5 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Foley, AL
1-star overall rating with 1-star inspections with $10,065 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1701 North Alston Street, Foley, AL
(251) 943-2781
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
154
Certified beds
Average residents
125
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Diversicare Healthcare
Operator or chain grouping
Approved since
1973-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.48
Registered nurse staffing
LPN hours / resident day
0.85
Licensed practical nurse staffing
Aide hours / resident day
2.02
Nurse aide staffing
Weekend hours
2.89
Weekend nurse staffing
RN turnover
47%
Annual RN turnover
Total nurse turnover
46%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
2.0
1.1 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 |
| 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 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.3% |
91.3%
5 pts better
|
93.4%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.9% |
94.8%
1.9 pts worse
|
95.5%
2.6 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
3.4%
0.8 pts worse
|
3.3%
0.9 pts worse
|
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 | 2.6% |
5.3%
2.7 pts better
|
5.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.3% |
24.9%
4.4 pts worse
|
19.6%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 10.3% |
22.8%
12.5 pts better
|
16.7%
6.4 pts better
|
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 | 7.9% |
14.8%
6.9 pts better
|
16.3%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.3% |
13.4%
9.1 pts better
|
14.9%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
1.3%
1.1 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
2.6%
0.4 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.5% |
13.5%
11 pts worse
|
19.8%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 3.9% |
5.7%
1.8 pts better
|
5.1%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.6% |
84.3%
12.3 pts better
|
81.7%
14.9 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.4% |
11.5%
5.9 pts worse
|
12.0%
5.4 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.3% |
2.1%
0.2 pts worse
|
1.6%
0.7 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.6% |
80.3%
3.3 pts better
|
79.7%
3.9 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.1% |
24.5%
1.6 pts worse
|
23.9%
2.2 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Infection Control (1 deficiency)
10 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Administration (4 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-07-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-11-07
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-11-07
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-11-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-11-07
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-11-07
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-11-07
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2019-11-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-11-07
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-11-07
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-11-07
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2018-07-18
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2018-07-18
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-07-25
Fire Safety
Install proper backup exit lighting.
Corrected 2018-07-24
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2018-07-23
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2018-07-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-07-18
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2018-07-23
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-07-24
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-12
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-12
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-12
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-07-12
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 2023-07-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-11-12
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-12
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2018-09-04
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2018-09-04
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2018-09-04
Health
Respond appropriately to all alleged violations.
Corrected 2018-09-04
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2018-09-04
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2018-09-04
Health
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected 2018-09-04
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2018-09-04
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2018-09-04
Penalties and ownership
Fine · fine $10,065
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
General Partnership Interest · Organization
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
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