Auburn, AL

Arbor Lake Health And Rehab

3-star overall rating with 2-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

1365 Gatewood Drive, Auburn, AL

(334) 826-7200

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

87

Certified beds

Average residents

79

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Traylor Porter Healthcare

Operator or chain grouping

Approved since

2004-07-19

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.37

Registered nurse staffing

LPN hours / resident day

0.80

Licensed practical nurse staffing

Aide hours / resident day

2.68

Nurse aide staffing

Weekend hours

3.02

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

56%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.6
2.0
0.4 pts better
1.9
0.3 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.5
1.8
1.3 pts better
1.8
1.3 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.6%
91.3%
3.3 pts better
93.4%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.8%
5.2 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 5.4%
3.4%
2 pts worse
3.3%
2.1 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 3.6%
5.3%
1.7 pts better
5.4%
1.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.2%
24.9%
2.3 pts worse
19.6%
7.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 21.7%
22.8%
1.1 pts better
16.7%
5 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 8.6%
14.8%
6.2 pts better
16.3%
7.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 9.8%
13.4%
3.6 pts better
14.9%
5.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.2%
1.3%
0.1 pts better
1.0%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.4%
2.6%
1.2 pts better
1.7%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 30.6%
13.5%
17.1 pts worse
19.8%
10.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.3%
5.7%
1.4 pts better
5.1%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 71.8%
84.3%
12.5 pts worse
81.7%
9.9 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 9.7%
2.1%
7.6 pts worse
1.6%
8.1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95.5%
80.3%
15.2 pts better
79.7%
15.8 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-08-09 · Fire 2023-08-09

5 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2022-04-29 · Fire 2022-04-29

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-07-25 · Fire 2019-07-25

2 health deficiencies

Top issue: Infection Control (1 deficiency)

9 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-08-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-09-15

F · Potential for more than minimal harm 2023-08-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-09-15

E · Potential for more than minimal harm 2023-08-09

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-09-15

D · Potential for more than minimal harm 2023-08-09

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2023-09-15

D · Potential for more than minimal harm 2023-08-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-09-15

E · Potential for more than minimal harm 2019-07-25

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2019-09-03

E · Potential for more than minimal harm 2019-07-25

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2019-09-03

E · Potential for more than minimal harm 2019-07-25

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2019-09-03

E · Potential for more than minimal harm 2019-07-25

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-09-03

D · Potential for more than minimal harm 2019-07-25

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2019-09-03

D · Potential for more than minimal harm 2019-07-25

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-09-03

D · Potential for more than minimal harm 2019-07-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-09-03

D · Potential for more than minimal harm 2019-07-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-09-03

D · Potential for more than minimal harm 2019-07-25

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2019-09-03

Inspection history

Recent health citations

F · Potential for more than minimal harm 2023-08-09

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2023-09-14

F · Potential for more than minimal harm 2023-08-09

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-09-14

D · Potential for more than minimal harm 2023-08-09

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-09-14

D · Potential for more than minimal harm 2023-08-09

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-09-14

C · Minimal harm 2023-08-09

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-09-14

D · Potential for more than minimal harm 2019-07-25

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2019-08-25

D · Potential for more than minimal harm 2019-07-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-08-25

Penalties and ownership

What sits behind the stars

Ownership

Cassis Management, LLC

5% Or Greater Direct Ownership Interest · Organization

44% 1 facilities 2022-11-09
Hopo Realty Investments, LLC

5% Or Greater Direct Ownership Interest · Organization

44% 1 facilities 2022-11-09
Porter, Howard

5% Or Greater Indirect Ownership Interest · Individual

44% 4 facilities 2022-11-09
Traylor, Jonathan

5% Or Greater Indirect Ownership Interest · Individual

44% 5 facilities 2022-11-09
Lewis, Matthew

5% Or Greater Direct Ownership Interest · Individual

11% 3 facilities 2022-11-09
Hopo Realty Investments, LLC

Operational/Managerial Control · Organization

0% 1 facilities 2022-11-09
Lewis, Matthew

Operational/Managerial Control · Individual

0% 3 facilities 2022-11-09
Lewis, Matthew

W-2 Managing Employee · Individual

0% 3 facilities 2022-11-09
Porter, Howard

Operational/Managerial Control · Individual

0% 4 facilities 2022-11-09
Southern States Bancshares, Inc

5% Or Greater Mortgage Interest · Organization

0% 1 facilities 2022-11-09
Traylor, Jonathan

Operational/Managerial Control · Individual

0% 5 facilities 2022-11-09
Traylor, Jonathan

Corporate Officer · Individual

0% 5 facilities 2022-11-09

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Staffing
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Overall
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Health
3 / 5
Staffing
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Fines
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#3

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Health
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Staffing
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Fines
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