The Pearl of the Shoals ALF

License status

Regular

Last survey posted

June 9, 2026

Surveys posted

4

Deficiencies cited

23

Substantiated complaints

2

Surveys

• June 9, 2026 (Investigation): no deficiencies cited report
• February 12, 2025 (Licensure/Complaint): 7 deficiencies cited report plan of correction
  The deficient practices resulted in a potential risk of harm to all residents and require a plan of correction.
  • Personnel: Training. ADPH found: “Facility staff were not properly trained in special needs of residents.” 420-5-4-.04(6)
  • Care of Residents: Medical Direction and Supervision. ADPH found: “The facility failed to follow the physicians' orders for assistance with residents' medications.” 420-5-4-.06(1)
  • Care of Residents: Medications. ADPH found: “The facility failed to obtain written approval from a physician for residents to have custody of and manage their medications.” 420-5-4-.06(5)(a)(b)(c)(d)(e)
  • Care of Residents. ADPH found: “A resident's medications were not administered and stored according to ALF rules.” 420-5-4-.06(7)(k)(l)(m)(n)(o)
  • Sanitation and Housekeeping: Housekeeping and Physical Plant Maintenance. ADPH found: “The facility failed to secure cleaning supplies.” 420-5-4-.10(2)
  • Fire and Safety: General. ADPH found: “The facility failed to have the sprinkler and fire alarm systems inspected semiannually by licensed personnel.” 420-5-4-.11(1)
  • Physical Environment: General Building Requirements - Family, Group, and Congregate. ADPH found: “The facility failed to maintain structural soundness and repair of the building.” 420-5-4-.12(5)
• January 25, 2024 (Licensure/Complaint): 8 deficiencies cited, 2 complaints substantiated report plan of correction
  The deficiencies cited caused actual harm to one resident and pose a significant risk of harm to all residents of i the facility.
  • Administration: The Assisted Living Facility Governing Authority. ADPH found: “The governing authority failed to ensure | the facility operated in compliance with the SBOH | rules for ALFs.” 420-5-4-.03(1)(a)(b)(c)(d)
  • Administration: Policies 420-5-4-.03(1)(e)
  • Care of Residents: Initial Assessment. ADPH found: “| Based on record reviews and interviews, i residents' assessments were not completed as | required. i Findings: | Review of residents’ facility records on January 10, 2024 revealed the following information.” 420-5-4-.06(3)(a)(b)
  • Care of Residents: Retention 420-5-4-.06(11)(b)
  • Sanitation and Housekeeping: Sanitation. ADPH found: “: Based on observations and interviews, the j premises of the facility were not maintained ina / healthy, safe and sanitary manner.” 420-5-4-.10(1)
  Show all 8

  • Sanitation and Housekeeping: Housekeeping and Physical Plant Maintenance. ADPH found: “| Based on observations and interviews, the facility i Laundry Room was not maintained in a safe and | sanitary manner. | Findings: On the morning of January 9, 2024, at : approximately 7:10 AM, surveyors observed the : Laundry Room.” 420-5-4-.10(2)
  • Fire and Safety: General. ADPH found: “: Based on record reviews and interviews, fire drills were not conducted monthly and quarterly on each shift.” 420-5-4-.11(1)
  • Physical Environment: General Building Requirements - Family, Group, and Congregate. ADPH found: “| Based on observations and interviews, the | building was not maintained in good repair, inside | and out, to provide a safe, functional, sanitary, i decent and comfortable environment for residents, staff and visitors.” 420-5-4-.12(5)
• March 2, 2022 (Licensure/Complaint): 8 deficiencies cited report
  The deficiencies cited pose a risk or potential risk of harm to the residents and requires a plan of correction.
  • The License: License. ADPH found: “The facility failed to post the license certificate in a conspicuous place.” 420-5-4-.02(3)
  • Personnel: Employee Screening. ADPH found: “The facility failed to screen potential employees for abuse.” 420-5-4-.04(3)
  • Personnel: Personnel Records. ADPH found: “The facility failed to document all required information in personnel records.” 420-5-4-.04(4)
  • Personnel: Training. ADPH found: “The facility failed to ensure all employees were trained in special needs of residents and were currently certified in CPR.” 420-5-4-.04(6)
  • Records and Reports: Residents' Rights. ADPH found: “The facility failed to maintain confidentiality of residents' records at all times.” 420-5-4-.05(3)(d)
  Show all 8

  • Care of Residents: Personal Care and Services. ADPH found: “The facility failed to provide activities appropriate to each resident every day.” Cited as a result of a complaint investigation. 420-5-4-.06(4)(c)(d)(e)(f)
  • Food Service: Food Handling Procedures. ADPH found: “The facility failed to monitor and document water temperatures and chemical concentrations prior to dishwashing.” 420-5-4-.07(2)
  • Food Service: Dietary Service. ADPH found: “The facility failed to ensure a sufficient quantity of potable water for all residents for three (3) days.” 420-5-4-.07(3)

ADPH also lists 6 earlier surveys, back to 2011.

Search ADPH’s deficiency reports for license D1705 →

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 40 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.