Florence Nursing And Rehabilitation Ctr, LLC ratings, inspections, staffing, and fines

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Alabama.
Staffing

no change

Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
Quality measures

no change

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

3 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Alabama homes

Florence Nursing And Rehabilitation Ctr, LLC carries 22 inspection points. That is fewer than 45% of Alabama's 223 rated homes.

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Alabama: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

5★ 0–3 pts
4★ 3–12 pts
3★ 12–23 pts
2★ 23–46 pts
1★ over 46 pts

Bars show every rated home in Alabama by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

10 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 7 4 pts

E 0 8 pts

F 3 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Nutrition and Dietary3F

F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
January 14, 2020 · Standard · F812 · Corrected February 14, 2020
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
October 24, 2018 · Standard · F812 · Corrected November 27, 2018
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
January 25, 2018 · Standard · F812 · Corrected February 19, 2018

Infection Control2D

D
Provide and implement an infection prevention and control program.
January 14, 2020 · Standard · F880 · Corrected February 14, 2020
D
Provide and implement an infection prevention and control program.
January 25, 2018 · Standard · F880 · Corrected February 19, 2018

Resident Assessment and Care Planning2D

D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
October 24, 2018 · Standard · F655 · Corrected November 27, 2018
D
Ensure services provided by the nursing facility meet professional standards of quality.
October 24, 2018 · Standard · F658 · Corrected November 27, 2018

Quality of Life and Care2D

D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
October 24, 2018 · Standard · F690 · Corrected November 27, 2018
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 25, 2018 · Standard · F689 · Corrected February 19, 2018

Resident Rights1D

D
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.
January 25, 2018 · Standard · F584 · Corrected February 19, 2018

Inspection history

2020-01-14
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2018-10-24
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2018-01-25
4 health deficiencies · 7 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 15 min of nursing staff time a day, 55 min of it from a registered nurse.

This home

3 h 15 min

Alabama average

3 h 54 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 39% of nursing staff and 30% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

Measure	This home	State	U.S.
Number of hospitalizations per 1000 long-stay resident days0.9 pts worse	2.8	1.9	1.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse	1.9	1.7	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.2 pts better	100.0%	92.8%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.6 pts better	100.0%	95.4%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better	2.6%	3.2%	3.2%
Percentage of long-stay residents who have depressive symptoms1.2 pts better	0.3%	1.5%	13.5%
Percentage of long-stay residents who lose too much weight4.3 pts worse	9.7%	5.4%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication10.3 pts worse	34.6%	24.3%	19.5%
Percentage of long-stay residents who received an antipsychotic medication4.8 pts better	16.5%	21.3%	15.4%
Percentage of long-stay residents who were physically restrained0.5 pts better	0.0%	0.5%	0.1%
Percentage of long-stay residents whose ability to walk independently worsened5 pts better	6.0%	11.0%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.2 pts better	7.3%	11.5%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better	0.6%	0.9%	0.7%
Percentage of long-stay residents with a urinary tract infection1.5 pts better	0.7%	2.2%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.8 pts better	6.4%	12.2%	18.3%
Percentage of long-stay residents with pressure ulcers6.1 pts worse	11.3%	5.2%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.1 pts better	98.7%	85.6%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.7 pts better	7.0%	11.7%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same	1.9%	1.9%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.9 pts better	99.1%	82.2%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.1 pts worse	27.5%	24.4%	23.4%

·

Who owns and runs it

38 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list

Name	Role	Share	Homes
Alabama Seven SNF Opco Holdings LLC	Direct Ownership Interest · Organization	0%	4 facilities
Apfel, Stephen	Indirect Ownership Interest · Individual	0%	7 facilities
Apfel, Stephen	Managing Control - Governing Body · Individual	0%	7 facilities
Apfel, Stephen	Corporate Officer · Individual	0%	7 facilities
Apfel, Stephen	Operational/Managerial Control · Individual	0%	7 facilities
Apfel, Stephen	Adp Of The SNF · Individual	0%	7 facilities
Barlett, Kayla	Operational/Managerial Control · Individual	0%	1 facilities
Barlett, Kayla	Adp Of The SNF · Individual	0%	1 facilities
Ccg Alabama Consulting Holdings LLC	Operational/Managerial Control · Organization	0%	5 facilities
Ccg Alabama Opco Holdings LLC	Indirect Ownership Interest · Organization	0%	4 facilities
Florence SNF Property Holdings	Adp Of The SNF · Organization	0%	1 facilities
Gefen Al Seven Opco Holdings LLC	Indirect Ownership Interest · Organization	0%	3 facilities
Gefen Ng Trust	Indirect Ownership Interest · Organization	0%	5 facilities
Gefen Ng Trust	Trustee Of The SNF · Organization	0%	5 facilities
Gpn Family Trust U/A/D 4/28/08	Indirect Ownership Interest · Organization	0%	80 facilities
Gpn Family Trust U/A/D 4/28/08	Trustee Of The SNF · Organization	0%	80 facilities
Herz, Yehuda	Indirect Ownership Interest · Individual	0%	6 facilities
Herz, Yehuda	Managing Control - Governing Body · Individual	0%	6 facilities
Herz, Yehuda	Corporate Officer · Individual	0%	6 facilities
Herz, Yehuda	Operational/Managerial Control · Individual	0%	6 facilities
Herz, Yehuda	Adp Of The SNF · Individual	0%	6 facilities
Kelley, Haley	Operational/Managerial Control · Individual	0%	1 facilities
Kelley, Haley	Adp Of The SNF · Individual	0%	1 facilities
Malta Alabama Property Holdings LLC	Adp Of The SNF · Organization	0%	5 facilities
Mostafavi Naeini, Bardya	Operational/Managerial Control · Individual	0%	2 facilities
Mostafavi Naeini, Bardya	Adp Of The SNF · Individual	0%	2 facilities
Plaski, Tina	Operational/Managerial Control · Individual	0%	5 facilities
Plaski, Tina	Adp Of The SNF · Individual	0%	5 facilities
Rosenblum, Yitzchak	Indirect Ownership Interest · Individual	0%	4 facilities
Shibe, Ben	Indirect Ownership Interest · Individual	0%	4 facilities
Skelton, Frederick	Operational/Managerial Control · Individual	0%	6 facilities
Skelton, Frederick	Adp Of The SNF · Individual	0%	6 facilities
Us Healthcare Consulting Holdings LLC	Operational/Managerial Control · Organization	0%	5 facilities
Us Healthcare Consulting Holdings LLC	Adp Of The SNF · Organization	0%	5 facilities
Ushcg Al Seven Operations Holdings LLC	Indirect Ownership Interest · Organization	0%	4 facilities
Yehuda Herz 2025 Ng Family Trust	Indirect Ownership Interest · Organization	0%	5 facilities
Yehuda Herz 2025 Ng Family Trust	Trustee Of The SNF · Organization	0%	5 facilities
Yh Al 7 Operations Holdings LLC	Indirect Ownership Interest · Organization	0%	3 facilities

·

Fire safety

14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5E

E
Install an approved automatic sprinkler system.
January 14, 2020 · K351 · Corrected February 26, 2020
D
Have properly installed hallway dispensers for alcohol-based hand rub.
January 14, 2020 · K325 · Corrected February 26, 2020
D
Provide properly protected cooking facilities.
October 24, 2018 · K324 · Corrected December 4, 2018
D
Have approved installation, maintenance and testing program for fire alarm systems.
January 25, 2018 · K345 · Corrected March 6, 2018
D
Inspect, test, and maintain automatic sprinkler systems.
January 25, 2018 · K353 · Corrected March 6, 2018

Egress4D

D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
October 24, 2018 · K211 · Corrected December 4, 2018
D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
January 25, 2018 · K211 · Corrected March 6, 2018
D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
January 25, 2018 · K222 · Corrected March 6, 2018
D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
January 25, 2018 · K232 · Corrected March 6, 2018

Miscellaneous2D

D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
January 14, 2020 · K741 · Corrected February 26, 2020
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
October 24, 2018 · K741 · Corrected December 4, 2018

Services1D

D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
January 14, 2020 · K521 · Corrected February 26, 2020

Gas, Vacuum, and Electrical Systems1E

E
Ensure proper usage of power strips and extension cords.
January 25, 2018 · K920 · Corrected March 6, 2018

Emergency Preparedness1C

C
Address subsistence needs for staff and patients.
January 25, 2018 · E15 · Corrected March 6, 2018

·

Other homes nearby

Glenwood Center
Florence, AL · Genesis Healthcare

Worst citation, 3 yrs
F

Nursing / resident / day
3 h 22 min

Fines
$0
Mitchell-Hollingsworth Nursing & Rehabilitation
Florence, AL · Preston Health Services

Worst citation, 3 yrs
D

Nursing / resident / day
3 h 16 min

Fines
$0
El Reposo Nursing Facility
Florence, AL

Worst citation, 3 yrs
F

Nursing / resident / day
4 h 43 min

Fines
$0

All homes in Florence → All of Alabama →