Collinsville, AL

Collinsville Healthcare & Rehab

2-star overall rating with 3-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

685 North Valley Ave, Collinsville, AL

(256) 524-2117

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

200

Certified beds

Average residents

168

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1977-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.55

Registered nurse staffing · state 0.64 · national 0.68

LPN hours / resident day

0.83

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.62

Nurse aide staffing · state 2.50 · national 2.35

Total nurse hours

4.00

All reported nurse hours · state 3.91 · national 3.89

Licensed hours

1.38

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

3.25

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.38

Weekend registered nurse coverage · state 0.36 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.60

CMS adjusted RN staffing hours

Adjusted total hours

4.38

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

31%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

32%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,989

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

34.36

Composite VBP score used to determine payment impact.

Payment multiplier

0.9883

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 18.09% · Performance 22.51% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 5.21% · Performance 7.69% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

8.29

Performance 29.81% · Measure score 8.29 · Achievement 8.29 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

5.46

Baseline 3.66 hours · Performance 4.63 hours · Measure score 5.46 · Achievement 5.46 · Improvement 4.08

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.05%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 269 · Observed rate 9.29% · Lower 95% interval 7.81%
Discharge to community	50.59%	50.57% About the same	No Different than the National Rate · Eligible stays 236 · Observed rate 46.61% · Lower 95% interval 43.33%
Medicare spending per beneficiary	0.95	1.02 0.1 pts better
Drug regimen review with follow-up	74.74%	95.27% 20.5 pts worse	Numerator 142 · Denominator 190
Falls with major injury	0.53%	0.77% 0.2 pts better	Numerator 1 · Denominator 190
Discharge self-care score	9.82%	53.69% 43.9 pts worse	Numerator 11 · Denominator 112
Discharge mobility score	16.07%	50.94% 34.9 pts worse	Numerator 18 · Denominator 112
Pressure ulcers or injuries, new or worsened	6.84%	2.29% 4.5 pts worse	Numerator 13 · Denominator 190 · Adjusted rate 6.16%
Healthcare-associated infections requiring hospitalization	7.69%	7.12% 0.6 pts worse	No Different than the National Rate · Eligible stays 168 · Observed rate 7.14% · Lower 95% interval 4.37%
Staff COVID-19 vaccination coverage	4.2%	8.2% 4 pts worse	Numerator 15 · Denominator 357
Staff flu vaccination coverage	11.42%	42% 30.6 pts worse	Numerator 45 · Denominator 394
Discharge function score	14.29%	56.45% 42.2 pts worse	Numerator 16 · Denominator 112
Transfer of health information to provider	98.55%	95.95% 2.6 pts better	Numerator 136 · Denominator 138
Transfer of health information to patient	95%	96.28% 1.3 pts worse	Numerator 19 · Denominator 20
Resident COVID-19 vaccinations up to date	16.13%	25.2% 9.1 pts worse	Numerator 15 · Denominator 93

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.5	2.0 0.5 pts worse	1.9 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 1.9 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.7	1.8 0.1 pts better	1.8 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.5 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	86.1%	91.3% 5.2 pts worse	93.4% 7.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 70.7% · Q2 81.3% · Q3 95.7% · Q4 96.0% · 4Q avg 86.1%
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	3.5%	3.4% 0.1 pts worse	3.3% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.9% · Q3 3.5% · Q4 5.4% · 4Q avg 3.5% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	5.2%	5.3% 0.1 pts better	5.4% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 5.9% · Q3 4.2% · Q4 7.3% · 4Q avg 5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	41.6%	24.9% 16.7 pts worse	19.6% 22 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 42.0% · Q2 45.0% · Q3 40.0% · Q4 39.7% · 4Q avg 41.6%
Percentage of long-stay residents who received an antipsychotic medication	32.7%	22.8% 9.9 pts worse	16.7% 16 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.0% · Q2 34.4% · Q3 30.6% · Q4 32.0% · 4Q avg 32.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.2%	0.6% 0.4 pts better	0.1% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.2%
Percentage of long-stay residents whose ability to walk independently worsened	19.4%	14.8% 4.6 pts worse	16.3% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 16.4% · Q3 19.0% · Q4 20.1% · 4Q avg 19.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.7%	13.4% 4.3 pts worse	14.9% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 18.3% · Q3 14.6% · Q4 19.8% · 4Q avg 17.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	5.1%	1.3% 3.8 pts worse	1.0% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 6.1% · Q3 4.0% · Q4 5.3% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	10.0%	2.6% 7.4 pts worse	1.7% 8.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 5.8% · Q3 12.1% · Q4 13.6% · 4Q avg 10.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.0%	13.5% 3.5 pts worse	19.8% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 19.2% · Q3 15.4% · Q4 19.4% · 4Q avg 17.0%
Percentage of long-stay residents with pressure ulcers	5.9%	5.7% 0.2 pts worse	5.1% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 8.2% · Q3 4.3% · Q4 4.1% · 4Q avg 5.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.7%	84.3% 12.4 pts better	81.7% 15 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 97.4% · Q3 96.0% · Q4 96.7% · 4Q avg 96.7%
Percentage of short-stay residents who had an outpatient emergency department visit	13.3%	11.5% 1.8 pts worse	12.0% 1.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.3% · Observed 13.4% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.7%	2.1% 0.6 pts worse	1.6% 1.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.9% · Q3 3.4% · Q4 1.1% · 4Q avg 2.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.0%	80.3% 14.7 pts better	79.7% 15.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.7%	24.5% 3.2 pts worse	23.9% 3.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.7% · Observed 26.2% · Expected 22.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-13 · Fire 2025-02-13

4 health deficiencies

Top issue: Resident Rights (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2019-11-21 · Fire 2019-11-21

2 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2018-09-27 · Fire 2018-09-27

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-13

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-27

F · Potential for more than minimal harm 2025-02-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-27

E · Potential for more than minimal harm 2025-02-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-13

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-03-27

D · Potential for more than minimal harm 2019-11-21

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 2019-12-31

E · Potential for more than minimal harm 2018-09-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-11-07

D · Potential for more than minimal harm 2018-09-27

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2018-11-07

D · Potential for more than minimal harm 2018-09-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2018-11-07

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-02-13

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 2025-03-19

D · Potential for more than minimal harm 2025-02-13

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 2025-03-19

D · Potential for more than minimal harm 2025-02-13

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-03-19

D · Potential for more than minimal harm 2025-02-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-03-19

D · Potential for more than minimal harm 2019-11-21

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 2019-12-26

D · Potential for more than minimal harm 2019-11-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-12-26

F · Potential for more than minimal harm 2018-09-27

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 2018-10-19

D · Potential for more than minimal harm 2018-09-27

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2018-10-19

Penalties and ownership