Behind Closed Doors: What a Federal Report Reveals About Alabama Nursing Homes

A recent report from the Office of Inspector General (OIG) confirmed what many families and advocates like JP Sawyer have long feared: Alabama's nursing homes are falling dangerously short when it comes to oversight, staffing, and resident protection.

Between 2020 and 2022, nearly 600 serious nursing home incidents were flagged in Alabama, ranging from abuse and neglect to critical injuries. Yet, the state failed to investigate over 65% of them within the federally mandated 5-day window. In fact, many reports weren’t reviewed at all. The OIG called out Alabama specifically for “persistent noncompliance” and warned of systemic failures in how complaints and resident safety concerns are handled.

"This isn't just about red tape," says attorney JP Sawyer. "This is about real people - our parents, grandparents, and neighbors - being left vulnerable."

What Went Wrong?

According to the report, Alabama:

• Didn’t track or respond to high-priority complaints on time.

• Failed to interview residents or their families in 40% of cases reviewed.

• Had no evidence of timely on-site visits for over 100 severe complaints.

• Was one of the least compliant states nationwide for complaint investigations between 2019 and 2023.

Why This Matters for Families

Families trust nursing homes with the care of their most vulnerable loved ones. But this report shows that when abuse, neglect, or injury occurs, the systems in place to protect residents may be asleep at the wheel.

That’s where attorneys like JP Sawyer come in. With years of experience fighting on behalf of injured and neglected residents, Sawyer brings more than legal expertise—he brings deep investigative insight, a commitment to transparency, and a personal belief in accountability.

"When the state doesn't step up, families need someone who will," says JP. "We don't wait for permission to dig deeper. We get answers."

Your Legal Options

If you suspect your loved one has suffered from poor care, negligence, or abuse in a nursing home:

1. Document everything. Include photos, medical records, and timelines.

2. Report it immediately.  Report to the nursing home and the Alabama Department of Public Health.

3. Consult with a legal team. This is where we step in. We know how to hold facilities accountable.

Sawyer Law Firm has worked with families across Alabama to uncover mistreatment and secure justice when systems fail. If you're searching for someone to take your concerns about Alabama nursing homes seriously, reach out today.