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Birmingham Nursing And Rehabilitation Ctr LLC

1000 Dugan Avenue, Birmingham, AL 35214 · For profit - Limited Liability company · 132 certified beds · (205) 798-8780 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Flagged for abuseBehavioral-health or dementia-care citation — no harm found (F0740)4 immediate-jeopardy citations$68,647 in federal fines1 Medicare payment denial
Insights

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

In its favor
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • CMS has flagged it for abuse
  • it has abuse, neglect, or exploitation citations (F0600, F0602, F0607) — most recent Dec 2025
  • inspectors cited 4 immediate-jeopardy problems — the most serious level
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $68,647 in federal fines (most recent 2025-10-29)
  • 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)
  • nursing-staff turnover (63%) runs well above the national median (45%)
  • its last standard health inspection was over 2 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.

1/5
CMS overall
1 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 4 of 5

Worth a closer look. This home's quality-measure rating runs 3 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
1664 Forestdale Blvd · (205) 512-2877 · Call to confirm hours
Pharmacy
1145 Forestdale Blvd · (205) 968-1980 · Call to confirm hours
Grocery
603 Forestdale Blvd · (205) 796-0900 · Call to confirm hours
Park
601 Dugan Ave · Typically dawn to dusk
Place of worship

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 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 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 held steady at 1 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 rating1★
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 increased6.2%12.0%15.4%better
Long-stay residents who lose too much weight6.3%5.4%5.4%worse
Long-stay residents with a catheter left in their bladder0.4%1.0%0.9%better
Long-stay residents with a urinary tract infection1.1%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 injury1.3%3.3%3.3%better
Long-stay residents whose ability to walk worsened9.1%12.1%16.1%better
Long-stay residents on antianxiety or hypnotic medication18.0%24.5%18.9%typical
Long-stay residents given the seasonal flu vaccine99.2%94.8%95.3%typical
Long-stay residents with pressure ulcers3.6%5.4%4.7%better
Long-stay residents with worsening bladder/bowel control5.2%12.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table20.9%21.2%17.1%worse
Short-stay residents who newly got an antipsychotic medication2.7%2.0%1.4%worse
Short-stay residents given the seasonal flu vaccine88.9%80.3%79.4%better
Short-stay residents rehospitalized after admission18.8%24.8%22.6%better
Short-stay residents with an outpatient ER visit2.9%11.3%12.0%better
Long-stay hospitalizations per 1,000 resident days2.251.961.67worse
Long-stay outpatient ER visits per 1,000 resident days0.921.701.80better

* 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.

9.9%U.S. median 10.7%
Went back to hospital
37.0%U.S. median 56.6%
Met the expected recovery
0.23U.S. median 0.31
Therapy hours / resident / day
0.14hours / resident / day
Physical therapy
0.06hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 37.0% 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 27 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 0.23 therapist hours per resident per day in 2026Q1 — more than 29% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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 SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.9%CMS range 6.6–14.510.7%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 discharge37.0%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 discharge33.3%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 discharge18.5%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 identified87.2%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 stay2.1%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 hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.431.02Oct 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

0.39
RN hours/ resident / day
0.98
LPN hours/ resident / day
1.87
Aide hours/ resident / day
3.23
Total nurse hours/ resident / day
0.23
RN hoursweekends
63.2%
Total nursing turnover
54.5%
RN turnover

How full it usually is: this home is certified for 132 beds and averages 111.7 residents a day — about 85% occupied, or roughly 20 beds typically open. It usually has some room. 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 3.23 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.39 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.87 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 2.44 hrs/resident/day on weekends vs 3.55 on weekdays — 31% thinner on weekends — a notable drop. RN hours go from 0.45 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 63% is well above the national median of 45%.

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

1
deficiencies at the latest standard inspection (2024-06-26)
4
at the previous standard inspection (2024-01-25)

Deficiencies are fewer than at the previous inspection — improving. 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 2 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.

20 citations, most serious first. The 14 most serious are shown; the remaining 6 are one tap away and print in full.

  • Immediate jeopardy · J2025-10-29 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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, record review, review of a facility policy titled MEDICATION ADMINISTRATION - GENERAL GUIDELINES, review of the RESIDENT BILL OF RIGHTS and review of a Facility Reported Incident (FRI) received by the State Agency, the facility failed to protect Resident Identifier (RI) #1's right to refuse care and treatment on 09/19/2025 when Licensed Practical Nurse (LPN) #5 administered medication to RI #1 and placed his hand over RI #1's mouth and pinched RI #1's nose to prevent RI #1 from spitting out the medication, which was physically and mentally abusive to RI #1. The Certified Nursing Assistant (CNA) witness said, LPN #5 told RI #1 he/she was going to take the medications, and RI #1's face turned red as RI #1 struggled and pushed his/her head from side to side in response to LPN #5's force. Interview with other staff revealed a resident could aspirate when someone placed their hand over a resident's mouth to prevent the resident from spitting out medication. LPN #5 was suspended but…

    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 · Jcited before2025-10-29 · 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 observation, interviews, record review, review of a facility policy titled ABUSE PREVENTION, review of a Facility Reported Incident (FRI) received by the State Agency, and review of a facility investigative file, the facility failed to ensure residents in the facility were free from physical and mental abuse perpetrated by staff. Specifically:The facility failed to ensure Resident Identifier (RI) #1 was free from abuse perpetrated by Licensed Practical Nurse (LPN) #5 on 09/19/2025 at approximately 8:45 AM when Certified Nursing Assistant (CNA) #8 witnessed LPN #5 physically abuse RI #1 when he placed his hand and a paper towel over RI #1's mouth and he pinched RI #1's nose, while telling RI #1 they were going to take medication. CNA #8 witnessed RI #1's face turning red as RI #1 struggled, pushing his/her head from side to side, while LPN #5 covered RI #1's nose and mouth to prevent RI #1 from spitting out morning medications. CNA #8 failed to protect RI #1 when she left the room, leaving RI #1 alone…

    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
  • Immediate jeopardy · J2025-10-29 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    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, record review and review of a facility policy titled ABUSE PREVENTION, the facility failed to implement their abuse policy and take appropriate actions to protect Resident Identifier (RI) #1 from abuse on 09/19/2025 after Licensed Practical Nurse (LPN) #5 physically and mentally abused RI #1 and LPN #5 was observed during the survey on 10/21/2025 continuing to administer medications to residents, placing residents at risk of being abused by LPN #5.Certified Nursing Assistant (CNA) #8 who witnessed LPN #5 abuse RI #1 on 09/19/2025 at approximately 8:47 AM failed to ensure RI #1 was protected from LPN #5 after he placed his hand over RI #1's nose and mouth to force RI #1 to swallow medications, placing RI #1 at risk of aspiration of the medications and being fearful. CNA #8 left RI #1's room leaving RI #1 alone with LPN #5. RI #1's roommate was also on the other side of the room with the curtain pulled. CNA #8 failed to report the abuse to anyone until 11:20 AM while LPN #5…

    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
  • Immediate jeopardy · J2025-10-29 · tag F0835 — failed to run the facility competently — isolated
    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, review of the Administrator's (ADM) and Director of Nursing (DON) Job Responsibilities, and review of the facility's ABUSE PREVENTION policy, the facility's ADM and DON failed to provide oversight and guidance to facility staff to ensure the facility's abuse policy was implemented to identify abuse, report suspected abuse, and take corrective actions to protect residents following an incident of abuse. On 09/19/2025 Resident Identifier (RI) #1 was abused by Licensed Practical Nurse (LPN) #5 when LPN #5 placed his hand over RI #1's mouth and pinched RI #1's nose to prevent RI #1 from spitting out medication during medication administration. Two staff reported that RI #1's face was red after the incident. The Certified Nursing Assistant (CNA) who witnessed the incident left RI #1 alone with LPN #5 at the time of the abuse and failed to report immediately. The CNA reported to a nurse who did not act to intervene but instead did not want to be involved. LPN #5 continued working at the facility without any oversight or monitoring and was observed during the survey…

    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
  • Potential for harm · Dcited before2025-12-04 · 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, record reviews, review of a facility policy titled, ABUSE PREVENTION, review of Facility Reported Incidents (FRIs) received by the State Agency and review of the facility's investigative files, the facility failed to ensure residents in the facility were free from physical abuse perpetrated by other residents. The facility failed to protect (RI) #119's right to be free from physical abuse perpetrated by RI #78, a resident with a known history of Chronic Delusions, Psychosis, Restlessness, Agitation, and Dementia with Behavioral Disturbance. RI #78 was witnessed walking across the dining room and hit RI #119 in the right upper arm on 06/12/2025. The facility failed to assess and determine the level of staff supervision needed for RI #78, before and after the abuse, to prevent RI #78 from abusing others.Because the facility failed to assess and determine the level of supervision required for RI #78, address behaviors, and implement actions to prevent RI #78 from abusing other residents, on…

    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 · Dcited before2025-12-04 · tag F0740 — failed to provide behavioral / mental-health care — isolated
    Ensure each resident must receive and the facility must provide necessary behavioral health care and 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 observations, interviews, record review, review of Facility Reported Incidents (FRI), review of the facility investigative files, review of a facility policy titled Abuse Prevention and review of a facility policy titled Behavior Management and Psychopharmacological Medication Monitoring Protocol, the facility failed to provide adequate supervision and ensure appropriate interventions were developed to manage RI #78's psychosis/delusional behaviors and ensure safety of residents in the facility. Because RI #78, a resident with a known history of chronic delusions/psychosis/restlessness/agitation, was not adequately supervised by staff, RI #78 hit RI #119 in the left shoulder on 06/12/25 and hit RI #13 on the left shoulder on 09/15/2025. This was discovered during investigations of abuse. Staff at the facility described RI #78's behaviors as unpredictable, difficult to pinpoint triggers, and to keep RI #78 from abusing other residents it would require supervision of RI #78 when out and about 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-10-29 · tag F0740 — failed to provide behavioral / mental-health care — isolated
    Ensure each resident must receive and the facility must provide necessary behavioral health care and 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 observations, interviews, record review, review of Facility Reported Incidents (FRI), review of the facility investigative files, review of a facility policy titled Abuse Prevention and review of a facility policy titled Behavior Management and Psychopharmacological Medication Monitoring Protocol, the facility failed to provide adequate supervision and ensure appropriate interventions were developed to manage RI #78's psychosis/delusional behaviors and ensure safety of residents in the facility. Because RI #78, a resident with a known history of chronic delusions/psychosis/restlessness/agitation, was not adequately supervised by staff, RI #78 hit RI #119 in the left shoulder on 06/12/25 and hit RI #13 on the left shoulder on 09/15/2025. This was discovered during investigations of abuse. Staff at the facility described RI #78's behaviors as unpredictable, difficult to pinpoint triggers, and to keep RI #78 from abusing other residents it would require supervision of RI #78 when out and about 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2025-03-26 · tag F0880 — failed to prevent and control infections — widespread
    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, and facility policies titled Procedure for Infection Control for Laundry Department, and CONTACT PRECAUTIONS, the facility failed to ensure: 1)The north hall clean linen closet was clean and free from contaminants. This deficient practice had the potential to affect one of two linen closets observed. 2) Resident's laundry was handled in a manner to prevent the spread of infection. This deficient practice had the potential to affect 129 of 129 residents in the facility. 3) A staff member implemented Enhanced Barrier Precautions as indicated when providing care to Resident Identifier (RI) #8. This deficient practice affected Resident Identifier (RI) #8, one of one resident reviewed for transmission-based precautions. Findings include: 1) On 03/24/2025 at 11:51 AM, surveyor observed north hall linen closet. Surveyor observed five used dirty gloves around the closet, used tissues on both the floor and shelves, hair tracks on the floor, and hair on three PPE gowns. On 03/24/2025 at…

    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 before2025-03-26 · 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, record review, review of a facility policy titled ABUSE PREVENTION, review of a Facility Reported Incident (FRI) submitted by the facility to the State Agency, and review of the facility's investigative file, the facility failed to ensure Resident Identifier (RI) #3 and RI #4 were free from physical abuse. On 01/26/2025, Certified Nursing Assistant (CNA) was transferring RI #3 back to the room when RI #4 hit RI #3 and they got into a physical altercation. This deficient practice affected RI #3 and RI #4, two of four residents sampled for abuse. This deficiency was cited as a result of the investigation of complaint/report number AL00050195. Findings include: A review of an undated facility policy titled, ABUSE PREVENTION, revealed: POLICY: The facility is committed to protecting the residents from abuse by anyone including, but not limited to: . other residents . DEFINITIONS: a) Abuse: Willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical…

    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 · Past Non-Compliance
  • Potential for harm · Dcited before2025-03-26 · tag F0740 — failed to provide behavioral / mental-health care — isolated
    Ensure each resident must receive and the facility must provide necessary behavioral health care and 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 interviews, medical record review and review of a facility policy titled, Behavior Management and Psychopharmacological Medication Monitoring Protocol, review of Facility Reported Incidents (FRIs) received by the Alabama State Survey Agency, and review of the facility's investigative file, the facility failed to ensure appropriate interventions were developed to manage Resident Identifier (RI) #2's wandering behaviors and ensure residents' safety. This deficient practice affected RI #2, one of four residents sampled for behaviors. This deficiency was cited as a result of the investigation of complaint/report number AL00049492. Findings include: A review of the Facility's policy titled, Behavior Management and Psychopharmacological Medication Monitoring Protocol, with a date of revision date of 2/25, documented, . PURPOSE: Residents with behaviors that are displayed routinely, that effect the resident's psychosocial well-being or that of other residents, or behaviors that can have potential for harm 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.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · Dcited before2024-06-26 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    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, and resident record review, the facility failed to ensure Resident Identifier (RI) #26's nebulizer mask was in a storage bag and dated. This affected RI #26, one of two residents sampled for Respiratory Care. Findings include: RI #26 was admitted to the facility on [DATE] with diagnoses to include: Chronic Obstructive Pulmonary Disease. RI #26's June 2024 Electronic Medication Record documented Albuterol 2.5 mg (milligrams)0.5 ml (milliliters) could be given every six hours as needed. On 06/23/2024 at 3:40 PM RI #26 was observed with the nebulizer at the bedside not covered, and no date on the tubing. On 06/24/2024 at 11:12 AM RI #26's nebulizer was observed at the bedside uncovered and no date on the tubing. On 06/24/2024 at 5:40 PM Licensed Practical Nurse (LPN) #3 was asked about nebulizer masks and tubing. LPN #3 said, there was no date on the nebulizer tubing, it should be changed and dated on Wednesday on the 11 to 7 shift. LPN #3 said, the facility could verify 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-13 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    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, record review, review of the of facility policies ABUSE PREVENTION, and HUMAN RESOURCES MANAGEMENT POLICY AND PROCEDURES and the Alabama Department of Public health's (ADPH) Online Reporting System, the facility failed to ensure Resident Identifier (RI) #1 was free from misappropriation of funds from his/her personal funds. On 05/28/2024 the facility administrator was informed by the Business Office Manager (BOM) that RI #1 reported he/she had loaned Certified Nursing Assistant (CNA) #1 $250.00, and he/she had not been paid back as intended on 05/24/2024 and that today CNA #1 had told him/her it would be June 7, 2024 before she could repay the loan. This was cited as a result of investigation of complaint/report number AL00048072, and affected one of three residents reviewed for misappropriation of resident property. Findings Include: Review of an undated facility policy ABUSE PREVENTION, documented POLICY: . The facility is committed to protecting the residents from abuse by anyone…

    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 · Past Non-Compliance
  • Potential for harm · Ecited before2024-01-25 · 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, residents' record review, the Center for Disease Control (CDC) Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All Settings, and facility policies titled, Standard Precautions and ENTERAL TUBE MEDICATION ADMINISTRATION PROCEDURES the facility failed to ensure: 1) a Registered Nurse (RN) used technique to prevent contamination while preparing and administering medications to Resident Identifier (RI) #24 and RI #44; 2) an RN followed Standard Precautions when she picked up an alcohol swab with blood on it without wearing gloves; 3) a Licensed Practical Nurse (LPN) did not create the potential for cross-contamination during medication pass when she did not perform hand hygiene after removing gloves, after assisting a resident to remove their shoes and before putting on new gloves to administer medication through RI #61's gastric tube, after providing resident care including the administration of medication through RI #61's gastric tube, and before…

    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 · D2024-01-25 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each 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 observations, interviews, record review and review of RESIDENT BILL OF RIGHTS, the facility failed to accommodate the needs of Resident Identifier (RI) #103 by failing to ensure the call light was accessible on three of four days of the survey. This affected RI #103, one of 25 sampled residents. Findings Include: Review of RESIDENT BILL OF RIGHTS, dated 01/2023, documented: . Facility residents shall have the right to: . 10. Reside and receive services in the facility with reasonable accommodation of resident needs and preferences . RI #103 was admitted to the facility on [DATE] with a diagnosis to include Spastic Quadriplegic Cerebral Palsy. On 01/22/2024 at 3:47 PM, during initial tour surveyor observed RI #103 sitting in a Geri-chair (Geriatric Chair) while the call light was behind RI #103 on the side of the bed. The call light was not in reach. On 01/23/2024 at 5:01 PM, surveyor observed RI #103 sitting up in the bed while the call light was laying across the nightstand in the corner of the room.…

    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
Show the remaining 6 citations
  • Potential for harm · D2024-01-25 · 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 observations, interviews, record review, and the facility policy titled FINGERNAILS/TOENAILS CARE the facility failed to provide assistance with activities of daily living (ADLs) to ensure good grooming for a dependent resident, Resident Identifier (RI) #73. Specifically, the facility failed to ensure RI #73's fingernails were clean. This affected one of 25 sampled residents. Findings include: The facility's policy titled FINGERNAILS/TOENAILS CARE dated 10/2009 documented: . The purpose of this procedure is to clean the nail bed, to keep nails trimmed and to prevent infections . Nails can be partially cleaned during bath care . Nail care includes daily cleaning and regular trimming . The condition of the resident's nails and nail bed is to be reported to the charge nurse . RI #73 was readmitted to the facility on [DATE] with diagnoses to include Alzheimer's Disease and Type Two Diabetes Mellitus. A review of RI #73's most recent Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of…

    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 before2024-01-25 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    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, resident record review, and the facility policy titled Oxygen Therapy, the facility failed to ensure Resident Identifier (RI) #11 received oxygen (O2) at the physician prescribed rate of two liters per minute (2 l/m). On 01/22/2024 and 01/23/2024, RI #11 was observed receiving O2 at a rate of four (4) l/m. This affected one of one resident sampled for respiratory care. Findings Include: Review of facility policy titled Oxygen Therapy dated 08/2014, documented: Policy: Oxygen (O2) is administered to promote adequate oxygenation and provide relief of symptoms of respiratory distress . PROCEDURE: 1. Oxygen therapy is to be provided under the direction of a written physicians order. 4. Adjust delivery rate as ordered. RI #11 was admitted to the facility 08/14/2014 and readmitted on [DATE] with a diagnosis of Chronic Obstructive Pulmonary Disease (COPD). Review of RI #11's Physician Orders for January 2024 documented an as needed oxygen order dated 05/31/2023 . O2 AT 2 LITERS/MIN…

    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 · F2023-08-16 · tag F0803 — failed to meet residents' dietary needs — widespread
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, the facility policies for Menu Planning and Requirements and Menu Substitutions or Changes and Approval, and the facility menus and production sheets for Spring/Summer (S/S) 2023 Menu, Week 1, Day 2 and Day 3; the following menu discrepancies were observed: • Four ounces of Chicken & Dumplings instead of six ounces were served to residents on Regular diets for Supper on Monday, 08/14/2023. • The Puree Diet menu for the Supper meal on Monday, 08/14/2023 for the S/S 2023 Menu, Week 1, Day 2 listed Seasoned Spinach for the vegetable, not Pureed Spinach. The production sheet for that meal also listed Seasoned Spinach, not Pureed Spinach, • Capri Vegetables were served instead of [NAME] Beans for Lunch on Tuesday, 08/15/2023 for residents on Regular, Mechanical Soft, and Puree diets. The production sheet for that meal did not match the S/S 2023 Menu for Week 1, Day 3 and, instead of [NAME] Beans, it listed Capri Vegetables to be prepared for the Regular, Mechanical Soft, and Puree diets. • Sweet Potato Tots/Puffs were not prepared to be served 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-08-16 · 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, interview, the 2022 United States (U.S.) Food and Drug Administration (FDA) Food Code, and the facility's policies for Dishwashing: Machine Operation, Proper Handwashing and Glove Use, and Handwashing; the facility failed to prevent the potential for cross contamination on 08/13/2023 when Employee Identifier (EI) #8, a PM Aide, failed to wash hands during dishwashing when going from handling dirty dishes to clean ones. This had the potential to affect 122 of 122 residents receiving meals from the facility's kitchen. Findings Include: The facility's policy for Dishwashing: Machine Operation dated 2016, documented the following: Guideline: The Food and Nutrition Services staff shall maintain the operation of the dishwashing machine according to established procedure . to ensure effective cleaning and sanitizing of all tableware and equipment used in the preparation and service of food. Procedure: . 7. Follow the procedure for proper preparation and loading of dishes into the dishwashing machine. The standard sequence is as follows: a. Scrape all dishes and remove…

    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 · D2023-08-16 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    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 and record review, the facility failed to ensure staff did not stand while feeding Resident Identifier (RI) #63 the breakfast and lunch meals on 08/14/2023. This deficient practice affected RI #63, one of one resident observed requiring assistance at meal time. Findings Include: RI #63 was admitted to the facility on [DATE], with diagnoses to include Vascular Dementia and Alzheimer's Disease. RI #63's quarterly Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 05/26/2023, assessed RI #63 with a Brief Interview for Mental Status (BIMS) score of three which indicated RI #63 had severely impaired cognitive skills for daily decision making; and RI #63 required one person assist with eating. On 08/14/2023 at 8:33 AM, RI #63 was observed being fed the breakfast meal by Employee Identifier (EI) #5, a Certified Nursing Assistant (CNA). EI #5 was standing while feeding RI #63 the breakfast meal. On 08/14/2023 at 12:40 PM, during lunch time, EI #5 was again…

    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 · Dcited before2023-08-16 · 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 observations and interviews, the facility failed to ensure Employee Identifier (EI) #6, a Certified Nursing Assistant (CNA), washed or sanitized her hands during the delivery of the dinner meal trays on 08/13/2023. This affected the residents in Room Locators (RL) #'s 1-4, on one of two units at the facility. Findings Include: On 08/13/2023 at 6:11 PM, the dinner meal cart was delivered to the North Hall where RL #1-#4 were located. On 08/13/2023 at 06:13 PM, EI #6 entered RL #1 with a dinner tray. EI #6 was not observed to sanitize her hands before removing the tray from the meal cart. On 08/13/2023 at 6:14 PM, EI #6 went back to the meal cart, and did not sanitizer her hands when exiting RL #1. EI #6 went to the meal cart, removed another tray and took it into RL #1. EI #6 did not sanitize her hands before removing the dinner tray from the meal cart. On 08/13/2023 at 6:15 PM, EI #6 exited RL #1 and went back to the meal cart, and without sanitizing he hands, removed another meal tray from the cart. EI #6 took the meal tray into RL #2. On 08/13/2023 at 6:17 PM, EI #6…

    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

“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

$68,647 in federal fines across 1 penalty. 1 Medicare payment denial on record.

  • $68,647 — penalty dated 2025-10-29
  • Medicare payment denial — starting 2025-11-28 for 24 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

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
+1.5%
Operating marginrevenue minus expenses
$1.1M
Related-party expense10% of expenses
Who pays — share of resident-days
Medicaid 79%Medicare 6%Other / private 15%

About 79% 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 $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 10% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. 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

$238per resident / day
operating cost
$7,242per month
≈ monthly operating cost
$242per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). 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 015217. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-06-26, 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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