Dadeville, AL

Dadeville Healthcare Center

3-star overall rating with 2-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

351 North East Street, Dadeville, AL

(256) 825-9244

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

144

Certified beds

Average residents

99

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Prime Health Care Enterprises

Operator or chain grouping

Approved since

1978-08-01

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

0.72

Registered nurse staffing · state 0.64 · national 0.68

LPN hours / resident day

0.82

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

3.12

Nurse aide staffing · state 2.50 · national 2.35

Total nurse hours

4.66

All reported nurse hours · state 3.91 · national 3.89

Licensed hours

1.53

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

4.04

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.31

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

5.36

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

9%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

263

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

75.25

Composite VBP score used to determine payment impact.

Payment multiplier

1.0246

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

9.33

Baseline 18.99% · Performance 25.56% · Measure score 9.33 · Achievement 9.33 · Improvement 0

Adjusted total nurse staffing

5.72

Baseline 4.22 hours · Performance 4.71 hours · Measure score 5.72 · Achievement 5.72 · Improvement 2.61

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.24%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 43 · Observed rate 6.98% · Lower 95% interval 6.39%
Discharge to community	30.48%	50.57% 20.1 pts worse	Worse than the National Rate · Eligible stays 37 · Observed rate 18.92% · Lower 95% interval 21.46%
Medicare spending per beneficiary	0.71	1.02 0.3 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 12 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	5.88%	8.2% 2.3 pts worse	Numerator 8 · Denominator 136
Staff flu vaccination coverage	10.79%	42% 31.2 pts worse	Numerator 15 · Denominator 139
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.6	2.0 0.6 pts worse	1.9 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.1 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.4	1.8 1.6 pts worse	1.8 1.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 2.8 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.2%	91.3% 7.9 pts better	93.4% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.9% · Q4 97.9% · 4Q avg 99.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.0%	94.8% 4.2 pts better	95.5% 3.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.0%	3.4% 0.6 pts worse	3.3% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.2% · Q3 4.3% · Q4 3.1% · 4Q avg 4.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.0%	1.3% 0.3 pts better	11.4% 10.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.2% · Q3 0.0% · Q4 1.2% · 4Q avg 1.0%
Percentage of long-stay residents who lose too much weight	2.8%	5.3% 2.5 pts better	5.4% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.3% · Q3 2.3% · Q4 3.4% · 4Q avg 2.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.1%	24.9% 6.8 pts better	19.6% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 17.8% · Q3 15.9% · Q4 20.5% · 4Q avg 18.1%
Percentage of long-stay residents who received an antipsychotic medication	32.8%	22.8% 10 pts worse	16.7% 16.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 37.9% · Q2 30.8% · Q3 32.9% · Q4 29.9% · 4Q avg 32.8% · 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	9.6%	14.8% 5.2 pts better	16.3% 6.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q3 7.6% · Q4 2.9% · 4Q avg 9.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.1%	13.4% 0.7 pts worse	14.9% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 19.7% · Q3 5.3% · Q4 12.0% · 4Q avg 14.1% · Used in QM five-star
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 · Q1 1.9% · Q2 3.2% · Q3 0.9% · Q4 0.9% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.1%	2.6% 1.5 pts better	1.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 1.1% · Q4 2.1% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.4%	13.5% 3.9 pts worse	19.8% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 20.3% · Q3 15.8% · Q4 16.5% · 4Q avg 17.4%
Percentage of long-stay residents with pressure ulcers	6.2%	5.7% 0.5 pts worse	5.1% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 8.2% · Q3 5.1% · Q4 4.1% · 4Q avg 6.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	89.2%	84.3% 4.9 pts better	81.7% 7.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 93.8% · Q2 84.6% · Q3 87.0% · Q4 91.8% · 4Q avg 89.2%
Percentage of short-stay residents who had an outpatient emergency department visit	4.9%	11.5% 6.6 pts better	12.0% 7.1 pts better	Short Stay · 20240701-20250630 · Adjusted 4.9% · Observed 4.3% · Expected 9.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.1%	2.1% About the same	1.6% 0.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 0.0% · Q3 3.8% · Q4 0.0% · 4Q avg 2.1% · 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	23.9%	24.5% 0.6 pts better	23.9% About the same	Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 17.4% · Expected 17.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2021-04-22 · Fire 2021-04-22

7 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2019-02-14 · Fire 2019-02-14

1 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2018-01-04 · Fire 2018-01-04

8 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2021-04-22

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2021-06-03

F · Potential for more than minimal harm 2019-02-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-03-27

D · Potential for more than minimal harm 2019-02-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-03-27

F · Potential for more than minimal harm 2018-01-04

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2018-01-31

F · Potential for more than minimal harm 2018-01-04

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2018-01-10

F · Potential for more than minimal harm 2018-01-04

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2018-01-26

E · Potential for more than minimal harm 2018-01-04

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2018-02-13

E · Potential for more than minimal harm 2018-01-04

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2018-01-10

D · Potential for more than minimal harm 2018-01-04

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2018-02-01

D · Potential for more than minimal harm 2018-01-04

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2018-02-02

D · Potential for more than minimal harm 2018-01-04

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2018-01-26

C · Minimal harm 2018-01-04

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2018-02-13

C · Minimal harm 2018-01-04

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2018-02-13

C · Minimal harm 2018-01-04

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2018-02-13

Inspection history

Recent health citations

E · Potential for more than minimal harm 2021-04-22

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2021-05-27

E · Potential for more than minimal harm 2021-04-22

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 2021-05-27

E · Potential for more than minimal harm 2021-04-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-05-27

D · Potential for more than minimal harm 2021-04-22

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 2021-05-27

D · Potential for more than minimal harm 2021-04-22

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2021-05-27

D · Potential for more than minimal harm 2021-04-22

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 2021-05-27

D · Potential for more than minimal harm 2021-04-22

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2021-05-27

D · Potential for more than minimal harm 2019-02-14

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2019-03-21

F · Potential for more than minimal harm 2018-01-04

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2018-02-08

D · Potential for more than minimal harm 2018-01-04

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2018-02-08

D · Potential for more than minimal harm 2018-01-04

F635 · Resident Assessment and Care Planning Deficiencies

Health

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2018-02-08

D · Potential for more than minimal harm 2018-01-04

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2018-02-08

D · Potential for more than minimal harm 2018-01-04

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 2018-02-08

D · Potential for more than minimal harm 2018-01-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2018-02-08

D · Potential for more than minimal harm 2018-01-04

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2018-02-08

D · Potential for more than minimal harm 2018-01-04

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2018-02-08

Penalties and ownership