Tuscumbia, AL

Keller Landing

5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle

813 Keller Lane, Tuscumbia, AL

(256) 383-1535

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

109

Certified beds

Average residents

73

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Genesis Healthcare

Operator or chain grouping

Approved since

1977-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

193 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 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

1.25

Registered nurse staffing · state 0.64 · national 0.68

LPN hours / resident day

0.39

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.61

Nurse aide staffing · state 2.50 · national 2.35

Total nurse hours

3.25

All reported nurse hours · state 3.91 · national 3.89

Licensed hours

1.64

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

2.73

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.70

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

1.38

CMS adjusted RN staffing hours

Adjusted total hours

3.60

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

16%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,299

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

44.98

Composite VBP score used to determine payment impact.

Payment multiplier

0.9981

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.29

Baseline 21.70% · Performance 18.53% · Measure score 6.29 · Achievement 6.26 · Improvement 6.29

Healthcare-associated infections

3.45

Baseline 7.41% · Performance 6.80% · Measure score 3.45 · Achievement 3.45 · Improvement 2.03

Total nurse turnover

6.76

Baseline 39.19% · Performance 36.07% · Measure score 6.76 · Achievement 6.76 · Improvement 1.68

Adjusted total nurse staffing

1.50

Baseline 4.02 hours · Performance 3.50 hours · Measure score 1.50 · Achievement 1.50 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.38%
10.72%
0.7 pts worse
No Different than the National Rate · Eligible stays 63 · Observed rate 11.11% · Lower 95% interval 7.85%
Discharge to community 31.79%
50.57%
18.8 pts worse
No Different than the National Rate · Eligible stays 25 · Observed rate 8% · Lower 95% interval 18.91%
Medicare spending per beneficiary 1.16
1.02
0.1 pts worse
Drug regimen review with follow-up 95.12%
95.27%
0.1 pts worse
Numerator 39 · Denominator 41
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 41
Discharge self-care score 40%
53.69%
13.7 pts worse
Numerator 10 · Denominator 25
Discharge mobility score 28%
50.94%
22.9 pts worse
Numerator 7 · Denominator 25
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 41 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 6.8%
7.12%
0.3 pts better
No Different than the National Rate · Eligible stays 33 · Observed rate 3.03% · Lower 95% interval 3.66%
Staff COVID-19 vaccination coverage 1.16%
8.2%
7 pts worse
Numerator 1 · Denominator 86
Staff flu vaccination coverage 52.71%
42%
10.7 pts better
Numerator 68 · Denominator 129
Discharge function score 48%
56.45%
8.5 pts worse
Numerator 12 · Denominator 25
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 20%
25.2%
5.2 pts worse
Numerator 4 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.8
2.0
0.2 pts better
1.9
0.1 pts better
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.2
1.8
0.4 pts worse
1.8
0.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.1 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
91.3%
8 pts better
93.4%
5.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 98.6% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3%
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 · 4Q avg 98.7%
Percentage of long-stay residents experiencing one or more falls with major injury 4.3%
3.4%
0.9 pts worse
3.3%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.2% · Q3 6.1% · Q4 3.0% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 23.8%
1.3%
22.5 pts worse
11.4%
12.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 27.0% · Q3 45.8% · Q4 18.6% · 4Q avg 23.8%
Percentage of long-stay residents who lose too much weight 5.3%
5.3%
About the same
5.4%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 4.5% · Q3 1.6% · Q4 6.3% · 4Q avg 5.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 30.4%
24.9%
5.5 pts worse
19.6%
10.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 30.1% · Q2 32.9% · Q3 31.2% · Q4 27.3% · 4Q avg 30.4%
Percentage of long-stay residents who received an antipsychotic medication 20.5%
22.8%
2.3 pts better
16.7%
3.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 22.4% · Q3 17.0% · Q4 20.8% · 4Q avg 20.5% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 4.8%
14.8%
10 pts better
16.3%
11.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 6.6% · Q3 0.0% · Q4 3.1% · 4Q avg 4.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 7.3%
13.4%
6.1 pts better
14.9%
7.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 13.1% · Q3 3.8% · Q4 1.8% · 4Q avg 7.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.3%
1.3 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.7%
2.6%
1.9 pts better
1.7%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 11.4%
13.5%
2.1 pts better
19.8%
8.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 16.1% · Q3 10.5% · Q4 9.1% · 4Q avg 11.4%
Percentage of long-stay residents with pressure ulcers 6.2%
5.7%
0.5 pts worse
5.1%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 5.9% · Q3 5.9% · Q4 5.6% · 4Q avg 6.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 81.4%
84.3%
2.9 pts worse
81.7%
0.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 61.3% · Q2 78.6% · Q3 88.1% · Q4 85.9% · 4Q avg 81.4%
Percentage of short-stay residents who had an outpatient emergency department visit 4.0%
11.5%
7.5 pts better
12.0%
8 pts better
Short Stay · 20240701-20250630 · Adjusted 4.0% · Observed 4.7% · Expected 13.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 5.1%
2.1%
3 pts worse
1.6%
3.5 pts worse
Short Stay · 2024Q4-2025Q3 · Q3 4.2% · Q4 3.7% · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 80.0%
80.3%
0.3 pts worse
79.7%
0.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.0%
24.5%
1.5 pts better
23.9%
0.9 pts better
Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 23.3% · Expected 24.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-02-24 · Fire 2022-02-24

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2019-06-20 · Fire 2019-06-20

1 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2018-09-13 · Fire 2018-09-13

2 health deficiencies

Top issue: Infection Control (1 deficiency)

6 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2022-02-24

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2022-03-29

E · Potential for more than minimal harm 2022-02-24

K521 · Services Deficiencies

Fire Safety

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

Corrected 2022-03-15

D · Potential for more than minimal harm 2019-06-20

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2019-07-19

D · Potential for more than minimal harm 2019-06-20

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2019-07-19

C · Minimal harm 2019-06-20

K521 · Services Deficiencies

Fire Safety

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

Corrected 2019-07-19

F · Potential for more than minimal harm 2018-09-13

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 2018-09-27

E · Potential for more than minimal harm 2018-09-13

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2018-09-27

D · Potential for more than minimal harm 2018-09-13

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2018-09-27

D · Potential for more than minimal harm 2018-09-13

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2018-09-27

D · Potential for more than minimal harm 2018-09-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-09-27

C · Minimal harm 2018-09-13

K521 · Services Deficiencies

Fire Safety

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

Corrected 2018-09-27

Inspection history

Recent health citations

D · Potential for more than minimal harm 2019-06-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-07-24

D · Potential for more than minimal harm 2018-09-13

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2018-10-09

D · Potential for more than minimal harm 2018-09-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2018-10-09

Penalties and ownership

What sits behind the stars

Ownership

Genesis Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 169 facilities 2015-02-02
Berg, Michael

Operational/Managerial Control · Individual

0% 175 facilities 2012-12-01
Berg, Michael

Corporate Officer · Individual

0% 175 facilities 2012-12-01
Bridgeford, Laura

Corporate Officer · Individual

0% 150 facilities 2024-06-01
Davis, Christine

Contracted Managing Employee · Individual

0% 5 facilities 2024-03-01
Fc-Gen Operations Investment LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 171 facilities 2012-12-01
Fishman, Steven

5% Or Greater Indirect Ownership Interest · Individual

0% 161 facilities 2012-12-01
Gen Operations I LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 183 facilities 2012-12-01
Gen Operations Ii LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 183 facilities 2012-12-01
Genesis Healthcare Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 180 facilities 2015-02-02
Genesis Healthcare LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 181 facilities 2012-12-01
Hccf Management Group Xi LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 184 facilities 2012-12-01
Mendelson, Avi

Corporate Officer · Individual

0% 149 facilities 2024-06-01
Minshew, Thomas

W-2 Managing Employee · Individual

0% 1 facilities 2024-03-01
Sun Healthcare Group Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 174 facilities 2015-02-02
Sundance Rehabilitation Holdco Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 163 facilities 2016-01-01
Welltower Op LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 197 facilities 2024-03-01
Whitman, Arnold

5% Or Greater Indirect Ownership Interest · Individual

0% 170 facilities 2012-12-01
Zac Properties Xi LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 175 facilities 2012-12-01

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Overall
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Health
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Staffing
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Fines
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#3

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Overall
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Health
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Staffing
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Fines
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