0 health deficiencies
No concentrated health issue counts in this cycle.
23 fire-safety deficiencies
Top issue: Smoke (10 deficiencies)
Montgomery, AL
4-star overall rating with 4-star inspections with 23 fire-safety deficiencies in the latest cycle
1837 Upper Wetumpka Road, Montgomery, AL
(334) 264-8416
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
185
Certified beds
Average residents
160
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Crowne Health Care
Operator or chain grouping
Approved since
1987-02-12
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
18 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
RN hours / resident day
0.61
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.79
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
4.01
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.40
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.00
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
0.68
CMS adjusted RN staffing hours
Adjusted total hours
4.48
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
4,085
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.36
Composite VBP score used to determine payment impact.
Payment multiplier
0.9943
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.43
Baseline 23.07% · Performance 21.90% · Measure score 1.43 · Achievement 0 · Improvement 1.43
Healthcare-associated infections
6.37
Baseline 7.91% · Performance 5.93% · Measure score 6.37 · Achievement 6.37 · Improvement 6.29
Total nurse turnover
4.05
Baseline 44.87% · Performance 47.13% · Measure score 4.05 · Achievement 4.05 · Improvement 0
Adjusted total nurse staffing
4.69
Baseline 4.56 hours · Performance 4.41 hours · Measure score 4.69 · Achievement 4.69 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.79% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 106 · Observed rate 14.15% · Lower 95% interval 8.65% |
| Discharge to community | 43.44% |
50.57%
7.1 pts worse
|
No Different than the National Rate · Eligible stays 91 · Observed rate 32.97% · Lower 95% interval 32.14% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 62 · Denominator 62 |
| Falls with major injury | 1.61% |
0.77%
0.8 pts worse
|
Numerator 1 · Denominator 62 |
| Discharge self-care score | 36.84% |
53.69%
16.8 pts worse
|
Numerator 14 · Denominator 38 |
| Discharge mobility score | 47.37% |
50.94%
3.6 pts worse
|
Numerator 18 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 4.84% |
2.29%
2.5 pts worse
|
Numerator 3 · Denominator 62 · Adjusted rate 3.67% |
| Healthcare-associated infections requiring hospitalization | 5.93% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 47 · Observed rate 2.13% · Lower 95% interval 2.88% |
| Staff COVID-19 vaccination coverage | 6.15% |
8.2%
2 pts worse
|
Numerator 12 · Denominator 195 |
| Staff flu vaccination coverage | 19.22% |
42%
22.8 pts worse
|
Numerator 49 · Denominator 255 |
| Discharge function score | 39.47% |
56.45%
17 pts worse
|
Numerator 15 · Denominator 38 |
| Transfer of health information to provider | 77.27% |
95.95%
18.7 pts worse
|
Numerator 17 · Denominator 22 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 10.26% |
25.2%
14.9 pts worse
|
Numerator 4 · Denominator 39 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.0
0.7 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.8
0.9 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
91.3%
7.6 pts better
|
93.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.1% · Q2 100.0% · Q3 99.3% · Q4 100.0% · 4Q avg 98.9% |
| 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 | 2.3% |
3.4%
1.1 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.7% · Q3 2.7% · Q4 4.1% · 4Q avg 2.3% · 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 | 5.5% |
5.3%
0.2 pts worse
|
5.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.9% · Q3 8.3% · Q4 9.6% · 4Q avg 5.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.7% |
24.9%
4.2 pts better
|
19.6%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 18.5% · Q3 18.7% · Q4 18.3% · 4Q avg 20.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.4% |
22.8%
0.6 pts worse
|
16.7%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 21.1% · Q3 22.9% · Q4 26.0% · 4Q avg 23.4% · 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 | 12.1% |
14.8%
2.7 pts better
|
16.3%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 8.3% · Q3 8.1% · Q4 19.3% · 4Q avg 12.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.5% |
13.4%
1.9 pts better
|
14.9%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 16.5% · Q3 8.8% · Q4 13.6% · 4Q avg 11.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.7% |
1.3%
2.4 pts worse
|
1.0%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.4% · Q3 3.0% · Q4 3.1% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.8% |
2.6%
1.2 pts worse
|
1.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 3.0% · Q3 4.9% · Q4 6.1% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.4% |
13.5%
5.1 pts better
|
19.8%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 8.5% · Q3 9.5% · Q4 7.7% · 4Q avg 8.4% |
| Percentage of long-stay residents with pressure ulcers | 9.3% |
5.7%
3.6 pts worse
|
5.1%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 10.1% · Q3 11.2% · Q4 7.3% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.6% |
84.3%
8.3 pts better
|
81.7%
10.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.0% · Q2 96.2% · Q3 91.0% · Q4 91.1% · 4Q avg 92.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.0% |
11.5%
0.5 pts better
|
12.0%
1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.0% · Observed 12.7% · Expected 13.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.4% |
2.1%
4.3 pts worse
|
1.6%
4.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 4.7% · Q3 2.1% · Q4 8.9% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.7% |
80.3%
9.4 pts better
|
79.7%
10 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.8% |
24.5%
5.3 pts worse
|
23.9%
5.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.8% · Observed 34.5% · Expected 27.6% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
23 fire-safety deficiencies
Top issue: Smoke (10 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-05-24
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-05-24
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-05-24
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-24
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-05-24
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-05-24
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-05-24
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-05-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-24
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2023-05-24
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-05-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-24
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-24
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-05-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-24
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-05-24
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-05-24
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-05-24
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-05-24
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-05-24
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-24
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-24
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-05-24
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2021-05-24
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-11-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-11-21
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-11-21
Inspection history
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2021-03-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-05-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-05-22
Health
Provide and implement an infection prevention and control program.
Corrected 2021-05-22
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-14
Penalties and ownership
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
Corporate Director · Individual
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