Cycle 1
Health 2022-04-09 · Fire 2022-04-09
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Sylacauga, AL
Coosa Valley Healthcare Center
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
260 West Walnut Street, Sylacauga, AL
(256) 249-5604
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
85
Certified beds
Average residents
78
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Prime Health Care Enterprises
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 4 overall / 4 health / 4 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
0.78
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.94
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
4.33
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.72
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.58
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.82
CMS adjusted RN staffing hours
Adjusted total hours
4.54
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,486
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.67
Composite VBP score used to determine payment impact.
Payment multiplier
0.9872
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.25
Baseline 23.36% · Performance 22.88% · Measure score 0.25 · Achievement 0 · Improvement 0.25
Healthcare-associated infections
4.31
Baseline 6.51% · Performance 6.55% · Measure score 4.31 · Achievement 4.31 · Improvement 0
Total nurse turnover
4.33
Baseline 57.69% · Performance 45.98% · Measure score 4.33 · Achievement 4.33 · Improvement 3.07
Adjusted total nurse staffing
4.18
Baseline 4.66 hours · Performance 4.27 hours · Measure score 4.18 · Achievement 4.18 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.66% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 118 · Observed rate 11.02% · Lower 95% interval 8.31% |
| Discharge to community | 59.84% |
50.57%
9.3 pts better
|
Better than the National Rate · Eligible stays 106 · Observed rate 59.43% · Lower 95% interval 53.15% |
| Medicare spending per beneficiary | 0.67 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 84.85% |
95.27%
10.4 pts worse
|
Numerator 56 · Denominator 66 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 66 |
| Discharge self-care score | 10.87% |
53.69%
42.8 pts worse
|
Numerator 5 · Denominator 46 |
| Discharge mobility score | 30.43% |
50.94%
20.5 pts worse
|
Numerator 14 · Denominator 46 |
| Pressure ulcers or injuries, new or worsened | 4.55% |
2.29%
2.3 pts worse
|
Numerator 3 · Denominator 66 · Adjusted rate 4.14% |
| Healthcare-associated infections requiring hospitalization | 6.55% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 74 · Observed rate 4.05% · Lower 95% interval 3.64% |
| Staff COVID-19 vaccination coverage | 1.25% |
8.2%
6.9 pts worse
|
Numerator 2 · Denominator 160 |
| Staff flu vaccination coverage | 36.67% |
42%
5.3 pts worse
|
Numerator 33 · Denominator 90 |
| Discharge function score | 17.39% |
56.45%
39.1 pts worse
|
Numerator 8 · Denominator 46 |
| Transfer of health information to provider | 95.45% |
95.95%
0.5 pts worse
|
Numerator 42 · Denominator 44 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 3.13% |
25.2%
22.1 pts worse
|
Numerator 1 · Denominator 32 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.0
0.4 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.4 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
1.8
0.4 pts worse
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.9 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
91.3%
8.3 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.5% · Q4 100.0% · 4Q avg 99.6% |
| 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 | 4.4% |
3.4%
1 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.9% · Q3 6.0% · Q4 4.4% · 4Q avg 4.4% · 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 | 4.3% |
5.3%
1 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 5.4% · Q3 7.1% · Q4 3.4% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.3% |
24.9%
3.4 pts worse
|
19.6%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 31.6% · Q3 28.6% · Q4 25.4% · 4Q avg 28.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.0% |
22.8%
5.8 pts better
|
16.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 11.4% · Q3 18.6% · Q4 20.5% · 4Q avg 17.0% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.7% |
14.8%
4.1 pts better
|
16.3%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 14.7% · 4Q avg 10.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.8% |
13.4%
1.6 pts better
|
14.9%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.9% · Q3 19.2% · Q4 16.7% · 4Q avg 11.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
1.3%
0.3 pts better
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.9% · Q3 1.2% · Q4 0.8% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
2.6%
1.1 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 4.5% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 4.4% |
13.5%
9.1 pts better
|
19.8%
15.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.8% · Q3 4.9% · Q4 5.0% · 4Q avg 4.4% |
| 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 · Q1 5.4% · Q2 4.2% · Q3 7.7% · Q4 4.6% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.6% |
84.3%
11.3 pts better
|
81.7%
13.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.6% · Q2 94.2% · Q3 96.5% · Q4 97.9% · 4Q avg 95.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.6% |
11.5%
5.1 pts worse
|
12.0%
4.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 16.4% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
2.1%
0.2 pts better
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 1.9% · Q4 3.6% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.0% |
80.3%
5.7 pts better
|
79.7%
6.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.2% |
24.5%
0.7 pts worse
|
23.9%
1.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.2% · Observed 25.4% · Expected 24.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-06-13 · Fire 2019-06-13
1 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2018-06-07 · Fire 2018-06-07
4 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2022-04-09
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-05-18
E · Potential for more than minimal harm
2022-04-09
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-05-18
D · Potential for more than minimal harm
2022-04-09
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-05-18
F · Potential for more than minimal harm
2019-06-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-07-23
D · Potential for more than minimal harm
2019-06-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-07-23
D · Potential for more than minimal harm
2019-06-13
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-07-23
D · Potential for more than minimal harm
2019-06-13
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-07-23
F · Potential for more than minimal harm
2018-06-07
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-07-13
E · Potential for more than minimal harm
2018-06-07
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-07-13
Inspection history
Recent health citations
D · Potential for more than minimal harm
2019-06-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-17
F · Potential for more than minimal harm
2018-06-07
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 2018-07-12
E · Potential for more than minimal harm
2018-06-07
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2018-07-12
D · Potential for more than minimal harm
2018-06-07
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2018-07-12
D · Potential for more than minimal harm
2018-06-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-07-12
Penalties and ownership
What sits behind the stars
Ownership
Chapman, Archie
5% Or Greater Direct Ownership Interest · Individual
Chapman, Archie
Operational/Managerial Control · Individual
Chapman, Archie
Corporate Director · Individual
Chapman, Archie
Corporate Officer · Individual
Prime Management, LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Sylacauga Health And Rehab Services
Sylacauga, AL
4-star overall rating with 4-star inspections with 1 fire-safety deficiencies in the latest cycle
#2
Goodwater Healthcare Center
Goodwater, AL
5-star overall rating with 5-star inspections
#3
Columbiana Health And Rehabilitation, LLC
Columbiana, AL
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
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