Falkville Rehabilitation And Healthcare Center

Location & what’s nearby

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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

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.

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.

38.9% 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 40 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 44.9% 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 49 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 0.38 therapist hours per resident per day in 2026Q1 — more than 65% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% 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.

Staffing

How full it usually is: this home is certified for 116 beds and averages 98.2 residents a day — about 85% occupied, or roughly 18 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 3.79 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.64 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.454 is at or above 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 3.30 hrs/resident/day on weekends vs 3.98 on weekdays — 17% thinner on weekends. RN hours go from 0.70 to 0.52 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 55% is about the same as the national median of 45%. 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

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.

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.

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.

33 citations, most serious first. The 24 most serious are shown; the remaining 9 are one tap away and print in full.

• Immediate jeopardy · K2025-09-02 · tag F0578 — failed to honor advance directives / code status — pattern
  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 record review, interview, facility policy review, and review of Alabama Administrative Code, Chapter 420-5-19, Advance Directives the facility failed to ensure an effective process was developed and implemented to ensure resident's end-of-life decisions were validly recorded and honored.Specifically, the facility failed to ensure do not resuscitate (DNR) forms were filled out completely and accurately, including signatures of those authorized to sign the form, and dates. The facility failed to ensure all the necessary Power of Attorney (POA), Living Will, or Surrogate paperwork to support the DNR forms were included in the residents' medical records.The facility further failed to ensure facility staff were aware of the process to follow to rescind a DNR in an emergent situation. The failure affected 13 (Residents #104, #97, #79, #116, #66, #67, #117, #82, #115, #32, #55, #64, and #77) of 36 residents reviewed for their code status. The failure created the likelihood of cardiopulmonary resuscitation…

  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 · J2025-09-02 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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, facility policy review, and a review of the American Heart Association's Summary of High-Quality CPR [cardiopulmonary resuscitation] Components for BLS [Basic Life Support] Providers, the failed to ensure staff provided BLS in accordance with accepted guidelines. Specifically, the facility failed to ensure rescue breaths were provided while performing CPR to Resident #104 on [DATE].Failure of the facility to provide high-quality CPR that included chest compressions and rescue breaths during an attempted resuscitation created the likelihood of failed resuscitation efforts and death. Continued failure created the likelihood that the CPR attempts would be unsuccessful, which could cause serious harm, injury, impairment, or death to other residents.Further the facility failed to ensure staff verified Resident #104's code status before initiating CPR. The facility further failed to ensure staff did not provide CPR to a resident believed to have a do-not-resuscitate (DNR) order.…

  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 · J2025-09-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  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 observation, interview, record review, facility policy review, and review of Occupational Safety and Health Administration (OSHA) guidelines, the facility failed to provide adequate supervision and an environment free of potential fire hazards by failing to ensure a resident complied with the facility's vaping policy for 1 (Resident #3) of 6 residents reviewed for smoking/vaping safety. The failure had the likelihood to create a fire hazard or explosion, leading to serious harm/injury/impairment or death.It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, serious harm, serious impairment, or death to residents. The Immediate Jeopardy (IJ) was related to 42 CFR 483.25, Quality of Care.On 07/26/2025 at 9:38 AM the survey team provided the IJ template and notified the Administrator of the findings of substandard quality of care at the immediate jeopardy level at F689. The IJ began on 10/16/2024 and was removed 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-09-02 · 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

  Based on interview, record review, and facility policy review, the facility failed to address repeated resident behaviors of violating the facility's vaping policy, to include developing and implementing interventions to address a resident's known behaviors of vaping in their room in the bed and hiding vape paraphernalia from staff, and failed to provide education to staff on the appropriate actions to take when they observed the resident vaping in the resident's room or saw vape paraphernalia in the resident's room for 1 (Resident #3) of 6 residents reviewed for smoking safety. The failure had the likelihood to cause serious injury, serious harm, serious impairment, or death due to the fire risk associated with the resident's non-compliant behaviors of vaping in bed and hiding vape paraphernalia from staff, as well as the lack of appropriate interventions and education of the staff to address those behaviors.It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, serious harm, serious…

  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 · Jcited before2025-09-02 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, facility policy review, facility document review, and a review of Alabama State Committee of Public Health Administrative Code, the facility's administration failed to:1) address ongoing resident non-compliance with the facility's vaping policy. Administration had created a quality assurance performance improvement (QAPI) plan on [DATE] for vaping non-compliance without any further action being taken to address ongoing non-compliance with the vaping policy for 1 (Resident #3) of 6 residents reviewed for smoking safety. Resident #3 continued vaping in his/her room.The failure had the likelihood to place all residents in the facility at risk for serious harm/injury/impairment or death related to fire hazards and the risk of injury related to battery explosion.It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, serious harm, serious impairment, or death to residents. The IJ began 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-09-02 · tag F0841 — isolated
  Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
  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, facility policy review, and a review of Alabama State Committee of Public Health Administrative Code, the Medical Director failed to provide oversight to ensure residents' end-of-life wishes were honored, including completion of the Alabama portable physician do not resuscitate (DNR) form and oversight of the development and implementation of a facility process for rescinding a DNR order in emergent situations. The failure created the likelihood of cardiopulmonary resuscitation (CPR) being incorrectly provided or withheld. It was determined the facility's non-compliance with one or more requirements of participation had caused or was likely to cause, serious injury, serious harm, serious impairment, or death to residents. The Immediate Jeopardy (IJ) was related to 42 CFR 483.70(g), F841, Medical Director. The IJ began on [DATE] when staff provided CPR for Resident #104, who had a DNR order. The DNR form was invalid, and the facility did not have the resident's Surrogate…

  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
• Immediate jeopardy · J2025-09-02 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  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, facility document review, facility policy review, and a review of Alabama State Committee of Public Health Administrative Code, the facility failed to ensure a Quality Assurance Performance Improvement (QAPI) plan that was developed, implemented, and monitored for effectiveness following adverse events.Specifically,1) The facility failed to ensure a QAPI plan created by the facility's administration on [DATE] was executed and audited for effectiveness related to a resident being non-compliant with the facility vaping policy by vaping in their room unsupervised, creating a potential risk of fire and battery explosion. The failure had the likelihood for serious harm/injury/impairment or death related to the fire risks and risk of explosion when the resident continued vaping in bed. The survey team notified the Administrator of the IJ and provided the IJ template on [DATE] at 9:38 AM. The facility provided a removal plan and after Quality Assurance review the team re-entered 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Lcited before2024-05-02 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, review of the Job Description of the Administrator and review of the facility's Abuse Policy, the facility's Administrator failed to provide oversight to ensure the facility's abuse policies were implemented, including reporting suspected abuse, investigating documented allegations of abuse, and implementing protective measures for residents. Facility staff documented occurrences of potential abuse in Resident Identifier (RI)#13's medical record beginning 01/03/2024 through 01/12/2024; however, there was no evidence the occurrences were reported, investigated or that protective measures for residents were implemented. Further when the Administrator became aware that two cognitively impaired residents had a need to be assessed for their capacity to consent to sexual contact, the Administrator made a decision of the residents' capacity to consent without a policy and procedure in place to ensure the assessment was completed accurately and interpreted to make an accurate…

  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 · Kcited before2024-05-02 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  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, Neglect Misappropriation of Resident Property, Suspicious Injuries of Unknown Source, Exploitation , and review of a third-party complaint received by the Alabama Department of Public Health, the facility failed to protect the residents' right to be free from sexual and verbal abuse by a resident. The facility failed to implement protective measures and provide supervision to residents on the Memory Care Secured Unit (MCSU) after identifying Resident Identifier (RI) #13, a resident with dementia, was exhibiting sexual inappropriate behaviors towards other residents. No residents on the MCSU had been assessed for the capacity to consent to sexual activity. RI #13's medical record indicated his/her behaviors began to escalate on [DATE] when RI #13's behavior was noted to have worsened after he/she entered residents' rooms, disrobed in public, and made public sexual acts including a note that documented Resident has inappropriate sexual…

  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 · Kcited before2024-05-02 · tag F0607 — failed to have anti-abuse policies — pattern
  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 interviews, medical record reviews, review of a facility policy titled, Abuse, Neglect, Misappropriation of Resident Property, Suspicious Injuries of Unknown Source, Exploitation, and documents titled SUPPLEMENTAL QUESTIONS FOR DETERMINATION OF CAPACITY RELATED TO SEXUAL DECISIONS the facility failed to ensure policies and protocols were established to prevent sexual abuse including a protocol to identify when, how, and by whom determinations of capacity to consent to a sexual contact would be made. Further the facility failed to ensure residents on the Memory Care Secured Unit (MCSU) were protected after allegations of sexual abuse were documented in Resident Identifier #13's medical record. RI #13 resided in the facility's MCSU. RI #13's medical record indicated he/she had a history of sexual behaviors which began to escalate on 01/03/2024. RI #13's medical record included documentation that on 01/03/2024 Resident has inappropriate sexual behaviors towards . residents. Resident rubbing, grabbing, and…

  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 · Kcited before2024-05-02 · tag F0609 — failed to report abuse allegations — pattern
  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, record review and review of a facility policy titled, Abuse, Neglect, Misappropriation of Resident Property, Suspicious Injuries of Unknown Source, Exploitation, the facility failed to immediately report incidents of suspected abuse by Resident Identifier (RI) #13 to the Administrator (ADM) which resulted in failure of the facility to investigate and protect residents residing on the Memory Care Secured Unit (MCSU). On 01/03/2024, RI #13 exhibited inappropriate sexual behavior toward residents; on 01/04/2024, RI #13 had behavior of talking inappropriate with female residents; on 01/08/2024, RI #13 continued to make sexual comments and actions towards female residents; on 01/11/2024, RI #13 was observed touching a female resident's upper thigh; on 01/12/2024 RI #13 entered a female resident's room making sexual comments. The facility further failed to report to the State Agency when RI #13 rubbed RI #19's upper thigh on 01/11/2024. It was determined the facility's non-compliance with one or…

  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 · K2024-05-02 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  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 and review of facility polices titled, Abuse, Neglect, Misappropriation of Resident Property, Suspicious Injuries of Unknown Source, Exploitation and Incidents and Accidents, the facility failed to thoroughly investigate incidents of abuse by Resident Identifier (RI) #13 to prevent further occurrences. Per RI #13's medical record, on 01/03/2024, RI #13 exhibited inappropriate sexual behavior toward residents; on 01/04/2024, RI #13 had behavior of talking inappropriate with female residents; on 01/08/2024, RI #13 continued to make sexual comments and actions towards female residents; on 01/11/2024, RI #13 was observed touching a female resident's thigh; on 01/12/2024 RI #13 entered a female resident's room making sexual comments. Licensed Practical Nurse (LPN) #10 reported she reported the 01/03/2024 and 01/08/2024 incidents to the ADM; but there was no evidence the ADM investigated the incidents. It was determined the facility's non-compliance with one or more requirements 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-05-02 · 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, record review and review of facility policies titled, Pain Management and Assessment, Incidents and Accidents, Change in Medical Condition of Residents, and review of a facility form titled Pain Assessment, the facility failed to ensure: 1) Resident Identifier (RI) #14's physician was notified when RI #14 exhibited facial grimaces when moved on 11/26/2023; and continued to exhibit facial grimaces and complained of pain on 11/27/2024, 2) RI #14's physician was notified when RI #14 did not have a physician's order for pain management; and 3) RI #14's family was notified when RI #14 was ordered x-rays on 11/27/2024 after complaining of pain. This deficient practice affected RI #14, one of five residents sampled for falls. This deficiency was cited as a result of the investigation of complaint/report #AL00046832. Findings include: RI #14 was originally admitted to the facility on [DATE] and readmitted on [DATE]. RI #14's I am at risk for pain care plan, with a start date of 11/03/2021, revealed…

  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 · Past Non-Compliance
• Actual harm · G2024-05-02 · 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 interviews, record review and review of a facility policy titled, Pain Management and Assessment, the facility failed to ensure Resident Identifier (RI) #14's pain was assessed on a daily basis, especially after RI #14 fell on [DATE]. According to the facility's policy, an ongoing assessment of pain utilizing either a numerical scale of 0-10 or a verbal descriptor scale should be conducted daily and documented on the Medication Administration Record (MAR). Upon review of RI #14's MAR, there was no evidence RI #14's pain was being assessed daily; nor was there a physician's order for pain management. The facility further failed to medicate RI #14 for his/her complaint of pain. According to a facility form titled, Pain Assessment, facial grimacing was considered to be a symptom of pain. and on 11/26/2023, three days after RI #1 fell, RI #14 exhibited facial grimaces when his/her leg was moved; and exhibited more facial grimacing and began to complain of pain when turned to the left side on 11/27/2023. RI…

  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 · Fcited before2025-09-02 · 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 interview, record review, and facility policy review, the facility failed to implement a water management program to minimize risk of water-borne illnesses. Specifically, the facility did not identify areas of its water system that would be vulnerable to legionella growth. The facility also failed to fit-test employees for N95 respirators per Centers for Disease Control (CDC) guidelines. These failures had the potential to affect all residents. Per the Midnight Census report, dated [DATE], the current census was 93. Findings included:1. The facility's undated policy titled Water Management Program indicated part of the scope of the program was, Identification of potentially hazardous areas or devices where Legionella could grow and spread.Review of the facility's Water Management Program revealed that on [DATE], legionella tests were taken from four locations around the facility. The room [ROOM NUMBER] sink was positive at a concentration of 0.40 colony forming units (CFUs) / milliliter (mL). 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-02 · tag F0609 — failed to report abuse allegations — pattern
  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 interview, record review, facility document review, and facility policy review, the facility failed to report abuse allegations within the required timeframes for 2 (Resident #34 and Resident #107) of 5 residents reviewed for abuse. Specifically, the facility failed to report an incident to the state involving Resident #34 and Resident #85. The facility also failed to report an allegation of abuse involving Resident #107 to the state within the mandated two-hour timeframe.Findings included:An undated facility policy titled, Abuse, Neglect, Misappropriation of Resident Property, Suspicious Injuries of Unknown Sources, Exploitation, indicated, The facility will report all instances of alleged or suspected abuse, including verbal and mental abuse, neglect, suspicious injuries of unknown origin, exploitation, and misappropriation of resident property in the following manner: Notify the Administrator of any unusual situation in the facility, whether reportable or not immediately. The Administrator/designee…

  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 · E2025-09-02 · tag F0842 — failed to keep accurate, complete medical records — pattern
  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 interview, record review, and facility policy review, the facility failed to ensure residents' records were complete, accurately documented, and readily accessible for 6 (Residents #91, #29, #11, #8, #36, and #4) of 19 residents reviewed.Findings included:A facility policy titled, Documentation in Medical Record, dated 12/31/2024, revealed, Each resident's medical record shall contain an accurate representation of the actual experiences of the resident and include enough information to provide a picture of the resident's progress through complete, accurate, and timely documentation. The policy revealed, 4. Principles of documentation include, but are not limited to, b. Documentation shall be accurate, relevant, and complete, containing sufficient details about the resident's care and/or responses to care, and c. Documentation shall be timely and in chronological order. 1. An admission Record revealed the facility admitted Resident #91 on 06/28/2025. According to the admission Record, the resident had a…

  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 · D2025-09-02 · tag F0572 — isolated
  Give residents a notice of rights, rules, services and charges.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, facility document review, and facility policy review, the facility failed to provide notification of the rights and rules of the facility for 1 (Resident #34) of 3 residents. Specifically, neither Resident #34 nor the resident's representative signed the facility's notification of the rights and rules at the facility on the resident's admission.Findings included:During an interview on 07/29/2025 at 3:01 PM, the Administrator stated there was no policy for informing residents of their rights at the facility other than what was in the facility admission agreement.A facility policy titled, admission of a Resident, dated 12/31/2024, indicated, A Resident Handbook and/or Facility orientation material should be provided to the resident/family prior to or upon admission, so they understand what to bring to the facility.The facility's admission Agreement included a undated document titled, Resident Rights that indicated, The resident has the right to a dignified existence, self-determination, and communication with and access to persons and services inside…

  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 before2025-09-02 · 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

  Based on interviews, record review, facility document review, and a review of the facility's policy, the facility failed to protect a resident's right to be free from physical abuse by another resident. This failure affected 1 (Resident #91) of 5 residents reviewed for abuse. Specifically, Resident #106 hit Resident #91 in the back on 06/29/2025.Findings included:The facility's undated policy titled, Abuse, Neglect, Misappropriation of Resident Property, Suspicious Injuries of Unknown Source, Exploitation indicated, All of our residents have the right to be free from abuse, neglect, exploitation, and misappropriation of resident property. According to the policy, Abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, and mental anguish. The policy indicated Willful means the individual must have acted deliberately (not inadvertently or accidentally), not that the individual must have intended to inflict injury or harm. An admission Record indicated the facility admitted Resident #106 on 05/09/2024.…

  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 before2025-09-02 · 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

  Based on interview, record review, facility document review, and facility policy review, the facility failed to implement the facility abuse policies and procedures related to identifying, reporting, and investigating abuse for 2 (Resident #91 and Resident #85) of 5 residents reviewed for abuse. Specifically, the facility failed to identify a resident-to-resident altercation as abuse when Resident #91 was physically abused by Resident #106 and failed to follow up on a comment Resident #91 made to the nurse practitioner (NP) about having jaw pain due to having allegedly been sucker punched. Additionally, the facility failed to ensure staff identified and reported abuse when Resident #85 was aggressively pushed in their wheelchair by Resident #34. Findings included:The facility's undated policy titled, Abuse, Neglect, Misappropriation of Resident Property, Suspicious Injuries of Unknown Source, Exploitation, indicated, The facility will report all instances of alleged or suspected abuse, including verbal and mental abuse, neglect, suspicious injuries of unknown origin, exploitation,…

  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 · D2025-09-02 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to provide bed-hold notification to 2 (Resident #101 and Resident #36) of 4 residents reviewed for hospitalization; and failed to notify the ombudsman of a resident's discharge to the hospital for 1 (Resident #101) of 4 residents reviewed for hospitalization.Findings included:1. An admission Record indicated the facility admitted Resident #36 on 02/20/2025. According to the admission Record, the resident was admitted with diagnoses including vascular dementia and mood disorder.Resident #36's significant change Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 04/07/2025, revealed the resident had a Brief Interview for Mental Status (BIMS) score of 3, which indicated the resident was severely cognitively impaired.Resident #36's Care Plan Report included a problem statement, dated 02/24/2025, that indicated the resident had impaired cognitive function related to dementia. A nursing Progress Note, dated 03/12/2025 at 11:05 PM, revealed Resident #36 had left the facility via ambulance.A nursing Progress Note,…

  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 · D2025-09-02 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 interview, record review, and facility policy review, the facility failed to resubmit a Level 1 Pre-admission Screening and Resident Review (PASARR) following the addition of new qualifying psychiatric diagnoses. Specifically, Resident #34 and Resident #59 were diagnosed with new significant mental illnesses (SMIs) after their admission, but no new PASARR was completed.Findings included:A facility policy titled, Resident Assessment - Coordination with PASARR Program, copyrighted in 2024, revealed, Policy: This facility coordinates assessments with the preadmission screening and resident review (PASARR) program under Medicaid to ensure that individuals with a mental disorder, intellectual disability, or a related condition receives care and services in the most integrated setting appropriate to their needs. Policy Explanation and Compliance Guidelines: 1. All applicants to this facility will be screened for serious mental disorders or intellectual disabilities and related condition in accordance with 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 · D2025-09-02 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  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, record review, and facility policy review, the facility failed to ensure a PASARR (Pre-admission Screening and Resident Review) assessment was completed prior to admission to the facility for 1 (Resident #59) of 3 residents screened for PASARR. Findings included:A facility policy titled, Resident Assessment - Coordination with PASARR Program, copyrighted in 2024, revealed, Policy: This facility coordinates assessments with the preadmission screening and resident review (PASARR) program under Medicaid to ensure that individuals with a mental disorder, intellectual disability, or a related condition receives care and services in the most integrated setting appropriate to their needs. Policy Explanation and Compliance Guidelines: 1. All applicants to this facility will be screened for serious mental disorders or intellectual disabilities and related condition in accordance with the State's Medicaid rule for screening. a. PASARR Level I - initial prescreening that is completed prior to admission.…

  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 · D2025-09-02 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interview, facility document review, and facility policy review, the facility failed to revise and update a baseline care plan following an incident of abuse, which affected 1 (Resident #91) of 5 residents reviewed for abuse. Specifically, Resident #91 rummaged through their roommate's closet, and their roommate hit them in response. The facility did not revise the care plan to include the rummaging behavior or include interventions to prevent future abuse of the resident.Findings included:An undated facility policy titled, Abuse, Neglect, Misappropriation of Resident Property, Suspicious Injuries of Unknown Source, Exploitation indicated, All our residents have the right to be free from abuse, neglect, exploitation, and misappropriation of resident property. The policy revealed, The facility will make all reasonable efforts to prevent instances of abuse, but in cases where such an instance occurs, the facility will use the event as an opportunity to develop new interventions to prevent a re-occurrence.An admission Record revealed the facility admitted…

  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

“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.

Fines & penalties

$146,615 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $56,472 — penalty dated 2025-09-02
• $90,143 — penalty dated 2024-05-02
• Medicare payment denial — starting 2024-05-31 for 7 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.

Part of a chain

This home belongs to VENZA CARE MANAGEMENT — 25 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 26 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

16 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

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.

This home reported $329K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

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