Rocket City 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.

61.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 282 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 62.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 94 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 0.45 therapist hours per resident per day in 2026Q1 — more than 75% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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 159 beds and averages 126.2 residents a day — about 79% occupied, or roughly 33 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 3.84 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.18 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.20 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 3.31 hrs/resident/day on weekends vs 4.06 on weekdays — 18% thinner on weekends. RN hours go from 1.26 to 0.97 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 64% 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

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

This trend is not current. The most recent of these two inspections was over 3 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.

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 13 most serious are shown; the remaining 7 are one tap away and print in full.

• Immediate jeopardy · L2023-02-26 · tag F0656 — failed to write and follow a full care plan — widespread
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, resident record review, and review of a facility policy titled Comprehensive Care Plans, the facility failed to develop and implement a care plan with person-centered safety interventions addressing Resident Identifier (RI) #27's noncompliance with the facility's non-smoking policy, including smoking and vaping inside the facility unsupervised in his/her room from 11/15/2022 through 02/13/2023. Facility staff did not know what to do or how to respond on occasions when RI #27 was found using a vape or smoking in his/her room. This failure affected RI #27, one of 23 sampled residents for whom care plans were reviewed. In addition, this failure placed all 109 residents residing in the facility at risk for immediate jeopardy, as it was likely to result in serious injury, serious harm, serious impairment, or death. On 02/24/2023 at 5:05 PM, the facility's Administrator, Employee Identifier (EI) #1 and the [NAME] President (VP) of Clinical Operations, EI #36, were provided a copy 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · L2023-02-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — widespread
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY * The facility submitted an acceptable Removal Plan on 02/26/2023 for F689 that outlined the following: 1. The facility developed a person-centered care plan for non-compliant behaviors with vaping on 01/26/2023, implemented interventions to manage non-compliant vaping behaviors on 11/15/2022, and revised the plan of care to address smoking cigarettes in her room on 02/13/2023 by placing a smoke detector in her room and placing her on 1:1 monitoring on 02/15/2023. RI#27's plan of care has non-compliance with smoking cigarettes in her room added to the care plan problem and approaches and interventions added to the care plan to guide the staff on how to respond if RI #27 was found smoking or vaping. Approaches and interventions that guide staff on how to respond are as follows: 1 on 1 monitoring, Facility staff may confiscate items or substances identified to post a risk to resident's health and safety and are in plain view, observe for triggers 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
• Immediate jeopardy · L2023-02-26 · tag F0867 — failed to act on quality-improvement findings — widespread
  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

  Based on interviews, review of a policy titled Quality Assurance/Performance Improvement (QAPI) Program Policy, and review of the facility's 12/23/2022 and 01/25/2023 QUALITY PERFORMANCE/PEER REVIEW FACILITY PLAN OF ACTION/CONTINUOUS QUALITY IMPROVEMENT, the facility's QAPI committee failed to thoroughly implement the 12/23/2021 and 01/25/2023 action plans, which included an action item for laundry staff to monitor residents clothing to evaluate for burn holes, soot, and evidence of smoking. This failure placed all 109 residents residing in the facility at risk for immediate jeopardy, as it was likely to result in serious injury, serious harm, serious impairment or death, due to the ongoing resident safety risk and fire hazard. On 02/24/2023 at 5:05 PM, the facility's Administrator, Employee Identifier (EI) #1 and the [NAME] President (VP) of Clinical Operations, EI #36, were provided a copy of the immediate jeopardy template and notified of the immediate jeopardy findings in the area of Quality Assurance and Performance Improvement (QAPI), F867-QAPI/Quality Assessment and Assurance…

  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 · F2023-02-26 · 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 facility's policies for Staff Attire, Food Preparation, and Food Storage: Cold Foods, and the 2017 Food Code of the United States (U.S.) Public Health Service and U.S. Food and Drug Administration (FDA); the facility failed to ensure food safety by: 1.) Employee Identifier (EI) #7 not wearing a beard covering over his mustache while serving the breakfast meal on 1/24/2023, 2.) keeping boiled eggs with a use by date of 1/11/2023 in the Walk-in Cooler on 1/24/2023, 3.) keeping Temperature Control for Safety (TCS) food in the Station #2 resident refrigerator at 53º (degrees) Fahrenheit (F) and the freezer at 15º F on 1/24/2023, and 4.) the Station #1 resident refrigerator having no thermometer for staff to monitor the temperature on 1/24/2023 and 1/25/2023. This had the potential to affect all residents receiving meals from the facility's kitchen. Findings Include: 1.) The 2017 Food Code of the U.S. Public Health Service and the FDA included the following: . Hair Restraints 2-402.11 Effectiveness. (A) . FOOD EMPLOYEES shall wear hair restraints such…

  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 · Dcited before2023-02-26 · 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 interviews, record reviews and review of a facility policy titled, Contraband Discovery Policy, the facility failed to ensure staff did not search Resident Identifier (RI) #27's room on 12/07/2022 without first obtaining RI #27's consent. This deficient practice affected RI #27, one of one sampled resident reviewed for for improper room searches. Findings include: A facility policy titled Contraband Discovery Policy, revised 10/18/2022, documented: .Use for conducting inspections and searches, with consent, of current residents and residents' rooms under circumstances where there is reasonable suspicion that the resident may be concealing contraband. For purposes of this policy . non-compliant use of tobacco products as per the facility smoking policy is considered contraband. GUIDELINES: 1. If facility staff identify items or substances that pose risks to residents' health and safety and are in plain view, they may confiscate them. 2. Facility staff should not conduct searches of a resident or their…

  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 · D2023-02-26 · 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 review of a facility policy Pre-admission Screening and Resident Review (PASRR), the facility failed to ensure a Level II PASRR evaluation for Resident Identifier (RI) #37 was completed as indicated when the Level I PASRR screening determined a Level II PASRR was necessary. This affected RI #37, one of one resident sampled for PASRR requirements. Findings include: A facility policy titled, Pre-admission Screening and Resident Review (PASRR) with a review date of 08/01/2018, documented, . PASRR requires that 1) all applicants to a Medicaid-certified nursing facility be evaluated for serious mental illness (SMI) and/or intellectual disability; 2) be offered the most appropriate setting for their needs (in the community, a nursing facility, or acute care setting); and 3) receive the services they need in those settings. GUIDELINE: .2. Those individuals who test positive at Level 1 are then evaluated in depth, called Level II PASRR. The results of this evaluation result in…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-02-26 · 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, record review and review of a facility policy titled, Departmental (Respiratory Therapy)-Prevention of Infection, the facility failed to ensure Resident Identifier (RI) #30 had orders for oxygen and his/her oxygen tubing/humidifier bottle was labeled/dated. This deficient practice affected RI #30, one of five sampled residents receiving respiratory services. Findings include: Review of a facility policy titled, Departmental (Respiratory Therapy)-Prevention of Infection, revised 11/2011, revealed the following: Purpose The purpose of this procedure is to guide prevention of infection associated with respiratory therapy task and equipment . Steps in the Procedure Infection Control Considerations Related to Oxygen Administration . 3. [NAME] bottle with date and initials upon opening and discard after twenty-four (24) hours . 7. Change the oxygen cannulae and tubing every seven (7) days, or as needed . RI #30 was admitted to the facility on [DATE] with diagnoses of Shortness 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 · D2023-02-26 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review and review of a facility policy titled, Medication Ordering and Receiving From Pharmacy Provider, the facility failed to ensure medications were available at scheduled medication times for Resident Identifier (RI) #30. This deficient practice affected RI #30, one of four residents reviewed for medication availability. Finding include: 1) Review of a facility policy titled, Medication Ordering and Receiving From Pharmacy Provider, dated 01/2022, revealed the following: . POLICY Medications and related products are received from the provider pharmacy on a timely basis. The nursing center maintains accurate records of medication order and receipt. PROCEDURES . a. All new medication orders are transmitted to the pharmacy. e. New medications . If the first dose of medication is scheduled to be given before the next regularly scheduled pharmacy delivery, please telephone or transmit the medication orders to the pharmacy immediately upon receipt. Timely delivery of new…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-02-26 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, medical record review, and review of facility policies titled, Expired Medications and Medication Storage Controlled Medication Storage, the facility failed to ensure: 1) a stock bottle of expired Multivitamin was not left on a medication cart; and 2) liquid Lorazepam 2 mg (milligram)/ml (milliliter), belonging to Resident Identifier (RI) #s 70, 85, 56, 217, 110, 48 and 72 were stored in a permanently affixed compartment in the refrigerator. These deficient practices affected one of four medication carts observed, and six residents with their liquid Lorazepam stored in the refrigerator. Findings include: 1) Review of a facility policy titled, Expired Medications, with a reviewed date of 10/01/2018, revealed the following: . PROCEDURE: . 2. Nursing inspects containers regularly for expiration dates. Nursing also does frequent inspections of Medication carts for expired drugs . On 02/16/2023 at 9:52 AM, the surveyor observed Employee Identifier (EI) #16, Licensed Practical Nurse…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-02-26 · tag F0806 — failed to honor food preferences — isolated
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, medical record review, the 01/13/2023 diet order for Resident Identifier (RI) #50, the 01/24/2023 breakfast tray ticket for RI #50, and the facility's policy for Dining and Food Preferences, the facility failed to ensure RI #50 received large portions for breakfast on 01/24/2023. This had the potential to affect all residents receiving meals from the facility's kitchen. Findings Include: The facility's policy for Dining and Food Preferences, revised 9/2017, included the following: Policy Statement Individual dining, food, and beverage preferences are identified for all residents/patients. Procedures . 7. The individual tray assembly ticket will identify all food items appropriate for the resident/patient based on diet order, . and preferences. RI #50 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses to include End Stage Renal Disease, Gastro-esophageal Reflux Disease, Non-pressure Ulcer of Buttock Limited to Breakdown of Skin, Dementia, Anemia, Nausea with…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-02-26 · tag F0808 — failed to follow doctor-ordered diets — isolated
  Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, medical record review, the diet orders for Resident Identifier (RI) #60, RI #39, and RI #50, the tray tickets for breakfast, lunch, and dinner on 1/24/2023, and the facility's policies for Therapeutic Diets, Fluid Restriction, and Dining and Food Preferences; the facility failed to ensure RI #60, RI #39, and RI #50 received meals according to their therapeutic diet orders. This had the potential to affect all residents receiving meals from the facility's kitchen. Findings Include: The facility's policy for Therapeutic Diets, revised 9/2017, included the following: Policy Statement All residents have a diet order, including regular, therapeutic, and texture modification, that is prescribed by the attending physician . Definitions 'Therapeutic diet' is defined as a diet ordered by a physician . as part of the treatment for a disease or clinical condition. The facility's policy for Fluid Restriction, revised 9/2017, included the following: Policy Statement A fluid restriction will be implemented…

  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 · Dcited before2023-02-26 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews and review of FUNDAMENTALS OF NURSING [NAME], the facility failed to ensure a Certified Nursing Assistant (CNA) changed her gloves and performed hand hygiene before applying a clean brief during incontinent care for Resident Identifier (RI) #110. This affected RI #110, one of one resident observed for incontinent care. Findings include: A review of Fundamentals of Nursing [NAME] 10th Edition Chapter 40 Pages 892 - 899 revealed . Bathing and Perineal Care . Equipment . Clean gloves, . (4) Remove soiled gloves and discard in trash a. wash back (1) Perform hand hygiene and apply clean pair of gloves . (5) . Clean, rinse and dry area thoroughly . Remove contaminated gloves . perform hand hygiene. RI #110 was admitted to the facility on [DATE]. On 01/25/2023 at 3:15 PM, Employee Identifier (EI) #10, a CNA was observed performing pericare for RI #110. EI #10 gathered her supplies, washed her hands and put on gloves. EI #10 cleaned RI #110's front and back, then with the same…

  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 before2021-06-25 · 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: 1. A licensed staff member did not write on a dressing that Resident Identifier (RI) #44 was wearing during the wound care observation on 06/24/21, and a Certified Nursing Assistant (CNA) did not stand while feeding RI #79. This affected RI #44, one of two sampled residents observed during wound care and RI #79 one of four residents observed during dining. Findings include: RI #44 was admitted to the facility on [DATE]. She has a diagnosis to include, Pressure Ulcer of other site, unstageable. RI #44's Physician Orders dated 6-8-21 revealed, . Cleanse sacrum wound with Normal saline (NS), pat dry, apply skin prep to periwound, and Medihoney to wound bed once daily and as needed (PRN) . On 6-24-21 at 4:45 PM an observation was made of RI #44's sacral area during wound Care. Employee Identifier (EI) #2 was observed dating and initialing the wound dressing after it was placed on RI # 44. On 6/24/21 at 07:51 AM, an interview was…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“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

No federal fines in the current CMS record.

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 49 rows in the source record cover these 34 parties — each is shown once here with every role it holds. Nothing is omitted.

22 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 $1.7M 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