Abbeville, AL

Henry County Health And Rehabilitation Facility

4-star overall rating with 3-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

212 Dothan Road, Abbeville, AL

(334) 585-2241

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

142

Certified beds

Average residents

81

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1980-12-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.70

Registered nurse staffing

LPN hours / resident day

1.36

Licensed practical nurse staffing

Aide hours / resident day

3.04

Nurse aide staffing

Weekend hours

4.22

Weekend nurse staffing

RN turnover

15%

Annual RN turnover

Total nurse turnover

44%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.8
2.0
0.8 pts worse
1.9
0.9 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.3
1.8
0.5 pts better
1.8
0.5 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
91.3%
8.4 pts better
93.4%
6.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7%
94.8%
3.9 pts better
95.5%
3.2 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.9%
3.4%
0.5 pts worse
3.3%
0.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 4.6%
1.3%
3.3 pts worse
11.4%
6.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 8.0%
5.3%
2.7 pts worse
5.4%
2.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.5%
24.9%
0.4 pts better
19.6%
4.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 33.7%
22.8%
10.9 pts worse
16.7%
17 pts worse
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 4.4%
14.8%
10.4 pts better
16.3%
11.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 11.0%
13.4%
2.4 pts better
14.9%
3.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.5%
1.3%
0.2 pts worse
1.0%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.0%
2.6%
1.6 pts better
1.7%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 15.4%
13.5%
1.9 pts worse
19.8%
4.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 7.5%
5.7%
1.8 pts worse
5.1%
2.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.5%
84.3%
9.2 pts better
81.7%
11.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.7%
11.5%
2.8 pts better
12.0%
3.3 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 3.8%
2.1%
1.7 pts worse
1.6%
2.2 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89.5%
80.3%
9.2 pts better
79.7%
9.8 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 20.8%
24.5%
3.7 pts better
23.9%
3.1 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-02-04 · Fire 2022-02-04

3 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2019-05-16 · Fire 2019-05-16

3 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2018-06-14 · Fire 2018-06-14

5 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2022-02-04

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2022-03-16

E · Potential for more than minimal harm 2022-02-04

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-03-16

D · Potential for more than minimal harm 2022-02-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-03-16

F · Potential for more than minimal harm 2019-05-16

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-06-28

E · Potential for more than minimal harm 2018-06-14

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2018-07-23

D · Potential for more than minimal harm 2018-06-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2018-07-23

D · Potential for more than minimal harm 2018-06-14

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2018-07-23

C · Minimal harm 2018-06-14

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2018-07-23

Inspection history

Recent health citations

D · Potential for more than minimal harm 2022-02-04

F700 · Quality of Life and Care Deficiencies

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 2022-03-11

D · Potential for more than minimal harm 2022-02-04

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 2022-03-11

D · Potential for more than minimal harm 2022-02-04

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-03-11

F · Potential for more than minimal harm 2019-05-16

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 2019-06-20

D · Potential for more than minimal harm 2019-05-16

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2019-06-20

D · Potential for more than minimal harm 2019-05-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-06-20

F · Potential for more than minimal harm 2018-06-14

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 2018-07-19

D · Potential for more than minimal harm 2018-06-14

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-07-19

D · Potential for more than minimal harm 2018-06-14

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2018-07-19

D · Potential for more than minimal harm 2018-06-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2018-07-19

C · Minimal harm 2018-06-14

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2018-07-19

Penalties and ownership

What sits behind the stars

Ownership

Henry County Health Care Authority

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 1980-12-12
Houston, Charlie

Corporate Director · Individual

0% 1 facilities 2004-11-01
Money, Marquita

Operational/Managerial Control · Individual

0% 1 facilities 2006-06-12
Money, Marquita

W-2 Managing Employee · Individual

0% 1 facilities 2006-06-12
Smith, Betty

Corporate Director · Individual

0% 1 facilities 2006-11-02
Tye, Judy

Corporate Director · Individual

0% 1 facilities 2006-11-02

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Health
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Staffing
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#3

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