Anniston Health And Rehab Services ratings, inspections, staffing, and fines

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Alabama.
Staffing

+1 star

Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
Quality measures

no change

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

4 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Alabama homes

Anniston Health And Rehab Services carries 20 inspection points. That is fewer than 49% of Alabama's 223 rated homes.

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Alabama: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

5★ 0–3 pts
4★ 3–12 pts
3★ 12–23 pts
2★ 23–46 pts
1★ over 46 pts

Bars show every rated home in Alabama by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

4 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 2 4 pts

E 0 8 pts

F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Nutrition and Dietary2F

F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
December 2, 2021 · Standard · F812 · Corrected January 3, 2022
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
June 27, 2019 · Standard · F812 · Corrected July 29, 2019

Quality of Life and Care1D

D
Provide safe and appropriate respiratory care for a resident when needed.
December 2, 2021 · Standard · F695 · Corrected January 3, 2022

Resident Assessment and Care Planning1D

D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
June 27, 2019 · Standard · F842 · Corrected July 29, 2019

Inspection history

2021-12-02
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2019-06-27
2 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2018-06-14
0 health deficiencies · 7 fire-safety deficiencies
No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 4 h 7 min of nursing staff time a day, 55 min of it from a registered nurse.

This home

4 h 7 min

Alabama average

3 h 54 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 37% of nursing staff and 29% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

Measure	This home	State	U.S.
Number of hospitalizations per 1000 long-stay resident days0.5 pts worse	2.4	1.9	1.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better	1.6	1.7	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6 pts better	98.8%	92.8%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.6 pts better	100.0%	95.4%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better	1.9%	3.2%	3.2%
Percentage of long-stay residents who have depressive symptoms1.5 pts better	0.0%	1.5%	13.5%
Percentage of long-stay residents who lose too much weight1.1 pts better	4.3%	5.4%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.8 pts better	22.5%	24.3%	19.5%
Percentage of long-stay residents who received an antipsychotic medication6.6 pts better	14.7%	21.3%	15.4%
Percentage of long-stay residents who were physically restrained0.5 pts better	0.0%	0.5%	0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.1 pts better	9.9%	11.0%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.7 pts better	10.8%	11.5%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same	0.9%	0.9%	0.7%
Percentage of long-stay residents with a urinary tract infection1.7 pts worse	3.9%	2.2%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.4 pts better	7.8%	12.2%	18.3%
Percentage of long-stay residents with pressure ulcers1 pts worse	6.2%	5.2%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.4 pts better	100.0%	85.6%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts better	10.1%	11.7%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better	1.4%	1.9%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.8 pts better	100.0%	82.2%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.2 pts better	24.2%	24.4%	23.4%

·

Who owns and runs it

44 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list

Name	Role	Share	Homes
Adamson, Michele	Managing Control - Governing Body · Individual	0%	10 facilities
Adamson, Michele	Corporate Director · Individual	0%	10 facilities
Blackwell, Crystal	Operational/Managerial Control · Individual	0%	10 facilities
Blackwell, Crystal	Adp Of The SNF · Individual	0%	10 facilities
Britton, Isaac	Managing Control - Governing Body · Individual	0%	10 facilities
Britton, Isaac	Corporate Director · Individual	0%	10 facilities
Champion Rehab Resources, LLC	Adp Of The SNF · Organization	0%	11 facilities
Estep, Barbara	Managing Control - Governing Body · Individual	0%	10 facilities
Estep, Barbara	Corporate Director · Individual	0%	10 facilities
Estep, Barbara	Operational/Managerial Control · Individual	0%	10 facilities
Estep, Barbara	Adp Of The SNF · Individual	0%	10 facilities
Goff, Robert	Managing Control - Governing Body · Individual	0%	10 facilities
Goff, Robert	Corporate Director · Individual	0%	10 facilities
Hall, Matthew	Operational/Managerial Control · Individual	0%	21 facilities
Hall, Matthew	Adp Of The SNF · Individual	0%	21 facilities
Hawkins, Alicia	Operational/Managerial Control · Individual	0%	1 facilities
Hawkins, Alicia	Adp Of The SNF · Individual	0%	1 facilities
Hill, Thomas	Managing Control - Governing Body · Individual	0%	1 facilities
Hill, Thomas	Operational/Managerial Control · Individual	0%	1 facilities
Hill, Thomas	Adp Of The SNF · Individual	0%	1 facilities
Kenwright, Karen	Operational/Managerial Control · Individual	0%	10 facilities
Kenwright, Karen	Adp Of The SNF · Individual	0%	10 facilities
Knight, Carol	Managing Control - Governing Body · Individual	0%	10 facilities
Knight, Carol	Corporate Director · Individual	0%	10 facilities
Nelson, Debra	Managing Control - Governing Body · Individual	0%	10 facilities
Nelson, Debra	Corporate Director · Individual	0%	10 facilities
Noland Health Services, Inc	Operational/Managerial Control · Organization	0%	10 facilities
Noland Health Services, Inc	Adp Of The SNF · Organization	0%	10 facilities
Noland Pharmacy LLC	Adp Of The SNF · Organization	0%	10 facilities
Renda, Nicholas	Managing Control - Governing Body · Individual	0%	10 facilities
Renda, Nicholas	Corporate Director · Individual	0%	10 facilities
Renda, Nicholas	Operational/Managerial Control · Individual	0%	10 facilities
Renda, Nicholas	Adp Of The SNF · Individual	0%	10 facilities
Shunnara, Jennifer	Operational/Managerial Control · Individual	0%	10 facilities
Shunnara, Jennifer	Adp Of The SNF · Individual	0%	10 facilities
The Health Care Authority Of The City Of Anniston	5% Or Greater Indirect Ownership Interest · Organization	0%	1 facilities
The Health Care Authority Of The City Of Anniston	Adp Of The SNF · Organization	0%	1 facilities
Thomas, Adeeb	Managing Control - Governing Body · Individual	0%	4 facilities
Thomas, Adeeb	Adp Of The SNF · Individual	0%	4 facilities
Urban, Kelley	Operational/Managerial Control · Individual	0%	10 facilities
Urban, Kelley	Adp Of The SNF · Individual	0%	10 facilities
Waggoner, James	Managing Control - Governing Body · Individual	0%	10 facilities
Waggoner, James	Corporate Director · Individual	0%	10 facilities
Warren Averett LLC	Adp Of The SNF · Organization	0%	10 facilities

·

Fire safety

14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6E

D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
December 2, 2021 · K372 · Corrected January 3, 2022
E
Properly select, install, inspect, or maintain portable fire extinguishes.
June 27, 2019 · K355 · Corrected July 29, 2019
D
Inspect, test, and maintain automatic sprinkler systems.
June 27, 2019 · K353 · Corrected July 29, 2019
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
June 14, 2018 · K321 · Corrected July 13, 2018
D
Have properly installed hallway dispensers for alcohol-based hand rub.
June 14, 2018 · K325 · Corrected June 19, 2018
D
Inspect, test, and maintain automatic sprinkler systems.
June 14, 2018 · K353 · Corrected July 3, 2018

Miscellaneous3F

F
Have simulated fire drills held at unexpected times.
June 27, 2019 · K712 · Corrected July 29, 2019
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
June 27, 2019 · K741 · Corrected July 29, 2019
F
Have restrictions on the use of flammable curtains.
June 14, 2018 · K751 · Corrected July 13, 2018

Gas, Vacuum, and Electrical Systems2E

E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
June 27, 2019 · K914 · Corrected July 29, 2019
D
Ensure proper usage of power strips and extension cords.
June 14, 2018 · K920 · Corrected July 13, 2018

Emergency Preparedness2C

C
Establish procedures for tracking staff and patients during an emergency.
June 14, 2018 · E18 · Corrected July 24, 2018
C
Create arrangements with other facilities to receive patients.
June 14, 2018 · E25 · Corrected July 24, 2018

Services1D

D
Have properly installed electrical wiring and gas equipment.
December 2, 2021 · K511 · Corrected January 3, 2022

·

Other homes nearby

Nhc Healthcare, Anniston
Anniston, AL · National Healthcare Corporation · Abuse icon

Worst citation, 3 yrs
G

Nursing / resident / day
3 h 41 min

Fines
$11,057
Diversicare Of Oxford
Oxford, AL · Diversicare Healthcare

Worst citation, 3 yrs
K

Nursing / resident / day
3 h 17 min

Fines
$130,625
Jacksonville Health And Rehabilitation, LLC
Jacksonville, AL · Nhs Management

Worst citation, 3 yrs
none

Nursing / resident / day
4 h 8 min

Fines
$0

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