Gordon Oaks Memory Care Community

License status

Regular

Last survey posted

June 24, 2025

Surveys posted

2

Deficiencies cited

22

Substantiated complaints

2

Surveys

• June 24, 2025 (Follow Up): no deficiencies cited report
• July 22, 2024 (Licensure/Complaint): 22 deficiencies cited, 2 complaints substantiated, 1 complaint investigated (outcome in the report) report plan of correction
  The deficient practices resulted in the potential for significant harm to all residents.
  • The License: Revocation of License. ADPH found: “The governing authority operated the facility in conduct and practice deemed detrimental to the welfare of the residents as evidenced by multiple, significantly, past due accounts for goods and services, more than one utility cut-off notice for non-payment and one utility (water) disconnected due to non-payment.” 420-5-20-.02(4)
  • Administration: The Specialty Care Assisted Living Facility Governing Authority. ADPH found: “The governing authority failed to properly orient and provide oversight of the current administrator, failed to ensure the facility was not without a licensed administrator for greater than forty-five days, failed to financially manage the facility in a manner to prevent interruption of goods or services, failed to provide adequate staffing to meet the care and safety needs of all residents and failed to provide a safe, clean and decent environment for residents.” Cited as a result of a complaint investigation. 420-5-20-.03(1)(a)(b)(c)(d)
  • Administration. ADPH found: “The facility failed to develop and implement written policies and procedures.” 420-5-20-.03(e)
  • Administration: Responsibility. ADPH found: “The administrator failed to perform her duties to ensure the care and safety needs of all residents were met.” 420-5-20-.03(2)(a)
  • Administration: Department Notification. ADPH found: “The facility failed to notify the State Board of Health of administrator changes.” 420-5-20-.03(2)(c)
  Show all 22

  • Personnel. ADPH found: “The facility did not provide adequate staffing to meet the care and safety needs of all residents twenty-four hours a day, seven (7) days a week.” This deficient practice affected all 39 residents currently residing in the facility. 420-5-20-.04(1)(2)
  • Personnel: Medical Director. ADPH found: “The facility failed to have a medical director.” Cited as a result of a complaint investigation. 420-5-20-.04(6)(7)(8)
  • Personnel: Training. ADPH found: “Staff were not cardiopulmonary resuscitation (CPR) certified and were not trained in special needs of residents.” 420-5-20-.04(9)
  • Records and Reports: Administrative Records and Documents. ADPH found: “The facility failed to maintain original articles of incorporation and a copy of the bylaws of the governing authority.” 420-5-20-.05(2)
  • Records and Reports: Residents' Rights. ADPH found: “The facility failed to post a copy of the Residents Rights and the most recent inspection report.” Cited as a result of a complaint investigation. 420-5-20-.05(3)(d)
  • Records and Reports: Incident Investigation. ADPH found: “The facility failed to report to the ADPH a malfunction of the fire alarm system and failed to investigate an incident reported to the ADPH Online Reporting System.” 420-5-20-.05(3)(h)
  • Care of Residents: Activity Program. ADPH found: “The facility failed to offer an appropriate activity program to residents.” 420-5-20-.06(4)(c)(d)(e)(f)
  • Food Service: General. ADPH found: “The facility failed to provide services of a professionally, qualified dietician.” 420-5-20-.07(1)
  • Physical Facilities: Recreational. ADPH found: “The facility failed to provide a safe space for outside activities.” Cited as a result of a complaint investigation. 420-5-20-.08(5)
  • Laundry: General. ADPH found: “The facility failed to ensure the dryer lint traps were clean.” 420-5-20-.09(1)(2)
  • Sanitation and Housekeeping: Sanitation. ADPH found: “The facility failed to ensure the premises was clean and neat, free of pests and other conditions that could create a health or safety hazard.” Cited as a result of a complaint investigation. 420-5-20-.10(1)
  • Sanitation and Housekeeping: Housekeeping and Physical Plant Maintenance. ADPH found: “The facility failed to provide a decent and comfortable environment by storing mattresses, furniture and other items belonging to prior residents in resident rooms.” 420-5-20-.10(2)
  • Fire and Safety: General. ADPH found: “The facility failed to conduct fire drills monthly and quarterly on each shift, failed to ensure the fire alarm system and sprinkler system were inspected semi-annually for compliance with respective codes and failed to ensure the fire alarm system was operating as per NFPA (National Fire Protection Association) standard 72.” 420-5-20-.11(1)
  • Physical Environment: Buildings and Grounds. ADPH found: “The facility was not maintained in a safe operating condition.” Cited as a result of a complaint investigation. 420-5-20-.12(1)
  • Physical Environment: General Building Requirements - Group and Congregate. ADPH found: “The facility failed to ensure the building was free from leaks in the ceiling and that operable windows were equipped with screens.” Cited as a result of a complaint investigation. 420-5-20-.12(5)
  • Physical Environment. ADPH found: “The facility failed to have panic hardware in working order on a fire exit door and fire compartment doors did not seal.” 420-5-20-.12(7)
  • Physical Environment: Additional Requirements for Specialty Care Assisted Living Facilities. ADPH found: “The facility failed to ensure all exit door locks released automatically upon activation of the fire alarm system, failed to ensure staff were able to utilize the fire alarm monitoring system and failed to ensure staff knew how to access the emergency release "kill switch." These failures put all 39 residents at risk for significant harm.” 420-5-20-.12(8)

ADPH also lists 8 earlier surveys, back to 2008.

Search ADPH’s deficiency reports for license P4907 →

ADPH posts each survey’s Statement of Deficiencies as a PDF (older ones are scans, which we read by OCR). From each report we show the deficiency tags, the rules they cite, ADPH’s own one-sentence finding and the complaint outcomes ADPH states; each cited rule is named in the rule’s own words (Alabama Administrative Code, chapter 420-5-4 for assisted living and 420-5-20 for specialty care assisted living). The report, and the facility’s plan of correction when ADPH posts it, are the official record. Some reports list a complaint as substantiated with no deficiency cited; we show both as ADPH wrote them. This community is licensed for 100 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Alabama Department of Public Health, Bureau of Health Provider Standards, data as of October 15, 2026, showing surveys from the last five years. Always visit in person and ask the community about anything listed here.