Deficiency Index

F867 citations in Alabama

QAPI improvement activities · Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F867 in Alabama. Pick another state for the same tag.

Against expectation — 2025

Alabama cites F867 more often than its own record predicts

Versus expected share6.06×

6.06 times the share F867 takes of citations nationally.

Share of Alabama citations1.99%

Of every deficiency written in Alabama in 2025, this is the portion that was F867.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Alabama surveyors wrote

F867 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.

J · Immediate jeopardy, isolatedJanuary 18, 2026

Based on record review, interview, the facility's policy titled Abuse, Neglect, and Exploitation, and the facility plan titled Quality Assurance and Performance Improvement (QAPI) Plan the facility failed to implement an effective QAPI program related to a resident-to-resident sexual abuse incident.Specifically, the facility's Quality Assurance Committee failed to review the incident to verify that a thorough investigation was conducted, failed to the incident as abuse, and failed to analyze contributing risk factors including residents wandering without supervision on a unit with a resident who had a documented history of sexually inappropriate behavior toward staff. …

Enterprise Health & Rehabilitation Center

E · No harm, potential for more than minimal, patternMay 21, 2026

Based on interviews, record review, and a review of the facility policy titled, Quality Assurance/ Performance Improvement, the Quality Assurance Performance Improvement (QAPI) committee failed to identify all causal factors related to two elopements for Resident Identifiers (RI) #106 and RI #121 and for smoking non compliance for RI #33 and RI #109. The facility also failed to determine what corrective actions needed to be taken to prevent any further resident safety concerns. …

Huntsville Health & Rehabilitation, LLC

The short window

Recent years

YearShare of Alabama citationsvs expected
20231.04%1.77×
20242.19%4.87×
20251.99%6.06×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Alabama surveyors cite →

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