Hatley Health Care Inc 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

−1 star

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

Hatley Health Care Inc carries 6 inspection points. That is fewer than 84% 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

7 health citations on record since 2019. 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 5 4 pts

E 0 8 pts

F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 2 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

Resident Rights2C

C
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
June 15, 2023 · Standard · F550 · Corrected July 20, 2023
C
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.
June 15, 2023 · Standard · F584 · Corrected July 20, 2023

Resident Assessment and Care Planning1D

D
Ensure services provided by the nursing facility meet professional standards of quality.
June 15, 2023 · Standard · F658 · Corrected July 20, 2023

Quality of Life and Care1D

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.
June 15, 2023 · Standard · F690 · Corrected July 20, 2023

Freedom from Abuse, Neglect, and Exploitation1D

D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 9, 2019 · Standard · F609 · Corrected June 10, 2019

Pharmacy Service1D

D
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.
May 9, 2019 · Standard · F761 · Corrected June 10, 2019

Infection Control1D

D
Provide and implement an infection prevention and control program.
May 9, 2019 · Standard · F880 · Corrected June 10, 2019

Inspection history

2023-06-15
4 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2022-01-19
0 health deficiencies · 4 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2019-05-09
3 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

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.
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 vaccine3.5 pts better	98.9%	95.4%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better	2.8%	3.2%	3.2%
Percentage of long-stay residents who have depressive symptoms8 pts worse	9.5%	1.5%	13.5%
Percentage of long-stay residents who lose too much weight1.5 pts worse	6.9%	5.4%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.9 pts better	20.4%	24.3%	19.5%
Percentage of long-stay residents who received an antipsychotic medication9.4 pts worse	30.7%	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 worsened1.4 pts better	9.6%	11.0%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.5 pts better	10.0%	11.5%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder3 pts worse	3.9%	0.9%	0.7%
Percentage of long-stay residents with a urinary tract infection2.5 pts worse	4.7%	2.2%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3 pts better	9.2%	12.2%	18.3%
Percentage of long-stay residents with pressure ulcers3.3 pts better	1.9%	5.2%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21.3 pts worse	64.3%	85.6%	82.3%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine22.2 pts worse	60.0%	82.2%	80.1%

·

Who owns and runs it

13 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
Bolding, Lance	5% Or Greater Direct Ownership Interest · Individual	60%	1 facilities
Hatley, Mildred	5% Or Greater Direct Ownership Interest · Individual	40%	1 facilities
Bolding, Lance	Managing Control - Governing Body · Individual	0%	1 facilities
Bolding, Lance	Corporate Director · Individual	0%	1 facilities
Bolding, Lance	Corporate Officer · Individual	0%	1 facilities
Bolding, Lance	Operational/Managerial Control · Individual	0%	1 facilities
Bolding, Lance	Adp Of The SNF · Individual	0%	1 facilities
Hatley, Mildred	Managing Control - Governing Body · Individual	0%	1 facilities
Hatley, Mildred	Corporate Director · Individual	0%	1 facilities
Hatley, Mildred	Corporate Officer · Individual	0%	1 facilities
Hatley, Mildred	Operational/Managerial Control · Individual	0%	1 facilities
Price, Jeffrey	Operational/Managerial Control · Individual	0%	1 facilities
Price, Jeffrey	Adp Of The SNF · Individual	0%	1 facilities

·

Fire safety

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

Smoke12F

F
Have approved installation, maintenance and testing program for fire alarm systems.
June 15, 2023 · K345 · Corrected July 26, 2023
F
Inspect, test, and maintain automatic sprinkler systems.
June 15, 2023 · K353 · Corrected July 26, 2023
E
Install an approved automatic sprinkler system.
June 15, 2023 · K351 · Corrected July 26, 2023
D
Provide properly protected cooking facilities.
June 15, 2023 · K324 · Corrected July 26, 2023
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
January 19, 2022 · K321 · Corrected February 7, 2022
D
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
January 19, 2022 · K343 · Corrected January 31, 2022
D
Have approved installation, maintenance and testing program for fire alarm systems.
January 19, 2022 · K345 · Corrected January 31, 2022
D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
January 19, 2022 · K374 · Corrected February 1, 2022
F
Have approved installation, maintenance and testing program for fire alarm systems.
May 9, 2019 · K345 · Corrected June 18, 2019
D
Provide properly protected cooking facilities.
May 9, 2019 · K324 · Corrected June 18, 2019
D
Inspect, test, and maintain automatic sprinkler systems.
May 9, 2019 · K353 · Corrected June 18, 2019
D
Install corridor and hallway doors that block smoke.
May 9, 2019 · K363 · Corrected June 18, 2019

Emergency Preparedness1F

F
Develop and maintain an Emergency Preparedness Program (EP).
June 15, 2023 · E4 · Corrected July 26, 2023

Gas, Vacuum, and Electrical Systems1F

F
Have generator or other power source capable of supplying service within 10 seconds.
June 15, 2023 · K918 · Corrected July 26, 2023

Miscellaneous1D

D
Have restrictions on the use of portable space heaters.
May 9, 2019 · K781 · Corrected June 18, 2019

·

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