Oaks on Parkwood: Immediate Jeopardy Safety - AL
The resident, identified in inspection records only as RI #137, was the direct target. But inspectors noted the delayed reporting left every resident in the building unprotected from NAT #17 during those three shifts.
The coworker, identified as CNA #16, witnessed the verbal abuse on the evening of May 4, 2024. Both CNA #16 and NAT #17 clocked in together that afternoon, CNA #16 arriving at 2:57 PM and NAT #17 at 2:51 PM, and both worked until nearly 11 PM. CNA #16 did not report what she saw that night.
She came back the next morning. Still said nothing.
NAT #17 returned for another evening shift on May 5, then again on May 6. CNA #16 did not work those days, but she returned on May 7 and, for the first time, told someone what she had witnessed the night of May 4. The executive director of the facility confirmed in a September 2025 interview with inspectors that CNA #16 had alleged she witnessed NAT #17 verbally abuse RI #137 "the night prior," which he initially interpreted as May 6. He later reviewed the timecards more carefully and corrected himself: CNA #16 had not worked May 6. The only date in May that the two employees worked together was May 4.
"He stated that he reviewed the timecards again and should have checked the timecards closer," inspectors wrote, summarizing what the executive director told them.
The abuse had gone unreported for three days.
NAT #17 had been hired by the facility on February 21, 2024, and completed abuse training six days later, on February 27. Whatever that training covered, it did not prevent what happened to RI #137 that May evening. NAT #17 was suspended on May 7, 2024, the same day CNA #16 finally came forward, and terminated on May 14. The suspension notice cited violation of abuse policy and "inappropriate and unprofessional behavior toward a resident."
The executive director, when asked directly about the gap in reporting, did not hedge. "If any time lapsed, they were not in compliance and needed to keep the resident safe and have effective reporting," he told inspectors. He acknowledged CNA #16 should have reported the incident immediately.
What he described as the consequence for CNA #16 not doing so: the Director of Nursing sat down with her for a one-on-one conversation about reporting abuse.
The inspection was conducted September 28, 2025, more than a year after the incident. It was triggered by a complaint. Inspectors reviewed personnel files, timecards, and conducted interviews with facility leadership over multiple days. The deficiency was cited under F0607, governing the facility's obligation to operationalize its abuse prohibition policies, and was assessed at a level of minimal harm or potential for actual harm, affecting a few residents.
The level-of-harm classification reflects regulatory language, not necessarily the experience of RI #137, whose name does not appear in the inspection report and whose account of that evening in May 2024 is not recorded in what inspectors made public.
What the record does show is the timeline. NAT #17 clocked in at 2:51 PM on May 5, the day after the abuse. At 2:57 PM on May 6. Working the same unit, with the same residents. RI #137 was among them.
The facility's own executive director said the right thing plainly when inspectors asked: any lapse in reporting meant they were out of compliance. The question the inspection report does not answer is what RI #137's next three days looked like, before anyone in a position of authority knew what had happened to her.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Oaks On Parkwood Skilled Nursing Facility from 2025-09-28 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
OAKS ON PARKWOOD SKILLED NURSING FACILITY in BESSEMER, AL was cited for immediate jeopardy violations during a health inspection on September 28, 2025.
The resident, identified in inspection records only as RI #137, was the direct target.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.