Cycle 1
Health 2021-06-03 · Fire 2021-06-03
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Alexander City, AL
Adams Rehabilitation And Healthcare Center
5-star overall rating with 5-star inspections with 1 recent health deficiencies
1555 Hillabee Street, Alexander City, AL
(256) 329-0847
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
88
Certified beds
Average residents
68
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Venza Care Management
Operator or chain grouping
Approved since
1984-02-27
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
21 facilities
Chain averages 3 overall / 3 health / 4 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.91
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.54
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.80
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.25
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.59
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.98
CMS adjusted RN staffing hours
Adjusted total hours
4.57
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,837
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.39
Composite VBP score used to determine payment impact.
Payment multiplier
0.9915
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.71
Performance 19.25% · Measure score 4.71 · Achievement 4.71 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
4.10
Performance 6.61% · Measure score 4.10 · Achievement 4.10 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0.52
Baseline 39.22% · Performance 61.54% · Measure score 0.52 · Achievement 0.52 · Improvement 0
Adjusted total nurse staffing
6.02
Baseline 5.15 hours · Performance 4.79 hours · Measure score 6.02 · Achievement 6.02 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.47% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 40 · Observed rate 7.5% · Lower 95% interval 6.57% |
| Discharge to community | 38.72% |
50.57%
11.9 pts worse
|
No Different than the National Rate · Eligible stays 32 · Observed rate 25% · Lower 95% interval 25.19% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 27 · Denominator 27 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 27 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 7.41% |
2.29%
5.1 pts worse
|
Numerator 2 · Denominator 27 · Adjusted rate 6.3% |
| Healthcare-associated infections requiring hospitalization | 6.61% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 28 · Observed rate 3.57% · Lower 95% interval 3.19% |
| Staff COVID-19 vaccination coverage | 7.69% |
8.2%
0.5 pts worse
|
Numerator 7 · Denominator 91 |
| Staff flu vaccination coverage | 21.43% |
42%
20.6 pts worse
|
Numerator 27 · Denominator 126 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.0
0.3 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 2.0 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 5.4 |
1.8
3.6 pts worse
|
1.8
3.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.4 · Observed 5.9 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.3%
8.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% |
94.8%
2.1 pts better
|
95.5%
1.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.3% |
3.4%
2.9 pts worse
|
3.3%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 6.7% · Q3 6.8% · Q4 6.5% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
1.3%
1.3 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 3.9% |
5.3%
1.4 pts better
|
5.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 6.0% · Q4 6.0% · 4Q avg 3.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.4% |
24.9%
4.5 pts better
|
19.6%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 21.1% · Q3 18.5% · Q4 17.6% · 4Q avg 20.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.4% |
22.8%
1.4 pts better
|
16.7%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 25.6% · Q3 14.3% · Q4 16.3% · 4Q avg 21.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.6%
0.6 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.1% |
14.8%
2.3 pts worse
|
16.3%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 6.9% · Q3 23.1% · Q4 21.2% · 4Q avg 17.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.9% |
13.4%
1.5 pts worse
|
14.9%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 17.6% · Q3 18.0% · Q4 10.6% · 4Q avg 14.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.3%
0.6 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
2.6%
0.4 pts better
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.6% · Q3 3.6% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.5% |
13.5%
7 pts worse
|
19.8%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 20.2% · Q3 19.5% · Q4 20.2% · 4Q avg 20.5% |
| Percentage of long-stay residents with pressure ulcers | 8.0% |
5.7%
2.3 pts worse
|
5.1%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 8.8% · Q3 6.4% · Q4 6.8% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
84.3%
15.2 pts better
|
81.7%
17.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.4% · 4Q avg 99.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.7% |
11.5%
2.8 pts better
|
12.0%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.7% · Observed 10.0% · Expected 12.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
2.1%
0.7 pts worse
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.0% |
80.3%
14.7 pts better
|
79.7%
15.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.2% |
24.5%
4.7 pts worse
|
23.9%
5.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.2% · Observed 26.7% · Expected 21.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-02-28 · Fire 2019-02-28
0 health deficiencies
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2018-02-08 · Fire 2018-02-08
3 health deficiencies
Top issue: Infection Control (1 deficiency)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2019-02-28
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2019-04-05
D · Potential for more than minimal harm
2019-02-28
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-04-05
D · Potential for more than minimal harm
2019-02-28
K361 · Smoke Deficiencies
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2019-04-05
D · Potential for more than minimal harm
2019-02-28
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-04-05
E · Potential for more than minimal harm
2018-02-08
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2018-03-21
E · Potential for more than minimal harm
2018-02-08
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-03-21
D · Potential for more than minimal harm
2018-02-08
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2018-03-21
D · Potential for more than minimal harm
2018-02-08
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-03-21
C · Minimal harm
2018-02-08
E13 · Emergency Preparedness Deficiencies
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2018-03-21
C · Minimal harm
2018-02-08
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2018-03-21
Inspection history
Recent health citations
D · Potential for more than minimal harm
2021-06-03
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2021-07-07
D · Potential for more than minimal harm
2018-02-08
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2018-03-15
D · Potential for more than minimal harm
2018-02-08
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2018-03-15
D · Potential for more than minimal harm
2018-02-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-03-15
Penalties and ownership
What sits behind the stars
Ownership
Alabama SNF Operations Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Alabama Opco Manager LLC
Operational/Managerial Control · Organization
Ch Alabama Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Herzka, Yisroel
5% Or Greater Indirect Ownership Interest · Individual
Moses Strauss Family 2022 Trust
5% Or Greater Indirect Ownership Interest · Organization
Ms Alabama Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Ss Alabama Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Stalnaker, Deborah
W-2 Managing Employee · Individual
Strauss, Susan
Operational/Managerial Control · Individual
Strauss, Susan
Corporate Officer · Individual
Susan Strauss Family 2022 Trust
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Brown Nursing Home
Alexander City, AL
3-star overall rating with 4-star inspections with 1 fire-safety deficiencies in the latest cycle
#2
Chapman Healthcare Center, Inc
Alexander City, AL
4-star overall rating with 4-star inspections with 1 fire-safety deficiencies in the latest cycle
#3
Goodwater Healthcare Center
Goodwater, AL
5-star overall rating with 5-star inspections
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