Cycle 1
Health 2022-01-27 · Fire 2022-01-27
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Tuscaloosa, AL
Heritage Health Care & Rehab Inc
3-star overall rating with 3-star inspections with 2 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
1101 Snows Mill Avenue, Tuscaloosa, AL
(205) 759-5179
Overall
3 / 5
CMS overall stars
Health inspections
3 / 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
216
Certified beds
Average residents
138
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1977-08-01
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
0.45
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.90
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.81
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.16
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.35
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.52
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.48
CMS adjusted RN staffing hours
Adjusted total hours
4.46
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
8%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,104
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.87
Composite VBP score used to determine payment impact.
Payment multiplier
0.9813
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.09% · Performance 23.45% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.64% · Performance 8.19% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.34
Baseline 51.91% · Performance 58.18% · Measure score 1.34 · Achievement 1.34 · Improvement 0
Adjusted total nurse staffing
4.20
Baseline 4.68 hours · Performance 4.27 hours · Measure score 4.20 · Achievement 4.20 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.26% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 151 · Observed rate 7.95% · Lower 95% interval 7.43% |
| Discharge to community | 48.94% |
50.57%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 128 · Observed rate 47.66% · Lower 95% interval 41.67% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 70.13% |
95.27%
25.1 pts worse
|
Numerator 54 · Denominator 77 |
| Falls with major injury | 1.3% |
0.77%
0.5 pts worse
|
Numerator 1 · Denominator 77 |
| Discharge self-care score | 21.31% |
53.69%
32.4 pts worse
|
Numerator 13 · Denominator 61 |
| Discharge mobility score | 14.75% |
50.94%
36.2 pts worse
|
Numerator 9 · Denominator 61 |
| Pressure ulcers or injuries, new or worsened | 6.49% |
2.29%
4.2 pts worse
|
Numerator 5 · Denominator 77 · Adjusted rate 6.69% |
| Healthcare-associated infections requiring hospitalization | 8.19% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 99 · Observed rate 9.09% · Lower 95% interval 5.01% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 123 |
| Staff flu vaccination coverage | 7.87% |
42%
34.1 pts worse
|
Numerator 10 · Denominator 127 |
| Discharge function score | 29.51% |
56.45%
26.9 pts worse
|
Numerator 18 · Denominator 61 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 36 · Denominator 36 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 39 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.0
0.7 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 0.9 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.8
1 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.6 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.1% |
91.3%
0.8 pts better
|
93.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 96.1% · Q2 75.8% · Q3 98.4% · Q4 98.4% · 4Q avg 92.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.2% |
94.8%
2.4 pts better
|
95.5%
1.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
3.4%
1.9 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.5% · Q3 0.8% · Q4 2.3% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.2% |
1.3%
1.1 pts better
|
11.4%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.2% |
| Percentage of long-stay residents who lose too much weight | 7.8% |
5.3%
2.5 pts worse
|
5.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 8.0% · Q3 4.6% · Q4 6.4% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.7% |
24.9%
4.8 pts worse
|
19.6%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.1% · Q2 30.1% · Q3 30.3% · Q4 27.5% · 4Q avg 29.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.3% |
22.8%
0.5 pts worse
|
16.7%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 21.3% · Q3 26.3% · Q4 22.3% · 4Q avg 23.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.2% |
0.6%
0.6 pts worse
|
0.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.1% · Q4 1.6% · 4Q avg 1.2% |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.8% |
14.8%
3 pts worse
|
16.3%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 24.6% · Q3 19.8% · Q4 14.5% · 4Q avg 17.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.4% |
13.4%
About the same
|
14.9%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 17.0% · Q3 9.2% · Q4 11.3% · 4Q avg 13.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
1.3%
0.1 pts better
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.6% · Q3 1.1% · Q4 1.8% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
2.6%
2.2 pts better
|
1.7%
1.3 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 new or worsened bowel or bladder incontinence | 12.3% |
13.5%
1.2 pts better
|
19.8%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 16.1% · Q3 13.8% · Q4 11.9% · 4Q avg 12.3% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
5.7%
0.3 pts better
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 3.6% · Q3 5.7% · Q4 6.6% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.5% |
84.3%
5.2 pts better
|
81.7%
7.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.5% · Q2 88.3% · Q3 90.6% · Q4 92.4% · 4Q avg 89.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.1% |
11.5%
7.4 pts better
|
12.0%
7.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.1% · Observed 4.1% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
2.1%
0.6 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.1% · Q3 2.8% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.5% |
80.3%
8.2 pts better
|
79.7%
8.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.2% |
24.5%
4.3 pts better
|
23.9%
3.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.2% · Observed 19.2% · Expected 22.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-05-16 · Fire 2019-05-16
4 health deficiencies
Top issue: Infection Control (1 deficiency)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2018-05-24 · Fire 2018-05-24
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-01-27
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-03-10
D · Potential for more than minimal harm
2022-01-27
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-03-10
D · Potential for more than minimal harm
2022-01-27
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-03-10
D · Potential for more than minimal harm
2022-01-27
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-03-10
D · Potential for more than minimal harm
2022-01-27
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-03-10
D · Potential for more than minimal harm
2022-01-27
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2022-03-10
E · Potential for more than minimal harm
2019-05-16
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2019-06-19
E · Potential for more than minimal harm
2019-05-16
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-06-19
D · Potential for more than minimal harm
2019-05-16
K361 · Smoke Deficiencies
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2019-06-19
D · Potential for more than minimal harm
2019-05-16
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-06-19
D · Potential for more than minimal harm
2019-05-16
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-06-19
D · Potential for more than minimal harm
2018-05-24
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2018-07-05
Inspection history
Recent health citations
D · Potential for more than minimal harm
2022-01-27
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-03-03
D · Potential for more than minimal harm
2022-01-27
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-03-03
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
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2019-06-20
D · Potential for more than minimal harm
2019-05-16
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
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
D · Potential for more than minimal harm
2018-05-24
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2018-06-28
D · Potential for more than minimal harm
2018-05-24
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2018-06-28
D · Potential for more than minimal harm
2018-05-24
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 2018-06-28
Penalties and ownership
What sits behind the stars
Ownership
Jackson, Benjamin
5% Or Greater Direct Ownership Interest · Individual
Jackson, Benjamin
Corporate Director · Individual
Jackson, Benjamin
Corporate Officer · Individual
Jackson, Benjamin
W-2 Managing Employee · Individual
Jackson, Blake
Operational/Managerial Control · Individual
Jackson, Blake
Corporate Officer · Individual
Nearby options
Other facilities in reach
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Aspire Physical Recovery Center Of West Alabama
Northport, AL
4-star overall rating with 4-star inspections
#2
Hunter Creek Health And Rehabilitation, LLC
Northport, AL
3-star overall rating with 3-star inspections with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Forest Manor Health And Rehab
Northport, AL
3-star overall rating with 3-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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