Kauhale Port City Specialty Care Assisted Living

License status

Probational

Last survey posted

November 13, 2025

Surveys posted

2

Deficiencies cited

28

Substantiated complaints

0

Alabama's rules say the Board may grant a probational license when “the facility has engaged in one or more deficient practices which are serious in nature, chronic in nature, or which the facility has failed to correct.” Probation lasts at most one year, and the facility may not add beds during it.

Surveys

• November 13, 2025: 17 deficiencies cited report plan of correction
  • Administration: The Specialty Care Assisted Living Facility Governing Authority. ADPH found: “The Governing Authority failed to provide adequate support and proper oversight to the facility to ensure the facility achieved and maintained compliance with state specific rules and regulations regarding the RN (Registered Nurse) duties and resident health supervision.” This deficient practice resulted in actual harm for one resident and placed all 17 residents at significant risk for harm. ADPH noted this as a repeat deficiency from the survey of APRIL 3, 2025. 420-5-20-.03(1)(a)(b)(c)(d)
  • Administration. ADPH found: “The facility failed to follow its own policies and procedures for management and operation of the facility.” 420-5-20-.03(e)
  • Personnel. ADPH found: “The facility was not staffed with at least the minimum required staff at all times.” ADPH noted this as a repeat deficiency from the survey of APRIL 3, 2025. 420-5-20-.04(1)(2)
  • Personnel: Medical Director. ADPH found: “The facility RN and Care Coordinator duties were not performed consistently to ensure the facility operated in compliance with SBOH rules for SCALFs.” 420-5-20-.04(6)(7)(8)
  • Records and Reports: Residents' Rights. ADPH found: “The facility failed to provide a safe and decent environment for residents at all times which resulted in actual harm for one resident and placed all 17 residents at significant risk for harm.” 420-5-20-.05(3)(d)
  Show all 17

  • Records and Reports: Incident Investigation. ADPH found: “The facility failed to identify a reported incident as an attempted suicide, failed to conduct a complete investigation of the event and failed to take actions that would prevent recurrence.” 420-5-20-.05(3)(h)
  • Care of Residents: Medical Direction and Supervision. ADPH found: “The facility failed to follow physicians' orders to keep hazardous items from a resident.” 420-5-20-.06(1)
  • Care of Residents: Initial Assessment. ADPH found: “The facility RN, EI#3, failed to perform her duties to ensure the safety and welfare of all residents.” 420-5-20-.06(3)(a)(b)(c)(d)(e)
  • Care of Residents: Observation. ADPH found: “The facility failed to utilize general observation and health supervision of a resident who required medical attention.” 420-5-20-.06(3)(f)
  • Care of Residents: Care During Emergency or Illness. ADPH found: “Facility staff delayed notification of 911 during a medical emergency that could have resulted in death, serious medical impairment or disability of the resident.” 420-5-20-.06(3)(h)(i)
  • Care of Residents: Mechanical Restraint and Seclusion. ADPH found: “The facility treated a resident who exhibited emergency behavioral symptoms with an anti-anxiety medication.” 420-5-20-.06(3)(j)
  • Care of Residents: Personal Care and Services. ADPH found: “The facility failed to develop a plan of care which contained interventions to meet the care and safety needs of a resident with suicidal ideations, homicidal ideations and safety risks identified in the initial physician's medical examination.” 420-5-20-.06(4)(a)(b)
  • Care of Residents: Activity Program. ADPH found: “The facility failed to develop a specific activity program to meet the needs of a resident who had wandering behaviors.” 420-5-20-.06(4)(c)(d)(e)(f)
  • Care of Residents: Medications. ADPH found: “The facility failed to obtain a physician's order for residents to manage or have custody of their own medications.” 420-5-20-.06(5)(a)(b)(c)(d)(e)
  • Care of Residents: Medications. ADPH found: “The facility failed to ensure medications were documented contemporaneously on the Medication Administration Records (MAR).” 420-5-20-.06(5)(h)
  • Care of Residents: Storage of Medical Supplies. ADPH found: “The facility failed to ensure stored medical supplies were inspected annually to ensure their usability.” 420-5-20-.06(8)
  • Care of Residents: Admission. ADPH found: “The facility admitted a resident who did not meet eligibility requirements for a SCALF.” 420-5-20-.06(9)(a)
• April 3, 2025 (Licensure): 11 deficiencies cited report plan of correction
  The deficient practices require a plan of correction.
  • The License: Application. ADPH found: “The facility failed to give notification prior to a change in the name of the facility.” 420-5-20-.02(2)
  • Personnel. ADPH found: “The facility was not staffed with at least the minimum required staff at all times.” 420-5-20-.04(1)(2)
  • Personnel: Medical Director. ADPH found: “Four facility staff members were not Cardiopulmonary Resuscitation (CPR) certified.” 420-5-20-.04(6)(7)(8)
  • Records and Reports: Residents' Rights. ADPH found: “Menu review and interview, the facility failed to ensure residents were treated with dignity at meal times and while in the day room.” 420-5-20-.05(3)(d)
  • Records and Reports: Incident Investigation. ADPH found: “The facility failed to conduct investigations for two reported incidents that were reported late.” 420-5-20-.05(3)(h)
  Show all 11

  • Care of Residents: Initial Physical Examination. ADPH found: “The facility failed to ensure a resident was not admitted to the facility prior to a medical examination to include the physician's plan of care.” 420-5-20-.06(2)(a)(b)(c)
  • Care of Residents: Personal Care and Services. ADPH found: “The facility failed to develop a current plan of care which contained interventions to meet the care and safety needs of a residents.” 420-5-20-.06(4)(a)(b)
  • Food Service: Dietary Service. ADPH found: “The facility failed to serve meals that were palatable.” 420-5-20-.07(3)
  • Sanitation and Housekeeping: Housekeeping and Physical Plant Maintenance. ADPH found: “The facility failed to maintain the memory care unit in a clean manner, have an adequate supply of housekeeping and dining supplies and ensure chemicals were secured or supervised at all times and flammable chemicals were properly stored.” 420-5-20-.10(2)
  • Fire and Safety: General. ADPH found: “The facility failed to ensure fire drills were conducted monthly and quarterly on each shift.” 420-5-20-.11(1)
  • Physical Environment: Buildings and Grounds. ADPH found: “The facility failed to ensure maintenance of the magnetic locking entry door, a soap dispenser, two toilets and the boiler room exhaust fan.” 420-5-20-.12(1)

ADPH also lists 6 earlier surveys, back to 2010.

Search ADPH’s deficiency reports for license P4903 →

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 20 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.