediate Jeopardy (IJ) was cited in reference to 483.70 Administration. …
F837 citations in Alabama
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alabama cites F837 more often than its own record predicts
9.14 times the share F837 takes of citations nationally.
Of every deficiency written in Alabama in 2025, this is the portion that was F837.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F837 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 interview and record review the facility failed to ensure policies and procedures were developed and implemented regarding residents independently signing themselves out of the facility and leaving without supervision. This failure had the potential to affect all residents who leave the facility independently by limiting the facility's ability to assess resident safety, supervision needs, and risk prior to departure. Findings Include: Cross Reference F689 During an interview conducted on 05/19/2026 at 5:45 PM with the Corporate Compliance Officer/ Quality Assurance Director she was questioned regarding residents who independently sign themselves out without supervision. …
The short window
Recent years
| Year | Share of Alabama citations | vs expected |
|---|---|---|
| 2024 | 1.09% | 12.01× |
| 2025 | 0.50% | 9.14× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alabama surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction