Cycle 1
Health 2022-03-24 · Fire 2022-03-24
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Scottsboro, AL
Highlands Health And Rehab
3-star overall rating with 4-star inspections
380 Woods Cove Road, Scottsboro, AL
(256) 218-3708
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
50
Certified beds
Average residents
46
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
Huntsville Hospital Health System
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
3 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
8,370
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.97
Composite VBP score used to determine payment impact.
Payment multiplier
0.9844
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.32
Baseline 20.28% · Performance 20.82% · Measure score 1.32 · Achievement 1.32 · Improvement 0
Healthcare-associated infections
0.88
Baseline 6.64% · Performance 7.57% · Measure score 0.88 · Achievement 0.88 · Improvement 0
Total nurse turnover
2.99
Performance 51.47% · Measure score 2.99 · Achievement 2.99 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
5.60
Baseline 4.72 hours · Performance 4.67 hours · Measure score 5.60 · Achievement 5.60 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.4% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 198 · Observed rate 10.1% · Lower 95% interval 8.69% |
| Discharge to community | 53.86% |
50.57%
3.3 pts better
|
No Different than the National Rate · Eligible stays 167 · Observed rate 53.89% · Lower 95% interval 46.62% |
| Medicare spending per beneficiary | 0.75 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 98.32% |
95.27%
3 pts better
|
Numerator 176 · Denominator 179 |
| Falls with major injury | 0.56% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 179 |
| Discharge self-care score | 63.77% |
53.69%
10.1 pts better
|
Numerator 88 · Denominator 138 |
| Discharge mobility score | 65.94% |
50.94%
15 pts better
|
Numerator 91 · Denominator 138 |
| Pressure ulcers or injuries, new or worsened | 2.23% |
2.29%
0.1 pts better
|
Numerator 4 · Denominator 179 · Adjusted rate 2.49% |
| Healthcare-associated infections requiring hospitalization | 7.57% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 111 · Observed rate 6.31% · Lower 95% interval 4.8% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 54 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 65.94% |
56.45%
9.5 pts better
|
Numerator 91 · Denominator 138 |
| Transfer of health information to provider | 96.94% |
95.95%
1 pts better
|
Numerator 95 · Denominator 98 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 53 · Denominator 53 |
| Resident COVID-19 vaccinations up to date | 17.86% |
25.2%
7.3 pts worse
|
Numerator 15 · Denominator 84 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.0
0.6 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.6 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.8
0.8 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.7 · 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 | 92.9% |
94.8%
1.9 pts worse
|
95.5%
2.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.8% |
3.4%
2.4 pts worse
|
3.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 7.1% · Q4 10.3% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.1% |
1.3%
0.8 pts worse
|
11.4%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 8.7% · Q4 0.0% · 4Q avg 2.1% |
| Percentage of long-stay residents who lose too much weight | 8.5% |
5.3%
3.2 pts worse
|
5.4%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 4.3% · Q4 12.5% · 4Q avg 8.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.8% |
24.9%
3.1 pts better
|
19.6%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 23.8% · Q3 24.0% · Q4 25.0% · 4Q avg 21.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.6% |
22.8%
18.2 pts better
|
16.7%
12.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 4.8% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.0% |
0.6%
0.4 pts worse
|
0.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 53.4% |
14.8%
38.6 pts worse
|
16.3%
37.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 53.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.7% |
13.4%
11.3 pts worse
|
14.9%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 36.4% · Q4 9.1% · 4Q avg 24.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.3%
0.6 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
2.6%
0.6 pts better
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 0.0% · Q4 3.4% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.5% |
13.5%
16 pts worse
|
19.8%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.9% · Q2 30.2% · Q3 21.6% · Q4 32.6% · 4Q avg 29.5% |
| Percentage of long-stay residents with pressure ulcers | 8.0% |
5.7%
2.3 pts worse
|
5.1%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.8% · Q3 11.4% · Q4 13.4% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
84.3%
14.8 pts better
|
81.7%
17.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 100.0% · Q3 99.2% · Q4 98.4% · 4Q avg 99.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.3% |
11.5%
5.2 pts better
|
12.0%
5.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.3% · Observed 6.8% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
2.1%
1.4 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.7% · 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 | 19.0% |
24.5%
5.5 pts better
|
23.9%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.0% · Observed 18.9% · Expected 23.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-06-06 · Fire 2019-06-06
2 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2018-05-03 · Fire 2018-05-03
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2019-06-06
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2019-07-12
D · Potential for more than minimal harm
2019-06-06
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 2019-07-12
D · Potential for more than minimal harm
2019-06-06
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-07-12
D · Potential for more than minimal harm
2019-06-06
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-07-12
Inspection history
Recent health citations
F · Potential for more than minimal harm
2019-06-06
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 2019-07-11
D · Potential for more than minimal harm
2019-06-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-11
F · Potential for more than minimal harm
2018-05-03
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 2018-06-04
F · Potential for more than minimal harm
2018-05-03
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2018-06-04
D · Potential for more than minimal harm
2018-05-03
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2018-06-04
D · Potential for more than minimal harm
2018-05-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-06-04
Penalties and ownership
What sits behind the stars
Ownership
Anderson, John
Operational/Managerial Control · Individual
Anderson, John
Corporate Officer · Individual
Anderson, John
W-2 Managing Employee · Individual
Bentley, Philip
Corporate Officer · Individual
Carrier, John
Operational/Managerial Control · Individual
Carrier, John
Corporate Officer · Individual
Carrier, John
W-2 Managing Employee · Individual
Carter, Clinton
Corporate Officer · Individual
Matthews Jr, Robert
Corporate Officer · Individual
Samz, Jeffrey
Corporate Officer · Individual
Samz, Jeffrey
W-2 Managing Employee · Individual
The Health Care Authority Of The City Of Huntsville
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Cloverdale Rehabilitation And Nursing Center
Scottsboro, AL
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Barfield Health Care
Guntersville, AL
5-star overall rating with 4-star inspections with 2 recent health deficiencies
#3
Crowne Health Care Of Ft Payne
Fort Payne, AL
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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