Cycle 1
Health 2019-09-26 · Fire 2019-09-26
2 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cullman, AL
Folsom Rehabilitation And Healthcare Center
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
401 Arnold Street N.e., Cullman, AL
(256) 739-4409
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
102
Certified beds
Average residents
91
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Venza Care Management
Operator or chain grouping
Approved since
1998-06-18
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
0.64
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.90
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.35
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.60
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.43
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.67
CMS adjusted RN staffing hours
Adjusted total hours
4.54
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,337
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.56
Composite VBP score used to determine payment impact.
Payment multiplier
0.9900
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.78
Baseline 23.76% · Performance 22.22% · Measure score 1.78 · Achievement 0 · Improvement 1.78
Healthcare-associated infections
3.32
Baseline 7.08% · Performance 6.84% · Measure score 3.32 · Achievement 3.32 · Improvement 0.65
Total nurse turnover
4.71
Baseline 45.26% · Performance 44.44% · Measure score 4.71 · Achievement 4.71 · Improvement 0
Adjusted total nurse staffing
4.82
Baseline 4.52 hours · Performance 4.45 hours · Measure score 4.82 · Achievement 4.82 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.97% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 232 · Observed rate 9.91% · Lower 95% interval 8.02% |
| Discharge to community | 56.42% |
50.57%
5.9 pts better
|
No Different than the National Rate · Eligible stays 184 · Observed rate 52.17% · Lower 95% interval 48.9% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 117 · Denominator 117 |
| Falls with major injury | 1.71% |
0.77%
0.9 pts worse
|
Numerator 2 · Denominator 117 |
| Discharge self-care score | 45.78% |
53.69%
7.9 pts worse
|
Numerator 38 · Denominator 83 |
| Discharge mobility score | 38.55% |
50.94%
12.4 pts worse
|
Numerator 32 · Denominator 83 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 117 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.84% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 108 · Observed rate 5.56% · Lower 95% interval 4.25% |
| Staff COVID-19 vaccination coverage | 0.68% |
8.2%
7.5 pts worse
|
Numerator 1 · Denominator 147 |
| Staff flu vaccination coverage | 16.15% |
42%
25.9 pts worse
|
Numerator 26 · Denominator 161 |
| Discharge function score | 39.76% |
56.45%
16.7 pts worse
|
Numerator 33 · Denominator 83 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 27 · Denominator 27 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 51 · Denominator 51 |
| Resident COVID-19 vaccinations up to date | 15.15% |
25.2%
10 pts worse
|
Numerator 10 · Denominator 66 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.0
0.3 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.9 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.8
About the same
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.3%
8.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 1.7% |
3.4%
1.7 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.4% · Q3 0.0% · Q4 2.7% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.8% |
1.3%
1.5 pts worse
|
11.4%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.7% · Q3 1.4% · Q4 4.2% · 4Q avg 2.8% |
| Percentage of long-stay residents who lose too much weight | 2.5% |
5.3%
2.8 pts better
|
5.4%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.0% · Q3 5.6% · Q4 0.0% · 4Q avg 2.5% |
| 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 17.3% · Q2 18.2% · Q3 19.6% · Q4 17.2% · 4Q avg 18.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.1% |
22.8%
11.7 pts better
|
16.7%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 11.1% · Q3 10.6% · Q4 13.6% · 4Q avg 11.1% · 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 | 11.2% |
14.8%
3.6 pts better
|
16.3%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 7.5% · Q3 16.6% · Q4 10.2% · 4Q avg 11.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.1% |
13.4%
1.3 pts better
|
14.9%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 7.5% · Q3 12.7% · Q4 14.3% · 4Q avg 12.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
1.3%
0.9 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
2.6%
0.4 pts better
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 1.4% · Q3 1.4% · Q4 1.6% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.4% |
13.5%
4.9 pts worse
|
19.8%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 9.8% · Q3 21.4% · Q4 23.6% · 4Q avg 18.4% |
| Percentage of long-stay residents with pressure ulcers | 2.4% |
5.7%
3.3 pts better
|
5.1%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.2% · Q3 2.5% · Q4 1.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
84.3%
14.3 pts better
|
81.7%
16.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 97.9% · Q3 99.3% · Q4 99.4% · 4Q avg 98.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.4% |
11.5%
2.9 pts worse
|
12.0%
2.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.4% · Observed 13.9% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
2.1%
0.8 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 2.4% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.3% |
80.3%
17 pts better
|
79.7%
17.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.4% |
24.5%
1.1 pts better
|
23.9%
0.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.4% · Observed 19.7% · Expected 20.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2018-08-23 · Fire 2018-08-23
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2017-09-07 · Fire 2017-09-07
6 health deficiencies
Top issue: Environmental (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2019-09-26
K352 · Smoke Deficiencies
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2019-11-01
D · Potential for more than minimal harm
2019-09-26
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-11-01
F · Potential for more than minimal harm
2018-08-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-09-07
E · Potential for more than minimal harm
2018-08-23
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2018-09-07
D · Potential for more than minimal harm
2018-08-23
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2018-09-12
D · Potential for more than minimal harm
2018-08-23
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-09-14
D · Potential for more than minimal harm
2018-08-23
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2018-09-07
Inspection history
Recent health citations
D · Potential for more than minimal harm
2019-09-26
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 2019-10-18
D · Potential for more than minimal harm
2019-09-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-18
D · Potential for more than minimal harm
2018-08-23
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 2018-09-17
D · Potential for more than minimal harm
2018-08-23
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 2018-09-17
D · Potential for more than minimal harm
2018-08-23
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 2018-09-17
D · Potential for more than minimal harm
2018-08-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-09-17
F · Potential for more than minimal harm
2017-09-07
F280 · Resident Assessment and Care Planning Deficiencies
Health
Allow residents the right to participate in the planning or revision of care and treatment.
Corrected 2017-10-05
E · Potential for more than minimal harm
2017-09-07
F323 · Environmental Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Corrected 2017-10-05
E · Potential for more than minimal harm
2017-09-07
F520 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
Corrected 2017-10-05
D · Potential for more than minimal harm
2017-09-07
F253 · Environmental Deficiencies
Health
Provide housekeeping and maintenance services.
Corrected 2017-10-05
D · Potential for more than minimal harm
2017-09-07
F279 · Resident Assessment and Care Planning Deficiencies
Health
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2017-10-05
D · Potential for more than minimal harm
2017-09-07
F315 · Quality of Life and Care Deficiencies
Health
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Corrected 2017-10-05
Penalties and ownership
What sits behind the stars
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
Goodman, Menucha
Operational/Managerial Control · Individual
Goodman, Menucha
Corporate Officer · Individual
Herzka, Yisroel
5% Or Greater Indirect Ownership Interest · Individual
Huggins, David
Operational/Managerial Control · 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
Vertex Financial Services LLC
Operational/Managerial Control · Organization
Wagner, John
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Cullman Health Care Center
Cullman, AL
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
#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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