Columbiana, AL

Columbiana Health And Rehabilitation, LLC

4-star overall rating with 4-star inspections with $8,018 in total fines with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

22969 Highway 25, Columbiana, AL

(205) 669-1712

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

63

Certified beds

Average residents

59

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Nhs Management

Operator or chain grouping

Approved since

2004-12-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.49

Registered nurse staffing

LPN hours / resident day

0.69

Licensed practical nurse staffing

Aide hours / resident day

2.62

Nurse aide staffing

Weekend hours

3.27

Weekend nurse staffing

RN turnover

73%

Annual RN turnover

Total nurse turnover

52%

Annual nurse turnover

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
Number of outpatient emergency department visits per 1000 long-stay resident days	2.6	1.8 0.8 pts worse	1.8 0.8 pts worse	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.5%	91.3% 8.2 pts better	93.4% 6.1 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	8.5%	3.4% 5.1 pts worse	3.3% 5.2 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	0.6%	5.3% 4.7 pts better	5.4% 4.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	34.0%	24.9% 9.1 pts worse	19.6% 14.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	21.8%	22.8% 1 pts better	16.7% 5.1 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	6.5%	14.8% 8.3 pts better	16.3% 9.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	12.5%	13.4% 0.9 pts better	14.9% 2.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	1.3% 1 pts better	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	2.1%	2.6% 0.5 pts better	1.7% 0.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	7.2%	13.5% 6.3 pts better	19.8% 12.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	5.5%	5.7% 0.2 pts better	5.1% 0.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	84.3% 14.4 pts better	81.7% 17 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	6.3%	11.5% 5.2 pts better	12.0% 5.7 pts better	Short Stay · 20240701-20250630
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.7%	80.3% 11.4 pts better	79.7% 12 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.0%	24.5% 2.5 pts better	23.9% 1.9 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-08-24 · Fire 2022-08-24

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2019-10-17 · Fire 2019-10-17

3 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2018-11-20 · Fire 2018-11-20

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2022-08-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-09-28

E · Potential for more than minimal harm 2022-08-24

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2022-09-28

E · Potential for more than minimal harm 2022-08-24

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-09-28

D · Potential for more than minimal harm 2018-11-20

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2019-01-02

Inspection history

Recent health citations

G · Actual harm 2024-04-18

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-05-16

D · Potential for more than minimal harm 2024-04-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-23

D · Potential for more than minimal harm 2022-08-24

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2022-09-28

D · Potential for more than minimal harm 2019-10-17

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 2019-11-21

Penalties and ownership

What sits behind the stars

$8,018 2024-04-18

Fine

Fine · fine $8,018

Fine

Ownership

Northport Holding Operations, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 16 facilities 2002-08-21

Estes, James

5% Or Greater Indirect Ownership Interest · Individual

51% 45 facilities 2002-08-21

James N Estes Jr Family Dynasty Tr No 2

5% Or Greater Indirect Ownership Interest · Organization

18% 24 facilities 2012-12-27

Jennifer E Agee Family Dynasty Tr No 2

5% Or Greater Indirect Ownership Interest · Organization

18% 24 facilities 2012-12-27

James Norman Estes Jr Tr

5% Or Greater Indirect Ownership Interest · Organization

6% 42 facilities 2013-06-30

Jennifer Lee Estes Tr 031093

5% Or Greater Indirect Ownership Interest · Organization

6% 42 facilities 2013-06-30

Cobb, Leigh

Operational/Managerial Control · Individual

0% 5 facilities 2023-07-24

Cobb, Leigh

Corporate Director · Individual

0% 5 facilities 2023-07-24

Columbiana Health Realty, LLC

5% Or Greater Security Interest · Organization

0% 1 facilities 2019-10-01

Estes, James

Corporate Officer · Individual

0% 45 facilities 2002-08-21

Long, Phillip

Corporate Officer · Individual

0% 46 facilities 2019-10-01

Morris, Hilary

Operational/Managerial Control · Individual

0% 5 facilities 2023-09-01

Morris, Hilary

Corporate Director · Individual

0% 5 facilities 2023-09-01

Rasco, Lynn

Operational/Managerial Control · Individual

0% 45 facilities 2013-07-29

Rasco, Lynn

Corporate Director · Individual

0% 45 facilities 2013-07-29

Regions Bank

5% Or Greater Security Interest · Organization

0% 53 facilities 2015-08-25

Regions Bank

5% Or Greater Mortgage Interest · Organization

0% 53 facilities 2021-08-26

Smith, Kristin

Operational/Managerial Control · Individual

0% 1 facilities 2024-07-26

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1-star overall rating with 2-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall: 1 / 5
Health: 2 / 5
Staffing: 3 / 5
Fines: $0

#2

The Healthcare Center At Buck Creek

Alabaster, AL

3-star overall rating with 3-star inspections with $16,801 in total fines with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall: 3 / 5
Health: 3 / 5
Staffing: 2 / 5
Fines: $16,801

#3