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Attalla Rehabilitation And Nursing Center

915 Stewart Avenue Southeast, Attalla, AL 35954 · For profit - Corporation · 182 certified beds · (256) 538-7852 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Aug 20186 immediate-jeopardy citations
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Aug 2018
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors cited 6 immediate-jeopardy problems — the most serious level
  • a high number of inspection citations overall (26) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • its payroll-based staffing rating is low (2/5)
  • its last standard health inspection was over 4 years ago — the star rating may not reflect current conditions

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 4 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
956 Gilbert Ferry Rd SE · (205) 409-2794 · Call to confirm hours
Pharmacy
Walmart1.0 mi
973 Gilbert Ferry Rd SE · (256) 538-2611 · Call to confirm hours
Grocery
973 Gilbert Ferry Rd Se · (256) 202-9227 · Call to confirm hours
Park
102 Case Ave SE · Typically dawn to dusk
Place of worship
416 Randolph St SE

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 5 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased9.6%12.0%15.4%better
Long-stay residents who lose too much weight5.4%5.4%5.4%typical
Long-stay residents with a catheter left in their bladder1.6%1.0%0.9%worse
Long-stay residents with a urinary tract infection0.9%2.4%2.0%better
Long-stay residents with depressive symptoms0.0%1.4%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.6%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury1.1%3.3%3.3%better
Long-stay residents whose ability to walk worsened10.0%12.1%16.1%better
Long-stay residents on antianxiety or hypnotic medication15.7%24.5%18.9%better
Long-stay residents given the seasonal flu vaccine92.2%94.8%95.3%typical
Long-stay residents with pressure ulcers1.2%5.4%4.7%better
Long-stay residents with worsening bladder/bowel control8.0%12.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table29.4%21.2%17.1%worse
Short-stay residents who newly got an antipsychotic medication3.4%2.0%1.4%worse
Short-stay residents rehospitalized after admission11.1%24.8%22.6%better
Short-stay residents with an outpatient ER visit7.6%11.3%12.0%better
Long-stay hospitalizations per 1,000 resident days2.361.961.67worse
Long-stay outpatient ER visits per 1,000 resident days1.651.701.80typical

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

62.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 27 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

62.5%U.S. median 51.5%
Got home and stayed home
12.4%U.S. median 10.7%
Went back to hospital
45.8%U.S. median 56.6%
Met the expected recovery
0.20U.S. median 0.31
Therapy hours / resident / day
0.09hours / resident / day
Physical therapy
0.10hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 45.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 24 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.20 therapist hours per resident per day in 2026Q1 — more than 23% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF62.5%CMS range 45.2–80.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.4%CMS range 8.3–15.910.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge45.8%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge50.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge41.7%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.1%CMS range 3.5–11.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.061.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.57
RN hours/ resident / day
0.73
LPN hours/ resident / day
1.91
Aide hours/ resident / day
3.21
Total nurse hours/ resident / day
0.39
RN hoursweekends
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 182 beds and averages 92.0 residents a day — about 51% occupied, or roughly 90 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.21 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.91 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.50 hrs/resident/day on weekends vs 3.50 on weekdays — 29% thinner on weekends — a notable drop. RN hours go from 0.64 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

12
deficiencies at the latest standard inspection (2022-03-01)
5
at the previous standard inspection (2019-05-05)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 4 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

26 citations, most serious first. The 16 most serious are shown; the remaining 10 are one tap away and print in full.

  • Immediate jeopardy · L2022-03-01 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — widespread
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, review of facility policies titled, Water Temperatures, Safety Of and Management of the Laundry, review of facility Maintenance Repair Log sheets, review of facility Water Temp (temperature) Log Sheets, and review of the laundry department's Dryer Log, the facility failed to: 1) monitor and maintain safe hot water temperatures, which were found to be up to 145 degrees Fahrenheit (F), on all residential wings/units of the facility, including the dementia unit. Further, staff failed to implement the system for reporting and acting upon ongoing concerns related to excessively hot water in resident care areas. Specifically, direct care staff with knowledge of excessively hot water temperatures did not record this information on the facility's Maintenance Repair Log sheets as the concerns were identified. In addition, maintenance staff were not performing weekly routine checks of facility water temperatures to ensure they were within safe ranges, nor did the facility implement any…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · L2022-03-01 · tag F0835 — failed to run the facility competently — widespread
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and review of the facility's, Administrator Job Description, administration failed to provide training and oversight to ensure the facility was free from the potential for injury related to identified concerns regarding elevated hot water temperatures. During the survey, the survey team identified hot water temperatures throughout all residential units/wings of the facility, including the Dementia Unit, that exceeded 110 degrees Fahrenheit (F). Temperatures were found to be as high as 145 degrees F in resident bathroom sinks, as well as resident shower rooms. This deficient practice placed all 89 residents in the facility in immediate jeopardy (IJ), as it was likely to result in serious injury, serious harm, serious impairment, or death. On 02/03/2022 at 1:03 PM, Employee Identifier (EI) #1, Administrator, was notified of the findings of IJ in the area of Administration/F835. Findings include: During the survey, concerns were identified with hot water temperatures in excess of 110 degrees Fahrenheit (F). Hot water temperatures exceeding 110 degrees F were noted…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · L2022-03-01 · tag F0908 — failed to keep essential equipment working — widespread
    Keep all essential equipment working safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, review of a facility policy titled, Water Temperatures, Safety Of, review of facility Maintenance Repair Log sheets, and review of facility Water Temp Log Sheet documents, the facility failed to monitor and maintain the water heating/boiler system in safe operating condition to prevent hazardous hot water temperatures. Water temperatures were observed in excess of 110 degrees Fahrenheit (F) on all residential wings/units of the facility, including the Dementia Unit. Temperatures as high as 145 degrees Fahrenheit (F) were observed in resident bathrooms and shower rooms throughout the facility. This deficient practice placed all 89 residents in the facility in immediate jeopardy (IJ), as it was likely to result in serious injury, serious harm, serious impairment, or death. On 02/03/2022 at 1:03 PM, Employee Identifier (EI) #1, the Administrator, was notified of the findings of IJ in the area of Essential Equipment/Safe Operating Condition, F908. Findings included: During the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · Jcited before2019-05-05 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, review of Resident Identifier (RI) #58's medical record, the facility's policy titled Notification of Changes and a complaint received by the Alabama State Survey Agency, the facility's licensed nursing staff failed to notify RI #58's physician, responsible party and the facility's Administrative staff of the actual events that took place when RI #58 was found deceased in the facility on 4/18/2019. The licensed nursing staff was aware that RI #58 had received a Regular diet that consisted of a chicken sandwich instead of a Pureed diet, which was ordered for the resident. When the Certified Nursing Assistant (CNA), Employee Identifier (EI) #5, went to pick up RI #58's meal tray at 5:45 PM, the CNA found RI #58 sitting straight up in the bed, with his/her head tilted to the left side of the pillow, with his/her eyes partially opened and mouth wide open with drool going down the mouth. EI #5 stated she also noticed the resident had blue and white discoloration to the face and lips. RI #58 was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · J2019-05-05 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, review of the facility's policy titled Attalla Health and Rehab; Food and Nutrition Services, a complaint received by the Alabama State Survey Agency, Resident Identifier (RI) #58 and RI #136's medical records, the facility's diet spreadsheet, and investigation file, the facility failed to ensure RI #58 received a Pureed diet during the supper (dinner) meal on 4/18/2019. On 4/8/2016, RI #58, a cognitively impaired resident assessed by the facility as requiring set up help only with eating, was ordered a Pureed diet. RI #58 has a medical history to include a diagnosis of Sjogren's syndrome, which causes difficulty swallowing. During the supper meal on 4/18/2019, the Certified Nursing Assistant (CNA) that delivered RI #58's dinner meal tray did not thoroughly read the tray ticket, to ensure the correct diet was given to the resident. When a different CNA went to pick up the dinner meal tray on 4/18/2019, she found the resident sitting up in the bed, with his/her head tilted to the left, eyes…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · J2019-05-05 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, review of Resident Identifier (RI) #58's medical record, facilities' policies titled Death of a Resident, Documenting, Charting and Documentation, Vital Signs, an unlabled facility document, and a complaint received by the Alabama State Survey Agency, the facility's licensed nursing staff failed to document in RI #58's medical record an accurate description of the events surrounding the resident being found deceased in the facility on 4/18/2019. The licensed staff further failed to document in RI #58's medical record, a complete assessment of the resident, to include vital signs, the findings from the assessment, the time of pronouncement and the name of the individual who pronounced RI #58 deceased to ensure RI #58's medical record validated the accuracy of the resident's death in the facility. Without a complete documented description of the details leading up to RI #58 being found unresponsive, to include what happened when the resident was found unresponsive and how staff responded, the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2022-03-01 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, review of the Food and Drug Administration (FDA) Food Code, and review of the facility's policies titled, Food: Preparation, Food Storage: Dry Goods, Food Storage: Cold Foods, Dispose of Garbage and Refuse, Warewashing, and Proper Hand Hygiene: Dining Services Employees, the facility failed to ensure: 1) one item was properly labeled and dated, and two items were used or disposed of by date on package; 2) five boxes of food were stored off the walk-in freezer floor; 3) soap was available for staff to wash hands at the only handwash sink in the kitchen; 4) opened bags of food in dry storage were closed, labeled, and dated; 5) the floor and shelves in dry storage are were clean from foods; 6) sanitizing buckets contained the appropriate concentration of sanitizer for cleaning the kitchen; 7) kitchen staff maintained clean and dirty areas in the dishwasher area to prevent contamination of clean dishes with unclean gloved hands; and 8) the dishwasher contained chemicals needed for washing and sanitizing the dishes. This had the potential to affect all…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-03-01 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, review of facility policies titled, Management of the Laundry, Interim Recommendations for Routine & Terminal COVID-19 Isolation Room/Unit Cleaning, and review of the facility's Maintenance Repair Logs, the facility failed to ensure a safe, clean, comfortable, homelike environment for residents in the facility. Specifically, the facility failed to ensure: 1. housekeeping services were provided to prevent soiled floors, a soiled over bed table, and/or soiled resident care equipment in Resident Identifier (RI) #80's room; 2. sufficient linens, including bath towels and washcloths, were available for resident care on Units D, E, F, and G; 3. Unit F and Unit G did not have general maintenance items which had not been identified or addressed for repair, which included a torn shower seat, exposed sharp metal edges in a shower room, exposed wires in residents' rooms, overhead lighting in poor repair, missing air conditioner grill covers, and a broken window; and 4. RI #43, RI #61, and RI #70's rooms were maintained at comfortable temperatures. These…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-03-01 · tag F0693 — failed to provide proper feeding-tube care — pattern
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, record reviews, and review of the facility's policies titled, Gastric Tube Feeding via Continuous Pump and Administering Medications through an Enteral Tube, the facility failed to ensure Resident Identifier (RI) #80 and RI #67 received services and treatment to prevent complications. Specifically, the facility failed to ensure: 1. RI #80's head of the bed (HOB) was elevated to a level of 30-40 degrees while the tube feeding pump was running and the Registered Nurse (RN) checked RI #80's tube feeding residual before administering medications through the gastrostomy tube (G-tube) and did not use a syringe to force a medication through RI #80's G-tube that had become clogged. In addition, staff failed to clean RI #80's gastrostomy tubing daily with soap and water and put a clean gauze to the site daily as ordered by the physician; and 2. RI #67's HOB was elevated to a level of 30-40 degrees while the tube feeding pump was running. This deficient practice affected RI #80 and RI #67, two out of three sampled residents reviewed for G-tubes. Findings…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-03-01 · tag F0759 — failed to keep medication error rate low — pattern
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record reviews, and review of facility policies titled, Administering Medication through an Enteral Tube, Administering Oral Medications, Insulin Administration, and review of the manufacturer's instructions for the Novolog insulin pen, the facility failed to maintain a medication error rate less than 5%. There were seven errors in 29 opportunities, which resulted in a 24% medication error rate for Resident Identifier (RI) #43, RI #78, and RI #80, three of four residents observed during medication pass. Specifically, the facility failed to ensure: 1. RI #80, who received medications via gastrostomy tube (G-Tube), was given complete doses of Calcitriol, Cymbalta and Prilosec as ordered by the physician. In addition, staff failed to dilute a liquid potassium chloride dose prior to administration; 2. RI #43 received a physician-ordered dose of D2 (vitamin) and did not receive the wrong dose of an albuterol inhaler; and 3. RI #78 was not administered sliding scale insulin via an…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-03-01 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and review of a facility policy titled, Storage of Medications, the facility failed to label and store medications in three of three medication carts and failed to ensure medications were secured in medications carts in accordance with acceptable principles. Specifically, staff failed to label medications upon opening with an open date and expiration date, and failed to ensure the G Unit medication cart did not contain loose pills inside the drawers. This was observed with opened medications belonging to 10 out of 89 residents in the facility. Findings include: A review of the facility's policy titled, Storage of Medications, dated April 2007, revealed: .The facility shall store all drugs and biologicals in a safe, secure, and orderly manner The nursing staff shall be responsible for maintaining medication storage AND preparation areas in a clean, safe, and sanitary manner .The facility shall not use discontinued, outdated, or deteriorated drugs or biologicals .Compartments (including, but not limited to, drawers, cabinets, rooms, refrigerators,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-03-01 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews, and review of facility policies titled, Care of Fingernails/Toenails, and Shaving the Resident, the facility failed to ensure activities of daily living (ADL) care tasks related to nail care and shaving were provided for Resident Identifier (RI) #67. This deficient practice affected RI #67, one of three residents sampled for ADL care. Findings include: A review of the facility policy titled, Care of Fingernails/Toenails, last revised in October of 2010, revealed, .The purposes of this procedure are to clean the nail bed, to keep nails trimmed, and to prevent infections .General Guidelines 1. Nail care includes daily cleaning and regular trimming .Documentation .The following information should be recorded in the resident's medical record: 1. The date and time that nail care was given. 2. The name and title of the individual(s) who administered the nail care . A review of the facility policy titled, Shaving the Resident, last revised in October of 2010, revealed, .The purpose…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-03-01 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to ensure Resident Identifier (RI) #139 received Gabapentin (Neurontin) as ordered, due to not having the medication available for administration. This failure affected one out of five sampled residents reviewed for pain management. Findings include: RI #139 was admitted to the facility on [DATE] with diagnoses of Anxiety Disorder, Chronic Migraine, and Fracture of the Medial Wall of Right Acetabulum (pelvis). A review of RI #139's Care Plan, dated 01/20/2022, revealed the resident was at risk for pain related to a recent hospitalization, generalized weakness, and recent hip fracture. To control the resident's pain level, staff were to assess the resident's pain level and provide medications as ordered by the physician. A review of RI #139's admission Minimum Data Set (MDS) assessment, dated 01/27/2022, revealed the resident had a Brief Interview for Mental Status (BIMS) score of 15, which revealed intact cognition. This assessment also…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-03-01 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of a facility policy titled, End-Stage Renal Disease, Care of a Resident with, the facility failed to ensure Resident Identifier (RI) #140 received care and services related to dialysis that were consistent with professional standards. This deficient practice affected RI #140, one of two residents sampled for dialysis care and services. Findings included: On 02/01/2022, a copy of the facility's dialysis policy was requested. The nursing department provided the facility's policy, titled, End-Stage Renal Disease, Care of a Resident with, dated September 2010. The policy did not specifically indicate how the facility was to provide care and services to residents receiving dialysis. The policy only mentioned, The resident's comprehensive care plan will reflect the resident's needs related to ESRD [end-stage renal disease]/dialysis care. A review of RI #140's Face Sheet, dated 02/04/2022, revealed the resident was admitted to the facility on [DATE] with…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-03-01 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure medications were available for administration as ordered by the physician for Resident Identifier (RI) #139, one of five sampled residents reviewed for medication availability. Findings include: RI #139 was admitted to the facility on [DATE] with diagnoses of Anxiety Disorder, Chronic Migraine, and Fracture of the Medial Wall of Right Acetabulum (pelvis). A review of RI #139's admission Minimum Data Set (MDS) assessment, dated 01/27/2022, revealed the resident had a Brief Interview for Mental Status (BIMS) score of 15, which revealed intact cognition. A review of RI #139's Physician's Orders, dated 01/22/2022, revealed orders for Gabapentin 300 mg (milligrams) twice a day for pain. There was also an order dated 01/31/2022, for Xanax 0.25 (anti-anxiety medication) milligrams (mg) one tablet twice a day as needed for anxiety due to Anxiety Disorder. An observation conducted on 02/03/2022 at 2:45 PM revealed RI #139 sitting in the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-05-05 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and the facility's policy titled Standard Precautions Infection Control, the facility failed to ensure Employee Identifier (EI) #15, a laundry aide, washed her hands after touching a door knob in the soiled utility room, walked into the clean utility room, and began folding linen without washing her hands, and did not touch her upper area of her uniform top, prior to folding clean F Hall resident's linen. This had the potential to affect one of seven halls, the F Hall where 34 of 157 residents in the facility reside. Findings include: The facility's policy titled Standard Precautions Infection Control, with a copyright date of 2016 revealed, . 1. Hand Hygiene. After touching .contaminated items . Laundry. Handle in a manner that prevents transfer of microorganisms to others and to the environment . On 5/2/2019 at 7:45 AM, EI #15, a laundry aide, opened the door to the soiled utility room, touched the door knob with her hands, walked into the clean utility room, and started folding linen from F Hall without washing her hands. EI #15 was observed to…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · D2019-05-05 · tag F0947 — failed to train nurse aides adequately — isolated
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and the facility's policy titled Required Training, Certification and Continuing Education of Nurse Aides, the facility failed to ensure Employee Identifier (EI) #17, a Certified Nursing Assistant (CNA) received Continuing Education Units (CEUs) on Dementia Training from the period of 4/4/2018 to 4/4/2019. This affected one of five CNAs reviewed for Dementia Training. Findings include: The facility's undated policy titled Required Training, Certification and Continuing Education of Nurse Aides, revealed Policy Explanation and Compliance Guidelines . 6. In-service training . Minimum training will include: . b. Dementia management and care of the cognitively impaired . On 5/2/2019 at 8:54 AM, EI #17's CNA CEUs revealed that EI #17 was hired on 4/4/2017 and EI #17 had not receiving any dementia training for the time period 4/4/2018 to 4/4/2019. On 5/2/2019 at 10:02 AM, EI #2, the Director of Nursing, was asked who the Staff Education Coordinator was. EI #2 stated that she was the temporary education coordinator. EI #2 was if EI #17 had received CEU…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2018-08-03 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews and review of facility policies titled, Use of Leftovers and Nourishments and Supplements and the 2017 FOOD CODE, the facility failed to ensure: 1) refrigerated left-over foods were consistently labeled with a use-by date (UBD) in both the Dietary Department and on the Nursing Stations or were discarded by that UBD; 2) sour cream was covered to prevent exposure to contaminants during storage; 3) the dish washer maintained adequate wash temperatures and chlorine concentrations for dish sanitization; 4) potentially hazardous food was stored at a recommended temperature of 41 degrees Fahrenheit (F) or below; and 5) the return vent over the tray line was free of an accumulation of dust tags. This had the potential to affect all 147 residents for whom meals were prepared and served at the time of this survey. Findings include: 1) Regulations from the 2017 Food and Drug Administration FOOD CODE mandate the following: 3-501.17 Ready-to-Eat, Time/Temperature Control for Safety Food, Date Marking. (A) . READY-TO-EAT, TIME/TEMPERATURE CONTROL FOR SAFETY FOOD…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2018-08-03 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, medical record review, and a review of the facility's policy titled, Standard Precautions Infection Control the facility failed to ensure staff washed their hands prior to applying gloves and after removing gloves during medication administration for Resident Identifier (RI) #100, RI #104 and RI #109. This affected three of five residents observed during medication pass observation. Findings Include: A review of the facility's policy titled, Standard Precautions Infection Control dated 11/27/16, revealed the following: .1. Hand Hygiene: a. During delivery of patient care services, avoid unnecessary touching of surfaces in close proximity to the patient to prevent both contamination of clean hands from environmental surfaces and transmission of pathogens from contaminated hands to surfaces . e. Perform hand hygiene: i. Before having direct contact with patients . iii. After contact with a patient's intact skin . v. After contact with inanimate objects (including medical…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2018-08-03 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview and a review of the facility policies titled, Notification of Change in Condition/Statusand Change of Room or Roommate, the facility failed to ensure RI (Resident Identifier) #251's sponsor was notified of the resident's room change. This affected RI #251, one sampled resident observed for notification of change. Findings include: A review of an undated facility policy titled, Notification of Change in Condition/Status revealed: .It is the policy of (Name of Facility) that the facility inform the resident/resident's representative .when there is a change requiring notification. Circumstances requiring notification include: . 5. A change of room or roommate assignment . A review of an undated facility policy titled, Change of Room or Roommate revealed: .Prior to making a room change or roommate assignment, all persons involved in the change/assignment, such as resident and their representatives, will be given notice of such change as is possible, by phone, or in writing, or in…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2018-08-03 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, medical record review, review of a facility policy titled, Abuse, Neglect and Exploitation and review of a facility document titled, Resident Incident Report, the facility failed to ensure Resident Identifier (RI) #45 was free from abuse on 05/24/18, during a resident to resident altercation with RI #12. This affected RI #45 and RI #12, two of 44 sampled residents. Findings Include: A review of a facility policy titled, Abuse, Neglect and Exploitation dated 11/27/16, revealed the following: Policy: Each resident has the right to be free from abuse, .Residents must not be subject to abuse by anyone, including, but not limited to; facility staff, other residents, .Policy Explanation and Definitions: .1. Abuse means the willful infliction of injury . intimidation .with resulting physical harm, pain or mental anguish.3. Verbal Abuse means the use of oral, written or gestured language that willfully includes disparaging and derogatory terms to residents or their families, or within their hearing…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2018-08-03 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, medical record review, review of a facility policy titled, Abuse, Neglect and Exploitation, review of a facility document titled, Resident Incident Report and review of a document titled, Alabama Department of Public Health Online Incident Reporting System, the facility failed to report a resident to resident altercation between Resident Identifier (RI) #12 and RI #45 to the State Agency within a two hour time frame, when it occurred on 05/24/18. This affected RI #12 and RI #45, two of 44 sampled residents. Findings Include: A review of a facility policy titled, Abuse, Neglect and Exploitation dated 11/27/16, documented: .13. In response to allegations of abuse .the facility must: a. Ensure that all alleged violations involving abuse .are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse . RI #12 was readmitted to the facility on [DATE], with diagnoses including, Schizophrenia. RI #45 was admitted to the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2018-08-03 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to develop a plan of care for RI (Resident Identifier) #48's hearing deficit. This affected Resident Identifier (RI) #48, one of 44 sampled residents whose care plans were reviewed. Findings include: RI #48 has was re-admitted to the facility on [DATE], with diagnoses including Mood Disorder and Chronic Pain Syndrome. The 30 day Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/16/18, identified RI #48 as having moderate difficulty with hearing. The Quarterly MDS with an ARD of 07/23/18, identified RI #48 as having moderate difficulty with hearing. On 07/31/18 at 3:40 PM, the surveyor attempted to converse with RI #48 in his/her room. RI #48 was very hard of hearing, and requested the surveyor to speak directly into his/her ear. A review of the resident's record revealed no care plan had been developed to reflect RI #48's communication needs due to the hearing impairment. On 08/02/18 at 4:50 PM, the Care Plan Coordinator, Employee…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2018-08-03 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, medical record review and a review of the facility's job description titled, CERTIFIED NURSING ASSISTANT, the facility failed to ensure staff provided incontinent care for Resident Identifier (RI) #147 when he/she requested to be changed after an incontinent episode. This affected one of one resident who complained of not receiving care after having an incontinent episode. Findings Include: A review of the facility's job description titled, CERTIFIED NURSING ASSISTANT without a date, revealed the following: .GENERAL PURPOSE Perform direct resident care duties in accordance with the resident's assessment and care-plan . ESSENTIAL JOB FUNCTIONS General Skills .Ensure residents are clean and comfortable . RI #147 was re-admitted to the facility on [DATE], with diagnoses to include Chest pain and Acquired Absence of Left Leg Below the Knee. A review of RI #147's current Quarterly Minimum Data Set (MDS) dated [DATE], revealed the resident required extensive assistance of one person for personal…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2018-08-03 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, medical record review and review of the facility's policy titled, (Name of Facility-Administering Medications through an Enteral Tube, the facility failed to ensure licensed staff flushed Resident Identifier (RI) #104's Gastrostomy Tube (GT) with the recommended amount of water in between medications during medication administration. This affected one of one resident observed with a GT during medication administration. Findings Include: A review of the facility's policy titled, (Name of Facility)-Administering Medications through an Enteral Tube with a revised date of April 2018 revealed: .25. If administering more than one medication, flush with 15 ml (milliliter) .water between medications . RI #104 was admitted to the facility on [DATE], with diagnoses to include Acute Respiratory Failure and Gastrostomy Status. A review of RI #104's Minimum Data Set (MDS), dated [DATE], revealed the resident had a Brief Interview for Mental Status (BIMS) score of 3, which indicated severe…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2018-08-03 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, medical record review, and a review of the facility's policy titled, Administering Medications , the facility failed to ensure the medication error rate was less than 5%. There were a total of 25 opportunities with two errors, which yielded a medication error rate of 8%. This affected RI #100 and RI #104, two of five residents observed during medication administration. Findings Include: A review of the facility's policy titled, Administering Medications, with a revised date of April 2010, revealed the following: .9. Medications .must be administered within one (1) hour of their prescribed time . 1. RI #100 was re-admitted to the facility on [DATE], with diagnoses to include Atherosclerosis and Hypothyroidism. A review of RI #100's August Physician's Orders revealed: .COLCHICINE 0.6 MG (MILLIGRAM) CAPSULE (CAP) .BY MOUTH DAILY .RISPERDAL 0.5 MG TABLET .BY MOUTH DAILY .ATENOLOL 25 MG TABLET .BY MOUTH DAILY .FINASTERIDE 5 MG TABLET .BY MOUTH DAILY .FLUOXETINE HCL 20 MG CAPSULE .BY…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
Ownership Data Not Available

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$10.7M
Net patient revenuemost recent cost report
-3.7%
Operating marginrevenue minus expenses
$417K
Related-party expense4% of expenses
Who pays — share of resident-days
Medicaid 81%Medicare 5%Other / private 13%

About 81% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $417K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$302per resident / day
operating cost
$9,194per month
≈ monthly operating cost
$292per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AL

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Alabama Medicaid page.

Typical monthly cost in Alabama
$8,334/mo
Nursing home (semi-private)
$8,787/mo
Nursing home (private)
$4,425/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 015203. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2022-03-01, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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