Valley, AL

Eamc Lanier Nursing Home

3-star overall rating with 4-star inspections with 1 recent health deficiencies

4800 48th Street, Valley, AL

(334) 756-1401

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

103

Certified beds

Average residents

89

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1977-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.29

Registered nurse staffing · state 0.64 · national 0.68

LPN hours / resident day

0.22

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

0.73

Nurse aide staffing · state 2.50 · national 2.35

Total nurse hours

1.24

All reported nurse hours · state 3.91 · national 3.89

Licensed hours

0.51

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

1.22

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.36 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.33

CMS adjusted RN staffing hours

Adjusted total hours

1.42

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

14%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

578

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

Performance score

67.13

Composite VBP score used to determine payment impact.

Payment multiplier

1.0208

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

8.28

Baseline 42.65% · Performance 29.85% · Measure score 8.28 · Achievement 8.28 · Improvement 6.69

Adjusted total nurse staffing

5.15

Baseline 4.60 hours · Performance 4.54 hours · Measure score 5.15 · Achievement 5.15 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	95.45%	95.27% 0.2 pts better	Numerator 21 · Denominator 22
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 22
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 22 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	3.7%	8.2% 4.5 pts worse	Numerator 3 · Denominator 81
Staff flu vaccination coverage	81.13%	42% 39.1 pts better	Numerator 86 · Denominator 106
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 11 · 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	0.9	2.0 1.1 pts better	1.9 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.0	1.8 1.2 pts worse	1.8 1.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.4 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	88.2%	91.3% 3.1 pts worse	93.4% 5.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 81.2% · Q2 90.4% · Q3 90.5% · Q4 90.1% · 4Q avg 88.2%
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	4.0%	3.4% 0.6 pts worse	3.3% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.7% · Q3 5.4% · Q4 6.2% · 4Q avg 4.0% · 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	3.4%	5.3% 1.9 pts better	5.4% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 4.8% · Q3 4.6% · Q4 2.9% · 4Q avg 3.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.5%	24.9% 4.4 pts better	19.6% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 18.5% · Q3 24.6% · Q4 22.9% · 4Q avg 20.5%
Percentage of long-stay residents who received an antipsychotic medication	29.2%	22.8% 6.4 pts worse	16.7% 12.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 25.9% · Q3 28.3% · Q4 31.7% · 4Q avg 29.2% · 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	24.9%	14.8% 10.1 pts worse	16.3% 8.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 27.2% · Q3 27.7% · Q4 25.3% · 4Q avg 24.9% · 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 14.5% · Q2 14.0% · Q3 7.4% · Q4 19.7% · 4Q avg 14.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.0%	1.3% 0.7 pts worse	1.0% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.9% · Q3 3.1% · Q4 1.6% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	5.7%	2.6% 3.1 pts worse	1.7% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 9.6% · Q3 5.4% · Q4 3.7% · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.2%	13.5% 9.7 pts worse	19.8% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 38.8% · Q3 21.6% · Q4 14.3% · 4Q avg 23.2%
Percentage of long-stay residents with pressure ulcers	2.9%	5.7% 2.8 pts better	5.1% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 1.3% · Q3 2.4% · Q4 2.2% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	74.1%	84.3% 10.2 pts worse	81.7% 7.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 78.3% · Q2 70.3% · Q3 73.1% · Q4 72.9% · 4Q avg 74.1%
Percentage of short-stay residents who had an outpatient emergency department visit	20.4%	11.5% 8.9 pts worse	12.0% 8.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 20.4% · Observed 18.2% · Expected 9.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.7%	2.1% 0.6 pts worse	1.6% 1.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 2.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	73.2%	80.3% 7.1 pts worse	79.7% 6.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 73.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.8%	24.5% 4.7 pts better	23.9% 4.1 pts better	Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 15.2% · Expected 18.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2021-08-19 · Fire 2021-08-19

1 health deficiencies

Top issue: Administration (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2019-03-21 · Fire 2019-03-21

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2018-03-22 · Fire 2018-03-22

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2019-03-21

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-04-05

E · Potential for more than minimal harm 2019-03-21

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2019-04-26

E · Potential for more than minimal harm 2018-03-22

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2018-03-28

E · Potential for more than minimal harm 2018-03-22

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2018-04-30

D · Potential for more than minimal harm 2018-03-22

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2018-03-28

D · Potential for more than minimal harm 2018-03-22

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2018-03-28

C · Minimal harm 2018-03-22

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2018-04-30

Inspection history

Recent health citations

C · Minimal harm 2021-08-19

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2021-09-10

D · Potential for more than minimal harm 2019-03-21

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 2019-04-24

D · Potential for more than minimal harm 2019-03-21

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2019-04-24

D · Potential for more than minimal harm 2019-03-21

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-04-24

D · Potential for more than minimal harm 2019-03-21

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2019-04-24

D · Potential for more than minimal harm 2019-03-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-04-24

F · Potential for more than minimal harm 2018-03-22

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 2018-04-25

D · Potential for more than minimal harm 2018-03-22

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 2018-04-25

D · Potential for more than minimal harm 2018-03-22

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 2018-04-25

Penalties and ownership

What sits behind the stars

Ownership

The East Alabama Health Care Authority

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2014-02-01

Abrams, John