Knollwood Healthcare

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.

48.7% 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 51 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 32.1% 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 28 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 0.07 therapist hours per resident per day in 2026Q1 — more than 4% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 46% 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 71 beds and averages 56.5 residents a day — about 80% occupied, or roughly 14 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 3.42 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.08 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.85 hrs/resident/day on weekends vs 3.65 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.72 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 74% 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 fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

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.

46 citations, most serious first. The 22 most serious are shown; the remaining 24 are one tap away and print in full.

• Immediate jeopardy · L2025-03-27 · tag F0580 — failed to tell family and doctor about changes — widespread
  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

  Based on interviews and record review the facility failed to ensure the physician was notified when residents on the second and third floors did not receive their medications and treatments as ordered when the facility experienced an internet outage preventing access to the Electronic Health Record (EHR) system on 01/21/2025 and 01/22/2025. Nurses did not have access to pre-printed paper documentation forms such as physician orders and MARs (Medication Administration Record) to administer medications on 01/21/2025 and 01/22/2025. The facility staff failed to notify the Director of Nursing (DON), residents, and resident representatives of residents not receiving their ordered medications and treatments on 01/21/2025 and 01/22/2025. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death. The Immediate Jeopardy (IJ) was cited in reference to 483.10 Resident Rights. On 03/25/2025 at 4:15 PM, the Administrator (ADM), the Director of Nursing (DON), the Assistant Director…

  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 · Lcited before2025-03-27 · tag F0600 — failed to protect residents from abuse and neglect — widespread
  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 and review of facility policies titled, Abuse Policy and Policy on Computer or Internet Downtime and EHR (Electronic Health Record) Access, the facility failed to protect the resident's right to be free from neglect when systems were not in place to ensure continuity of care and operations when the facility experienced a forecasted winter storm which caused internet outage preventing access to the EHR system on 01/21/2025 and 01/22/2025. The facility failed to ensure pre-printed paper documentation forms such as physician orders and MARs were available and accessible for the licensed nursing staff to utilize for resident care, treatment, and medication administration prior to the internet outage. The nurses and nurse supervisor on duty during that time failed to ensure residents received medications as ordered by the physician. Residents residing on the second floor and third floor did not receive their medications on 01/21/2025 and 01/22/2025 as ordered. The staff further…

  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 · L2025-03-27 · tag F0658 — failed to meet professional standards of care — widespread
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, record review, review of facility policies titled Administering Medications, and Policy on Computer or Internet Downtime and EHR (Electronic Health Record) Access, the facility failed to ensure Licensed Practical Nurse (LPN) #14, Registered Nurse (RN) #15, RN #16, RN #20, and LPN #18 followed standards of practice and facility's policies. Specifically, LPN #14 and RN #15 failed to follow standards of practice to administer medications and perform Capillary Blood Glucose (CBG) monitoring as ordered by the physician on 01/21/2025 during the 2 PM to 10 PM shift on the Second Floor. The nurses did not notify the residents' physician, DON, or the Administrator that medications were not being administered and CBG checks were not being performed. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death. The Immediate Jeopardy (IJ) was cited in reference to 483.21 Comprehensive Resident Centered Care Plan. On 03/25/2025 at 4:15 PM, the Administrator…

  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 · L2025-03-27 · tag F0760 — failed to prevent significant medication errors — widespread
  Ensure that residents are free from significant medication errors.
  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 Administering Medications the facility failed to ensure residents were free of significant medication errors when licensed nursing staff failed to administer medications including insulin and other significant medications. Specifically, on 01/21/2025 during a forecasted snowstorm the facility lost internet connection sometime after lunch which resulted in inability to access residents Electronic Health Record (EHR)/Electronic Medication Administration Record (eMAR) until the evening of 01/22/2025. Resident Identifier (RI) #12, RI #15, RI #30, and RI #308 were not administered significant medications from 01/21/2025 at 5:00 PM until 01/22/2025 at 9:00 PM. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death. The Immediate Jeopardy (IJ) was cited in reference to 483.45 Pharmacy Services. On 03/25/2025 at 4:15 PM, the…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · L2024-04-25 · tag F0835 — failed to run the facility competently — widespread
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and review of the Administrator job description, the facility's Administrator, responsible for the day-to-day operation of the facility failed to ensure the QAPI (Quality Assurance and Performance Improvement) committee met to identify all concerns using root cause analysis to ensure corrective actions needed with plans to prevent further occurrence including ongoing monitoring after Resident Identifier (RI) #1 eloped from the facility on 02/05/2023. This failure placed all 53 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 risk of elopement. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The Immediate Jeopardy (IJ) was related to State Operations Manual, Appendix PP, §483.70 Administration at a scope and severity of L. On 04/06/2024 at 12:44 PM, the Director of Nursing (DON), Owner, and Regional…

  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 · L2024-04-25 · tag F0837 — widespread
  Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interviews and the facility policy Governing Body Duties and Responsibilities, the governing body failed to provide oversight to the QAPI committee. The Governing Body failed to provide guidance to the QAPI committee to use root cause analysis to determine all concerns and to make a determination of corrective actions needed with plans to prevent further occurrence after Resident Identifier (RI) #1 eloped from the facility on 02/05/2023. On 02/05/2023, RI #1 told the staff he/she wanted to leave the facility around 1:10 PM. RI #1 was given a psychotropic medication at 2:21 PM, then was not supervised. RI #1 left the facility through an unsecured door. RI #1 was seen by an off-duty staff member at approximately 3:30 PM on a busy two-lane road near the facility, but the staff member did not stay with the resident to provide supervision, and left RI #1 in unsafe environment. RI #1 was not returned to the facility until another off-duty staff member returned him/her to the facility at approximately 4:10 PM. This failure affected all 53 residents residing in the…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Lcited before2024-04-25 · 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 record review, the facility policy Quality Assurance and Performance Improvement (QAPI) Program, and the facility's policy Quality Assurance and Performance Improvement (QAPI) Program - Analysis and Action the facility's QAPI committee failed to thoroughly review all factors related to Resident Identifier (RI) #1's elopement on 02/05/2023. The facility further failed to develop and implement effective plans and interventions to prevent recurrence and ensure the facility was secured. On 02/05/2023 RI #1 exited the facility through an unsecured side door without staff's knowledge. RI #1 was further left by staff unsupervised in an unsafe area 2,640 feet from the facility. The failure of the QAPI committee to thoroughly review all factors and implement effective interventions following an adverse event had the potential to affect all 53 residents. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The Immediate Jeopardy (IJ) was related to…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-04-25 · 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 interviews, medical record review, review of the facility's policies titled Wandering and Elopements, and Elopement Guideline and review of a facility document summarizing the facility's investigation into Resident Identifier (RI) #1's elopement, facility failed: 1) to supervise RI #1 after he/she stated he/she had a desire to leave and was given a one-time dose of Ativan, 2) to ensure all doors in the building were secure and closed properly to prevent residents leaving the facility without staff's knowledge, and 3) to ensure RI #1 was not left by a staff member in an unsafe environment. On 02/05/2023, RI #1 told the staff he/she wanted to leave the facility around 1:10 PM. RI #1 was given Ativan, a psychotropic medication, at 2:21 PM, then was not supervised nor observed. RI #1 left the facility through an unsecured door. RI #1 was seen by an off-duty staff member at approximately 3:30 PM on a busy two-lane road near the facility. The staff member did not stay with the resident to provide supervision…

  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
• Actual harm · Icited before2024-04-25 · tag F0803 — failed to meet residents' dietary needs — widespread
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, medical record review, the facility's Spring/Summer 2024 Menu, the facility's standardized recipe for Chili - 4042, and the facility's policies for Menus, and Standardized Recipes the facility failed to ensure portion sizes listed on the menu for 07/23/2024 and 07/24/2024 were provided to residents, the portion of Sliced Ham Steak served on 07/23/2024 was at least three ounces (oz.), the portion to be served as listed on the Chili recipe was reflected on the menu for the Puree diet for 07/24/2024, and puree bread was provided to the Puree diets as listed on the menu for 07/23/2024 and 07/24/2024. This had the potential to affect 52 of 52 residents receiving meals from the kitchen including Resident Identifier (RI) #35 one of six residents receiving Puree diets. The deficient practice caused actual harm that was not immediate jeopardy to RI #35. RI #35 had significant weight loss of 10.7% (percent) over a six-month period from 01/02/2024 through 07/06/2024. This deficient practice…

  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
• Actual harm · Gcited before2024-04-25 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, review of a facility policy titled GHC Abuse Policy, review of the Facility Reported Incident(FRI) received by the Alabama State Survey Agency, and review of the facility's investigative file, the facility failed to protect the Resident Identifier (RI) #3's right to be free from verbal abuse by Certified Nursing Assistant (CNA) #16 and CNA #17. On 10/11/2023, at approximately 4:27 PM, RI #3's daughter was visiting and requested assistance from staff. RI #3's daughter left her cellphone on record in the room as CNA #16 and CNA #17 entered the room to provide care. After CNA #16 and CNA #17 finished providing care, the daughter returned to the room and stopped the recording. RI #3's daughter listened to the recording and heard both CNA's making multiple derogatory statements and threats of punishment toward RI #3. The daughter heard swearing and noises that sounded like the resident was being hit. RI #3's daughter stated she was so upset that she left the facility without…

  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 · G2024-04-25 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, resident record review, review of a facility policy titled, Resident-to-Resident Altercations, review of a Facility Reported Incident (FRI) received by the State Agency, and review of the facility's investigative file, the facility failed to ensure the abuse policy was implemented to take steps to protect Resident Identifier (RI) #2 from further abuse on 05/15/2024 when RI #2 was being physically abused by RI #1. Certified Nursing Assistant (CNA) #3 heard RI #2 yelling and saw RI #1 sitting on RI #2's arm and slapping RI #2 in the face. Instead of providing immediate protection and supervision for the residents, CNA #3 left the room, leaving RI #1 alone in the room with RI #2, who according to interview may have been afraid or in pain, while the CNA went to the nurses' station to get the nurse. This deficient practice affected RI #2, one of six sampled residents. This deficiency was cited as a result of the investigation of complaint/report number AL00047877. Findings include: On 05/15/2024…

  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
• Actual harm · G2024-04-25 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, medical record review, the facility's Spring/Summer 2024 Menu, the facility's standardized recipe for Chili - 4042, and the facility policies for Weight Assessment and Intervention, Menus, and Standardized Recipes the facility failed to ensure (RI) Resident Identifier #35 received appropriate food portions as defined by the Registered Dietitian's (RD) approved menu for Puree diets and did not suffer significant weight loss of 10.7 % (percent) over 180 days. RI #35 lost 21 pounds from 01/02/2024 to 07/09/2024. The deficient practice caused actual harm that was not immediate jeopardy to RI #35, one of six residents who received Puree diets. This deficient practice was cited as a result of the investigation of complaint/ report #AL00048377. Cross-Reference F 803. Findings Include: The facility's policy titled, Weight Assessment and Intervention, with a revised date of February 2021, documented the following: Policy Statement The multidisciplinary team will strive to prevent,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-06 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, resident record review, and review of a facility policy titled Abuse Policy, the facility failed to ensure an allegation of sexual abuse was reported to the State Agency in accordance with reporting requirements after the Administrator (ADM) was informed by a local hospital of a request for a rape kit to be performed on Resident Identifier (RI) #7, a vulnerable and cognitively impaired resident, due to semen found present in RI #7's urine sample. On 02/10/2026 at 9:04 AM the State Agency received an anonymous Complaint (number 2746917) alleging Resident Identifier (RI) #7 was sent to a local hospital and semen was found in his/her urine. On 10/03/2025 the facility transferred RI #7 to a local hospital due to coughing up blood. While RI #7 was at the hospital, a routine urinalysis resulted in the abnormal presence of semen in the urine. The ADM stated he received a phone call on 10/06/2025 or 10/07/2025 from a local hospital reporting to him semen had been detected in the urine of RI #7 and 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-06 · 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 interview, record review and review of a facility policy titled Accidents and Incidents - Investigating and Reporting the facility failed to thoroughly investigate the cause of a bruise observed on the left side of Resident Identifier (RI) #44's face which was observed by Licensed Practical Nurse (LPN) #10. Specifically, the facility failed to complete an incident report following an allegation of a fall reported by RI #44's family member on 02/10/2026. RI #44's family member alleged a new bruise was located on the left side of RI #44's face. This failure had the potential to affect the residents by limiting the facility's ability to evaluate the circumstances of the event and implement measures to reduce the risk of further accidents.This affected one of five residents reviewed for accidents and was cited as a result of the investigation of complaint #2747676.Findings Include: An undated policy titled Accidents and Incidents-Investigating and Reporting documented: Policy StatementAll accidents 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-06 · 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 interview, record review and review of facility policies titled Administering Medications and Controlled Substances, the facility failed to ensure controlled medications were were handled and documented as required including the recording of controlled medications on the Medication Administration Record (MAR) after controlled medications were administered to Resident Identifier (RI) #65, one of one resident reviewed for the accurate account of controlled medications.Specifically, RI #65's controlled substance inventory record documented Lorazepam and Morphine were given on 01/29/2026 and 01/30/2026; review of RI #65's MAR revealed no evidence the medications were administered to RI #65. This failure had the potential to affect the RI #65 by limiting the facility's ability to ensure accurate controlled medication administration, record keeping, and monitoring.This was cited as a result of the investigation of complaint #2786698. Findings include:A facility policy titled: Controlled SubstancesPolicy…

  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 · Fcited before2025-09-11 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and review of facility policies titled, DATING AND LABELING POLICY, COMPLETING LOGS POLICY, and DISH WASHING AND POT WASHING, the failed to ensure:1) food items in dry storage and the freezer were dated and labeled,2) a styrofoam cup was not left in the flour bin,3) the freezer temperatures for the evening shift were recorded on 09/04/2025, 09/05/2025, and 09/06/2025 and;4) plates were free of food debris on the tray line.This had the potential to affect 54 of 55 residents who receive meals from the kitchen. Findings Include: 1) Review of an undated policy titled, DATING AND LABELING POLICY revealed: Policy: All foods are to be labeled and dated appropriately to ensure food safety regulations are followed. Procedure: 1. Upon receiving and storing all items must be labeled with the name of food and receive date. On 09/07/2025 at 2:46 PM, the surveyor toured the dry storage area and the freezer with [NAME] #1. The surveyor observed a ten-pound bag of spaghetti, enriched macaroni and raisin bran cereals with no open and no use by date in dry storage.…

  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 · Fcited before2025-09-11 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews and a review of a facility policy titled GARBAGE AND TRASH DISPOSAL POLICY, the facility failed to ensure the door of the trash dumpster on the front side was closed. This had the potential to affect 55 of 55 residents who reside at the facility. Findings Include: Review of an undated facility policy titled GARBABE AND TRASH DISPOSAL POLICY revealed: PURPOSE: To educate all new hires and current employees on the proper procedures for garbage and trash disposal. PROPER GARBAGE AND TRASH DISPOSAL: . Dumpsters should be properly maintained: Dumpster door . must be closed at all times when not in use. On 09/07/2025 at 3:01 PM, the surveyor and the evening [NAME] #1 toured the dumpster area. The dumpster door was opened on the front side. On 09/10/2025 at 8:57 AM, an interview was conducted with [NAME] #1. [NAME] #1 stated that the dumpster door was opened. He stated that someone did not close the dumpster. According to [NAME] #1, everyone was responsible for keeping the dumpster door closed. [NAME] #1 stated that the dumpster door should be closed…

  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 · E2025-09-11 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  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, medical record review and facility policies titled, Oxygen Administration and Oxygen Tubing and (&) Humidification Change Policy, the facility failed to ensure Resident Identifier (RI) #'s 9, #15, #42 and #54 Oxygen (O2) tubing was labeled/dated. The facility further failed to ensure RI #42 and RI #54's O2 concentrator water bottle was not empty during the administration of oxygen on 09/07/2025.This deficient practice affected RI #9, RI #15, RI #42 and RI #54 four of four residents sampled for respiratory care. Findings Include: Review of a facility policy titled, Oxygen Administration with a revision date of 2010, revealed: Purpose The purpose of this procedure is to provide guidelines for safe oxygen administration . Steps in the Procedure 12. Check the mask . humidifying jar, . to be sure they are in good working order . Be sure there is water in the humidifier . and the water level is high enough that the water bubbles as oxygen flows through. Review of a facility undated…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-11 · 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 interviews, resident record review, review of a Facility Reported Incident (FRI), review of the facility investigative file, and review of a facility policy titled Accidents and Incidents, the facility failed to ensure Certified Nursing Assistant (CNA) #5 immediately reported an incident/accident to licensed nurses on 09/05/2025 when Resident Identifier (RI) #20 voiced discomfort during care and told CNA #5 someone ran over his/her foot with a wheelchair. CNA #5 failed to report to anyone RI #20's voiced discomfort and observed swelling to RI #20's foot. The incident/accident was not reported or investigated until 09/09/2025 when RI #20 was observed with bruising and swelling to the right knee and leg and x-ray results revealed an acute proximal tibia fracture. This deficient practice affected RI #20 one of two residents sampled for accidents and had the potential to result in delayed assessment and treatment. Findings Include: On 09/09/2025 the State Agency received a FRI from the facility alleging an…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-11 · 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, resident record review, and facility policies titled Pain Assessment and Management and Administering Pain Medications, the facility failed to ensure Licensed Practical Nurse (LPN) #6 conducted a pain assessment to include the location of pain or other pain characteristics prior to administering as needed (PRN) pain medication to Resident Identifier (RI) #20 on 09/03/2025. This deficient practice had the potential to result in inadequate evaluation of the resident's pain and inappropriate treatment and affected RI #20 one of two resident sampled for pain. Findings Include:A facility policy titled Pain Assessment and Management with revision date of October 2022 documented: PurposeThe purposes of this procedure are to help the staff identify pain in the resident, and to develop interventions that are consistent with the resident's goals and needs and that address the underlying causes of pain. General Guidelines 1. The pain management program is based on a facility-wide commitment to…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-22 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, resident record review, the facility investigative file, and a facility policy titled, Abuse Policy, the facility failed to protect the resident's right to be free from physical abuse on 04/30/2025 when Resident Identifier (RI) #2 hit RI #21. The facility's staff failed to supervise RI #2 and intervene to prevent the incident. RI #2 had a history of verbal and physical behaviors. RI #2 was observed irritable, cursing, and upset as staff were attempting to take RI #2 to his/her bed. The Certified Nursing Assistant (CNA) left RI #2 at his/her doorway and another CNA witnessed RI #2 hit RI #21 on the arm. Staff said someone in that situation being hit would feel shocked. This deficient practice affected RI #21 one of three residents sampled for abuse and was cited as a result of the investigation of complaint/report number AL00051090. Findings include: On 04/30/2025 at 3:58 PM the State Agency received a Facility Reported Incident (FRI) alleging RI #2 hit RI #21 with a closed fist and cursed 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · Fcited before2025-03-27 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and a review of the facility policie's titled, DATING AND LABELING POLICY, ICE MACHINE SANITATION POLICY, And HAND WASHING POLICY. The facility failed to ensure: 1) food items in the freezer and cooler was labeled and dated; 2) the ice machine was free of a black substance; 3) a staff did not work on the dirty and clean side of the dish room without changing gloves and aprons. This had the potential to affect 53 of 53 residents who received meals from the kitchen. Finding Includes: 1) A review of a policy titled, DATING AND LABELING POLICY, with no date revealed: POLICY: All foods are to be labeled and dated appropriately to ensure food safety regulations are followed. PROCEDURE: . Once opened, the label must be updated with the current date and a use by date . (including date opened) . On 03/18/2025 at 8:39 AM, an during the initial tour of a large clear bag of okra and about six chicken fingers in a bag were observed in the freezer with no open or use by the date. Corn beef was observed in the cooler with no open or use by date. On 03/20/2025 at…

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

  Nutrition and Dietary 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

$318,070 in federal fines across 4 penalties. 1 Medicare payment denial on record.

• $187,110 — penalty dated 2025-03-27
• $6,661 — penalty dated 2024-04-25
• $10,555 — penalty dated 2024-04-25
• $113,744 — penalty dated 2024-04-25
• Medicare payment denial — starting 2024-05-23 for 116 days

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

Who owns this facility

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

Follow the money — this home’s finances

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

About 75% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $675K 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