Cycle 1
Health 2020-12-10 · Fire 2020-12-10
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Deatsville, AL
Charlton Place Rehab And Healthcare Center
5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
65 Charlton Place, Deatsville, AL
(334) 263-0618
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
65
Certified beds
Average residents
63
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Tutera Senior Living & Health Care
Operator or chain grouping
Approved since
2007-11-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
25 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 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
0.63
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.77
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.20
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
3.60
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.40
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.23
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.57
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.69
CMS adjusted RN staffing hours
Adjusted total hours
3.93
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,733
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.70
Composite VBP score used to determine payment impact.
Payment multiplier
0.9829
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.37% · Performance 24.05% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.34
Baseline 7.45% · Performance 6.24% · Measure score 5.34 · Achievement 5.34 · Improvement 4.45
Total nurse turnover
1.44
Baseline 69.86% · Performance 61.11% · Measure score 1.44 · Achievement 0.63 · Improvement 1.44
Adjusted total nurse staffing
2.29
Baseline 3.87 hours · Performance 3.73 hours · Measure score 2.29 · Achievement 2.29 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.43% |
10.72%
2.7 pts worse
|
No Different than the National Rate · Eligible stays 117 · Observed rate 17.95% · Lower 95% interval 8.98% |
| Discharge to community | 47.03% |
50.57%
3.5 pts worse
|
No Different than the National Rate · Eligible stays 111 · Observed rate 41.44% · Lower 95% interval 37.41% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 85 · Denominator 85 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 85 |
| Discharge self-care score | 67.8% |
53.69%
14.1 pts better
|
Numerator 40 · Denominator 59 |
| Discharge mobility score | 45.76% |
50.94%
5.2 pts worse
|
Numerator 27 · Denominator 59 |
| Pressure ulcers or injuries, new or worsened | 3.53% |
2.29%
1.2 pts worse
|
Numerator 3 · Denominator 85 · Adjusted rate 3.47% |
| Healthcare-associated infections requiring hospitalization | 6.24% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 79 · Observed rate 3.8% · Lower 95% interval 3.26% |
| Staff COVID-19 vaccination coverage | 2.11% |
8.2%
6.1 pts worse
|
Numerator 2 · Denominator 95 |
| Staff flu vaccination coverage | 3.16% |
42%
38.8 pts worse
|
Numerator 3 · Denominator 95 |
| Discharge function score | 64.41% |
56.45%
8 pts better
|
Numerator 38 · Denominator 59 |
| Transfer of health information to provider | 88.89% |
95.95%
7.1 pts worse
|
Numerator 24 · Denominator 27 |
| Transfer of health information to patient | 98.11% |
96.28%
1.8 pts better
|
Numerator 52 · Denominator 53 |
| Resident COVID-19 vaccinations up to date | 4.08% |
25.2%
21.1 pts worse
|
Numerator 2 · Denominator 49 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
91.3%
7.7 pts better
|
93.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.9% · Q4 98.0% · 4Q avg 99.0% |
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.2% |
3.4%
4.8 pts worse
|
3.3%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 6.2% · Q3 6.2% · Q4 8.0% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.2% |
1.3%
0.1 pts better
|
11.4%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 2.5% · Q4 0.0% · 4Q avg 1.2% |
| Percentage of long-stay residents who lose too much weight | 13.9% |
5.3%
8.6 pts worse
|
5.4%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 16.7% · Q3 15.0% · Q4 14.6% · 4Q avg 13.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.0% |
24.9%
3.1 pts worse
|
19.6%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 28.6% · Q3 24.4% · Q4 29.3% · 4Q avg 28.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.7% |
22.8%
4.1 pts better
|
16.7%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 17.1% · Q3 15.2% · Q4 19.4% · 4Q avg 18.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 2.1% |
0.6%
1.5 pts worse
|
0.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.1% · Q3 2.1% · Q4 2.0% · 4Q avg 2.1% |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.9% |
14.8%
9.9 pts better
|
16.3%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.2% |
13.4%
7.2 pts better
|
14.9%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 10.0% · Q3 7.5% · Q4 2.6% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
1.3%
0.2 pts better
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.2% · Q3 0.0% · Q4 1.5% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
2.6%
1 pts better
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 6.4% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.2% |
13.5%
8.7 pts worse
|
19.8%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.5% · Q2 19.7% · Q3 27.8% · Q4 19.9% · 4Q avg 22.2% |
| Percentage of long-stay residents with pressure ulcers | 10.2% |
5.7%
4.5 pts worse
|
5.1%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 5.2% · Q3 8.5% · Q4 10.3% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
84.3%
14.8 pts better
|
81.7%
17.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.1% · Q3 99.1% · Q4 98.4% · 4Q avg 99.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.7% |
11.5%
3.8 pts better
|
12.0%
4.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.7% · Observed 7.0% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.1%
2.1 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.2% |
80.3%
17.9 pts better
|
79.7%
18.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.0% |
24.5%
2.5 pts worse
|
23.9%
3.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.0% · Observed 22.5% · Expected 19.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-03-12 · Fire 2020-03-12
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2019-03-14 · Fire 2019-03-14
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2020-12-10
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-02-09
D · Potential for more than minimal harm
2020-12-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-02-09
F · Potential for more than minimal harm
2020-03-12
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2020-11-03
D · Potential for more than minimal harm
2020-03-12
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-11-03
D · Potential for more than minimal harm
2020-03-12
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-11-03
E · Potential for more than minimal harm
2019-03-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-04-23
D · Potential for more than minimal harm
2019-03-14
K343 · Smoke Deficiencies
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2019-04-23
D · Potential for more than minimal harm
2019-03-14
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-04-23
Inspection history
Recent health citations
D · Potential for more than minimal harm
2020-03-12
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2020-04-03
D · Potential for more than minimal harm
2019-03-14
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-03-29
Penalties and ownership
What sits behind the stars
Ownership
Tutera, Joseph
5% Or Greater Direct Ownership Interest · Individual
Tutera Investments, LLC
5% Or Greater Direct Ownership Interest · Organization
Bloom, Randall
Operational/Managerial Control · Individual
Brooks, Kiley
Corporate Officer · Individual
Flanagan, Michael
Operational/Managerial Control · Individual
Flanagan, Michael
Contracted Managing Employee · Individual
Jct Family Limited Partnership
Limited Partnership Interest · Organization
Tutera, Dominic
Limited Partnership Interest · Individual
Tutera, Hannah
Limited Partnership Interest · Individual
Tutera, Joseph
Limited Partnership Interest · Individual
Tutera, Joseph
Operational/Managerial Control · Individual
Tutera, Laura
Limited Partnership Interest · Individual
Walnut Creek Management Company LLC
Operational/Managerial Control · Organization
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