Ashland, AL

Clay County Nursing Home

4-star overall rating with 4-star inspections with 2 recent health deficiencies

83825 Highway 9, Ashland, AL

(256) 354-2131

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

83

Certified beds

Average residents

75

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1974-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing

LPN hours / resident day

0.85

Licensed practical nurse staffing

Aide hours / resident day

2.00

Nurse aide staffing

Weekend hours

2.96

Weekend nurse staffing

RN turnover

44%

Annual RN turnover

Total nurse turnover

48%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.2
2.0
0.8 pts better
1.9
0.7 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
1.8
0.2 pts better
1.8
0.2 pts better
Long Stay · 20240701-20250630
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
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 8.1%
3.4%
4.7 pts worse
3.3%
4.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.2%
1.3%
0.9 pts worse
11.4%
9.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 11.6%
5.3%
6.3 pts worse
5.4%
6.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.6%
24.9%
2.3 pts better
19.6%
3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 22.6%
22.8%
0.2 pts better
16.7%
5.9 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 15.1%
14.8%
0.3 pts worse
16.3%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 22.1%
13.4%
8.7 pts worse
14.9%
7.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.8%
1.3%
0.5 pts better
1.0%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 4.2%
2.6%
1.6 pts worse
1.7%
2.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 16.5%
13.5%
3 pts worse
19.8%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.8%
5.7%
0.1 pts worse
5.1%
0.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.3%
84.3%
2 pts better
81.7%
4.6 pts better
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-03-16 · Fire 2022-03-16

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2019-05-16 · Fire 2019-05-16

2 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2018-06-21 · Fire 2018-06-21

4 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2019-05-16

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2019-06-20

D · Potential for more than minimal harm 2019-05-16

K232 · Egress Deficiencies

Fire Safety

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

Corrected 2019-05-17

D · Potential for more than minimal harm 2019-05-16

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2019-06-20

D · Potential for more than minimal harm 2018-06-21

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2018-07-13

D · Potential for more than minimal harm 2018-06-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2018-06-27

Inspection history

Recent health citations

D · Potential for more than minimal harm 2022-03-16

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-04-20

B · Minimal harm 2022-03-16

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2022-03-19

E · Potential for more than minimal harm 2019-05-16

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2019-06-20

E · Potential for more than minimal harm 2019-05-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-06-20

F · Potential for more than minimal harm 2018-06-21

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 2018-07-26

D · Potential for more than minimal harm 2018-06-21

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2018-07-26

D · Potential for more than minimal harm 2018-06-21

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 2018-07-26

D · Potential for more than minimal harm 2018-06-21

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 2018-07-26

Penalties and ownership

What sits behind the stars

Ownership

Burdette, Gerald

Corporate Director · Individual

0% 1 facilities 2009-12-08
Carpenter, Julia

W-2 Managing Employee · Individual

0% 1 facilities 2009-12-08
Clay County Healthcare Authority

Operational/Managerial Control · Organization

0% 1 facilities 1966-01-01
Crawford, Cynthia

W-2 Managing Employee · Individual

0% 1 facilities 2009-12-08
Crenshaw, Bobby

Corporate Director · Individual

0% 1 facilities 2009-12-08
Fetner, Larry

Corporate Director · Individual

0% 1 facilities 2009-12-08
Glenn, Donna

W-2 Managing Employee · Individual

0% 1 facilities 2009-12-08
Graben, Robin

W-2 Managing Employee · Individual

0% 1 facilities 2011-11-06
Harris, Dwight

Corporate Director · Individual

0% 1 facilities 2009-12-08
Jackson, Kathy

W-2 Managing Employee · Individual

0% 1 facilities 2009-12-08
Jarmon, Timothy

W-2 Managing Employee · Individual

0% 1 facilities 2009-12-08
Luker, Lennie

W-2 Managing Employee · Individual

0% 1 facilities 2009-08-03
Miller, David

W-2 Managing Employee · Individual

0% 13 facilities 2009-12-08
Perry, Belever

W-2 Managing Employee · Individual

0% 1 facilities 2009-12-08
Smith, Linda

W-2 Managing Employee · Individual

0% 4 facilities 2009-12-08
Tomlin, Kerry

W-2 Managing Employee · Individual

0% 1 facilities 2009-12-08
Wilkinson, Kattie

W-2 Managing Employee · Individual

0% 1 facilities 2011-10-23
Williams, Mary

W-2 Managing Employee · Individual

0% 3 facilities 2009-12-08
Wood, Ben

Corporate Director · Individual

0% 1 facilities 2009-12-08
Young, Richard

Operational/Managerial Control · Individual

0% 1 facilities 2021-05-01

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