Highlands Health And Rehab ratings, inspections, staffing, and fines

1

How this home got 5 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 (already 5)

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

5 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Alabama homes

Highlands Health And Rehab carries 5 inspection points. That is fewer than 87% 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

6 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 3 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.
June 6, 2019 · Standard · F812 · Corrected July 11, 2019
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
May 3, 2018 · Standard · F812 · Corrected June 4, 2018
F
Dispose of garbage and refuse properly.
May 3, 2018 · Standard · F814 · Corrected June 4, 2018

Infection Control2D

D
Provide and implement an infection prevention and control program.
June 6, 2019 · Standard · F880 · Corrected July 11, 2019
D
Provide and implement an infection prevention and control program.
May 3, 2018 · Standard · F880 · Corrected June 4, 2018

Resident Rights1D

D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
May 3, 2018 · Standard · F550 · Corrected June 4, 2018

Inspection history

2022-03-24
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2019-06-06
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2018-05-03
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 42 min of nursing staff time a day, 1 h 10 min of it from a registered nurse.

This home

4 h 42 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 42% 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 days1.3 pts better	0.6	1.9	1.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better	1.1	1.7	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.4 pts better	99.2%	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 injury4.4 pts worse	7.6%	3.2%	3.2%
Percentage of long-stay residents who have depressive symptoms0.6 pts better	0.9%	1.5%	13.5%
Percentage of long-stay residents who lose too much weight0.1 pts better	5.3%	5.4%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication7.5 pts better	16.8%	24.3%	19.5%
Percentage of long-stay residents who received an antipsychotic medication20.1 pts better	1.2%	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 worsened6.6 pts worse	17.6%	11.0%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1 pts better	10.5%	11.5%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better	0.0%	0.9%	0.7%
Percentage of long-stay residents with a urinary tract infection0.3 pts worse	2.5%	2.2%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.7 pts worse	24.9%	12.2%	18.3%
Percentage of long-stay residents with pressure ulcers0.7 pts worse	5.9%	5.2%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.8 pts better	99.4%	85.6%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.3 pts better	9.4%	11.7%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1 pts better	0.9%	1.9%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.8 pts better	100.0%	82.2%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6 pts better	18.4%	24.4%	23.4%

·

Who owns and runs it

12 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
Anderson, John	W-2 Managing Employee · Individual	0%	4 facilities
Anderson, John	Corporate Officer · Individual	0%	4 facilities
Anderson, John	Operational/Managerial Control · Individual	0%	4 facilities
Bentley, Philip	Corporate Officer · Individual	0%	2 facilities
Carrier, John	W-2 Managing Employee · Individual	0%	2 facilities
Carrier, John	Corporate Officer · Individual	0%	2 facilities
Carrier, John	Operational/Managerial Control · Individual	0%	2 facilities
Carter, Clinton	Corporate Officer · Individual	0%	3 facilities
Matthews Jr, Robert	Corporate Officer · Individual	0%	2 facilities
Samz, Jeffrey	W-2 Managing Employee · Individual	0%	3 facilities
Samz, Jeffrey	Corporate Officer · Individual	0%	3 facilities
The Health Care Authority Of The City Of Huntsville	5% Or Greater Direct Ownership Interest · Organization	0%	3 facilities

·

Fire safety

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

Smoke2F

F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
June 6, 2019 · K354 · Corrected July 12, 2019
D
Inspect, test, and maintain automatic sprinkler systems.
June 6, 2019 · K353 · Corrected July 12, 2019

Egress1D

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.
June 6, 2019 · K222 · Corrected July 12, 2019

Gas, Vacuum, and Electrical Systems1D

D
Have generator or other power source capable of supplying service within 10 seconds.
June 6, 2019 · K918 · Corrected July 12, 2019

·

Other homes nearby

Cloverdale Rehabilitation And Wellness
Scottsboro, AL · Trinity Management, Inc.

Worst citation, 3 yrs
none

Nursing / resident / day
3 h 50 min

Fines
$0
Barfield Health Care
Guntersville, AL · Rehab Select

Worst citation, 3 yrs
none

Nursing / resident / day
4 h 48 min

Fines
$0
Crowne Health Care Of Ft Payne
Fort Payne, AL · Crowne Health Care

Worst citation, 3 yrs
E

Nursing / resident / day
3 h 59 min

Fines
$0

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