Crossville, AL

Crossville Health And Rehabilitation, LLC

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

8922 Highway 227, Crossville, AL

(256) 528-7844

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 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

143

Certified beds

Average residents

138

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Nhs Management

Operator or chain grouping

Approved since

1977-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.57

Registered nurse staffing

LPN hours / resident day

0.60

Licensed practical nurse staffing

Aide hours / resident day

2.50

Nurse aide staffing

Weekend hours

3.21

Weekend nurse staffing

RN turnover

24%

Annual RN turnover

Total nurse turnover

41%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.8
2.0
0.2 pts better
1.9
0.1 pts better
Long Stay · 20240701-20250630
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
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.8%
91.3%
8.5 pts better
93.4%
6.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.0%
94.8%
2.2 pts better
95.5%
1.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.8%
3.4%
0.6 pts better
3.3%
0.5 pts better
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 4.7%
5.3%
0.6 pts better
5.4%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 35.4%
24.9%
10.5 pts worse
19.6%
15.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 44.9%
22.8%
22.1 pts worse
16.7%
28.2 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 13.1%
14.8%
1.7 pts better
16.3%
3.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 11.3%
13.4%
2.1 pts better
14.9%
3.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.7%
1.3%
0.4 pts worse
1.0%
0.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.0%
2.6%
1.6 pts better
1.7%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 9.5%
13.5%
4 pts better
19.8%
10.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 0.9%
5.7%
4.8 pts better
5.1%
4.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
84.3%
14.5 pts better
81.7%
17.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 2.1%
11.5%
9.4 pts better
12.0%
9.9 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 3.2%
2.1%
1.1 pts worse
1.6%
1.6 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 81.2%
80.3%
0.9 pts better
79.7%
1.5 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.4%
24.5%
1.1 pts better
23.9%
0.5 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2021-11-04 · Fire 2021-11-04

2 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2019-11-14 · Fire 2019-11-14

1 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

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

10 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2021-11-04

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 2021-12-10

D · Potential for more than minimal harm 2021-11-04

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2021-12-13

D · Potential for more than minimal harm 2021-11-04

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-12-13

E · Potential for more than minimal harm 2019-11-14

K232 · Egress Deficiencies

Fire Safety

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

Corrected 2019-12-24

D · Potential for more than minimal harm 2019-11-14

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-12-24

D · Potential for more than minimal harm 2019-11-14

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-12-24

D · Potential for more than minimal harm 2019-11-14

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 2019-12-24

Inspection history

Recent health citations

D · Potential for more than minimal harm 2023-07-06

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 2023-08-08

D · Potential for more than minimal harm 2021-11-04

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2021-12-09

D · Potential for more than minimal harm 2021-11-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-12-09

D · Potential for more than minimal harm 2019-11-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-12-16

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 2018-11-01

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

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2018-11-01

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

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-11-01

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

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 2018-11-01

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

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2018-11-01

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

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2018-11-01

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

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 2018-11-01

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

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 2018-11-01

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2018-11-01

Penalties and ownership

What sits behind the stars

Ownership

Northport Holding Operations, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 16 facilities 2007-02-01
Estes, James

5% Or Greater Indirect Ownership Interest · Individual

51% 45 facilities 2004-07-23
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
Capital Funding LLC

5% Or Greater Security Interest · Organization

0% 22 facilities 2012-06-01
Capital Funding LLC

5% Or Greater Mortgage Interest · Organization

0% 22 facilities 2012-06-01
Cox, Tammy

Operational/Managerial Control · Individual

0% 6 facilities 2023-10-23
Cox, Tammy

Corporate Director · Individual

0% 6 facilities 2023-10-23
Crossville Health Realty, LLC

5% Or Greater Security Interest · Organization

0% 1 facilities 2012-06-01
Estes, James

Corporate Officer · Individual

0% 45 facilities 2004-07-23
Holding Facilities Group LLC

5% Or Greater Security Interest · Organization

0% 10 facilities 2012-06-01
Long, Phillip

Corporate Officer · Individual

0% 46 facilities 2019-10-01
Patterson, Derek

Operational/Managerial Control · Individual

0% 7 facilities 2024-12-02
Rasco, Lynn

Operational/Managerial Control · Individual

0% 45 facilities 2022-07-01
Rasco, Lynn

Corporate Director · Individual

0% 45 facilities 2022-07-01
Servisfirst Bank

5% Or Greater Security Interest · Organization

0% 21 facilities 2018-08-29
Ward, Sonny

Operational/Managerial Control · Individual

0% 5 facilities 2024-05-10
Ward, Sonny

Corporate Director · Individual

0% 5 facilities 2024-05-10

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Staffing
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#3

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Health
4 / 5
Staffing
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Fines
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