Cycle 1
Health 2023-10-19 · Fire 2023-10-19
5 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Cullman, AL
Cullman Health Care Center
2-star overall rating with 2-star inspections with $26,982 in total fines with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1607 Main Ave Ne, Cullman, AL
(256) 734-8745
Overall
2 / 5
CMS overall stars
Health inspections
2 / 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
95
Certified beds
Average residents
92
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Venza Care Management
Operator or chain grouping
Approved since
1971-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
21 facilities
Chain averages 3 overall / 3 health / 4 staffing / 2 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
0.96
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.66
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.55
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.17
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.63
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.27
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.50
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
1.02
CMS adjusted RN staffing hours
Adjusted total hours
4.42
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,674
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.04
Composite VBP score used to determine payment impact.
Payment multiplier
0.9840
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Performance 22.05% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
2.39
Performance 7.12% · Measure score 2.39 · Achievement 2.39 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
3.86
Baseline 42.03% · Performance 47.92% · Measure score 3.86 · Achievement 3.86 · Improvement 0
Adjusted total nurse staffing
4.16
Baseline 3.91 hours · Performance 4.26 hours · Measure score 4.16 · Achievement 4.16 · Improvement 1.39
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.5% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 119 · Observed rate 11.76% · Lower 95% interval 7.11% |
| Discharge to community | 43.5% |
50.57%
7.1 pts worse
|
No Different than the National Rate · Eligible stays 61 · Observed rate 34.43% · Lower 95% interval 29.32% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 111 · Denominator 111 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 111 |
| Discharge self-care score | 28.21% |
53.69%
25.5 pts worse
|
Numerator 22 · Denominator 78 |
| Discharge mobility score | 25.64% |
50.94%
25.3 pts worse
|
Numerator 20 · Denominator 78 |
| Pressure ulcers or injuries, new or worsened | 3.6% |
2.29%
1.3 pts worse
|
Numerator 4 · Denominator 111 · Adjusted rate 3.7% |
| Healthcare-associated infections requiring hospitalization | 7.12% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 75 · Observed rate 6.67% · Lower 95% interval 3.67% |
| Staff COVID-19 vaccination coverage | 2.16% |
8.2%
6 pts worse
|
Numerator 3 · Denominator 139 |
| Staff flu vaccination coverage | 10.34% |
42%
31.7 pts worse
|
Numerator 15 · Denominator 145 |
| Discharge function score | 43.59% |
56.45%
12.9 pts worse
|
Numerator 34 · Denominator 78 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 29 · Denominator 29 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 32.65% |
25.2%
7.4 pts better
|
Numerator 16 · Denominator 49 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.6 |
2.0
1.6 pts worse
|
1.9
1.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.6 · Observed 3.4 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.8
0.5 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.5 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
91.3%
8.4 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.9% |
94.8%
4.1 pts better
|
95.5%
3.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| 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 1.2% · Q2 1.2% · Q3 3.8% · Q4 3.3% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
1.3%
1 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 7.3% |
5.3%
2 pts worse
|
5.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 8.2% · Q3 8.1% · Q4 5.6% · 4Q avg 7.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.0% |
24.9%
2.9 pts better
|
19.6%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 22.9% · Q3 22.4% · Q4 25.0% · 4Q avg 22.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.4% |
22.8%
4.4 pts better
|
16.7%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 20.5% · Q3 20.0% · Q4 15.5% · 4Q avg 18.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 2.6% |
0.6%
2 pts worse
|
0.1%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 2.3% · Q3 2.5% · Q4 2.2% · 4Q avg 2.6% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.3% |
14.8%
3.5 pts worse
|
16.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 29.1% · Q3 12.2% · Q4 8.8% · 4Q avg 18.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.1% |
13.4%
2.7 pts worse
|
14.9%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 20.9% · Q3 14.3% · Q4 16.4% · 4Q avg 16.1% · Used in QM five-star |
| 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 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 8.2% |
2.6%
5.6 pts worse
|
1.7%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 10.4% · Q3 6.7% · Q4 2.3% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.9% |
13.5%
4.4 pts worse
|
19.8%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 20.2% · Q3 12.6% · Q4 16.5% · 4Q avg 17.9% |
| Percentage of long-stay residents with pressure ulcers | 7.2% |
5.7%
1.5 pts worse
|
5.1%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 8.8% · Q3 6.5% · Q4 7.2% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.8% |
84.3%
0.5 pts better
|
81.7%
3.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 83.3% · Q2 84.9% · Q3 88.1% · Q4 81.0% · 4Q avg 84.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.6% |
11.5%
3.1 pts worse
|
12.0%
2.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.6% · Observed 15.8% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
2.1%
0.9 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.8% |
80.3%
1.5 pts better
|
79.7%
2.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.9% |
24.5%
8.4 pts worse
|
23.9%
9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.9% · Observed 29.5% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-10-07 · Fire 2021-10-07
0 health deficiencies
No concentrated health issue counts in this cycle.
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Cycle 3
Health 2019-04-04 · Fire 2019-04-04
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-10-19
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-25
D · Potential for more than minimal harm
2023-10-19
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-25
E · Potential for more than minimal harm
2021-10-07
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-11-08
D · Potential for more than minimal harm
2021-10-07
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-11-08
D · Potential for more than minimal harm
2021-10-07
K321 · Smoke Deficiencies
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 2021-11-08
D · Potential for more than minimal harm
2021-10-07
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-11-08
D · Potential for more than minimal harm
2021-10-07
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-11-08
D · Potential for more than minimal harm
2021-10-07
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-11-08
D · Potential for more than minimal harm
2021-10-07
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-11-08
D · Potential for more than minimal harm
2021-10-07
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-11-08
D · Potential for more than minimal harm
2019-04-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-05-09
D · Potential for more than minimal harm
2019-04-04
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-05-09
Inspection history
Recent health citations
F · Potential for more than minimal harm
2023-10-19
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-11-19
D · Potential for more than minimal harm
2023-10-19
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-11-19
D · Potential for more than minimal harm
2023-10-19
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 2023-11-19
D · Potential for more than minimal harm
2023-10-19
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-19
D · Potential for more than minimal harm
2023-10-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-19
D · Potential for more than minimal harm
2019-04-04
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-04-18
Penalties and ownership
What sits behind the stars
$26,982
2023-10-19
Fine
Fine · fine $26,982
Fine
Ownership
Alabama SNF Operations Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Alabama Opco Manager LLC
Operational/Managerial Control · Organization
Ch Alabama Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Herzka, Yisroel
5% Or Greater Indirect Ownership Interest · Individual
M Melb Opco LLC
5% Or Greater Indirect Ownership Interest · Organization
M Melb Opco Trust
5% Or Greater Indirect Ownership Interest · Organization
Melb Opco Manager LLC
Operational/Managerial Control · Organization
Ms Alabama Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
S Melb Opco Trust
5% Or Greater Indirect Ownership Interest · Organization
Ss Alabama Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Strauss, Susan
Operational/Managerial Control · Individual
Strauss, Susan
Corporate Officer · Individual
Vertex Financial Services LLC
Operational/Managerial Control · Organization
Wagner, John
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Folsom Rehabilitation And Healthcare Center
Cullman, AL
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Woodland Village Rehabilitation And Healthcare Cen
Cullman, AL
5-star overall rating with 4-star inspections with 1 recent health deficiencies
#3
Hanceville Nursing & Rehab Center, Inc
Hanceville, AL
2-star overall rating with 1-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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