Bridgeway Health And Rehabilitation Center ratings, inspections, staffing, and fines

1

How this home got 3 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

no change

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

3 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Alabama homes

Bridgeway Health And Rehabilitation Center carries 21 inspection points. That is fewer than 47% 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

6 health citations on record since 2017. 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 3 4 pts

E 1 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.
January 9, 2020 · Standard · F812 · Corrected February 7, 2020
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
November 29, 2018 · Standard · F812 · Corrected December 31, 2018

Quality of Life and Care1D

D
Provide safe and appropriate respiratory care for a resident when needed.
January 9, 2020 · Standard · F695 · Corrected February 7, 2020

Resident Assessment and Care Planning1D

D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
November 29, 2018 · Standard · F656 · Corrected December 31, 2018

Infection Control1D

D
Provide and implement an infection prevention and control program.
November 29, 2018 · Standard · F880 · Corrected December 31, 2018

Environmental1E

E
Have a program that investigates, controls and keeps infection from spreading.
October 19, 2017 · Standard · F441 · Corrected November 10, 2017

Inspection history

2020-01-09
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2018-11-29
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2017-10-19
1 health deficiencies · 3 fire-safety deficiencies
Top issue: Environmental (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 4 min of nursing staff time a day, 47 min of it from a registered nurse.

This home

4 h 4 min

Alabama average

3 h 54 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 36% of nursing staff and 44% of registered nurses left in the past year, along with 1 administrator.

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 days1.5 pts worse	3.4	1.9	1.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse	2.4	1.7	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.2 pts better	100.0%	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 injury0.9 pts worse	4.1%	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 weight0.9 pts better	4.5%	5.4%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.1 pts better	20.2%	24.3%	19.5%
Percentage of long-stay residents who received an antipsychotic medication3.7 pts better	17.6%	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 worsened3.3 pts better	7.7%	11.0%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.5 pts better	8.0%	11.5%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better	0.7%	0.9%	0.7%
Percentage of long-stay residents with a urinary tract infection1.2 pts better	1.0%	2.2%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.2 pts better	12.0%	12.2%	18.3%
Percentage of long-stay residents with pressure ulcers2.2 pts better	3.0%	5.2%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.2 pts better	97.8%	85.6%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1 pts better	10.7%	11.7%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts better	0.2%	1.9%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.3 pts better	87.5%	82.2%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.7 pts better	22.7%	24.4%	23.4%

·

Who owns and runs it

19 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
Arabella Al 600 Opco LP	Direct Ownership Interest · Organization	0%	3 facilities
Arabella Health And Wellness Of Phenix City Propco LLC	5% Or Greater Mortgage Interest · Organization	0%	1 facilities
Arabella Health And Wellness Of Phenix City Propco LLC	Adp Of The SNF · Organization	0%	1 facilities
Arabella Healthcare Management LLC	Operational/Managerial Control · Organization	0%	12 facilities
Arabella Healthcare Management LLC	Adp Of The SNF · Organization	0%	12 facilities
Arco Kano Irrv Tr	Indirect Ownership Interest · Organization	0%	12 facilities
Arco Kano Irrv Tr	Adp Of The SNF · Organization	0%	12 facilities
Azzam, Mohannad	Operational/Managerial Control · Individual	0%	9 facilities
Azzam, Mohannad	Adp Of The SNF · Individual	0%	9 facilities
Fein, Miriam	Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual	0%	12 facilities
Gnh Irrv Tr	Indirect Ownership Interest · Organization	0%	12 facilities
Gnh Irrv Tr	Adp Of The SNF · Organization	0%	12 facilities
Hertzel, Chaim	Operational/Managerial Control · Individual	0%	12 facilities
Hertzel, Chaim	Adp Of The SNF · Individual	0%	12 facilities
Hwood Partners LLC	Indirect Ownership Interest · Organization	0%	12 facilities
Hwood Partners LLC	Adp Of The SNF · Organization	0%	12 facilities
Mcdaniel, Sunny	Operational/Managerial Control · Individual	0%	1 facilities
Mcdaniel, Sunny	Adp Of The SNF · Individual	0%	1 facilities
Zlotowitz, Eliyahu	Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual	0%	10 facilities

·

Fire safety

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

Smoke3D

D
Install an approved automatic sprinkler system.
January 9, 2020 · K351 · Corrected January 22, 2020
D
Provide properly protected cooking facilities.
October 19, 2017 · K324 · Corrected October 27, 2017
D
Inspect, test, and maintain automatic sprinkler systems.
October 19, 2017 · K353 · Corrected October 27, 2017

Egress2E

D
Have horizontal exits used in accordance with safety requirements.
January 9, 2020 · K226 · Corrected January 22, 2020
E
Have properly located and lighted "Exit" signs.
October 19, 2017 · K293 · Corrected October 27, 2017

Gas, Vacuum, and Electrical Systems1D

D
Ensure proper usage of power strips and extension cords.
January 9, 2020 · K920 · Corrected February 7, 2020

·

Other homes nearby

Parkwood Health Care Facility
Phenix City, AL · Crowne Health Care

Worst citation, 3 yrs
F

Nursing / resident / day
4 h 1 min

Fines
$0
Canterbury Health Care Facility
Phenix City, AL · Venza Care Management

Worst citation, 3 yrs
D

Nursing / resident / day
3 h 51 min

Fines
$0
Magnolia Manor Of Columbus Nursing Center - West
Columbus, GA · Magnolia Manor Senior Living

Worst citation, 3 yrs
J

Nursing / resident / day
4 h 17 min

Fines
$34,431

All homes in Phenix City → All of Alabama →