Selma, AL

Lighthouse Rehabilitation & Healthcare Center

2-star overall rating with 2-star inspections with abuse icon flag with 4 recent health deficiencies

2911 Earl Goodwin Parkway, Selma, AL

(334) 875-1868

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

68

Certified beds

Average residents

60

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ball Healthcare Services

Operator or chain grouping

Approved since

1991-01-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.51

Registered nurse staffing

LPN hours / resident day

1.23

Licensed practical nurse staffing

Aide hours / resident day

2.53

Nurse aide staffing

Weekend hours

3.53

Weekend nurse staffing

RN turnover

20%

Annual RN turnover

Total nurse turnover

35%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.9
2.0
0.1 pts better
1.9
About the same
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.1
1.8
1.3 pts worse
1.8
1.3 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 85.0%
91.3%
6.3 pts worse
93.4%
8.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.8%
94.8%
3 pts worse
95.5%
3.7 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.4%
3.4%
3 pts better
3.3%
2.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
1.3%
1.3 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 5.4%
5.3%
0.1 pts worse
5.4%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 5.8%
24.9%
19.1 pts better
19.6%
13.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 11.8%
22.8%
11 pts better
16.7%
4.9 pts better
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 22.7%
14.8%
7.9 pts worse
16.3%
6.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 22.1%
13.4%
8.7 pts worse
14.9%
7.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.3%
1.3%
2 pts worse
1.0%
2.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 8.1%
2.6%
5.5 pts worse
1.7%
6.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.0%
13.5%
3.5 pts worse
19.8%
2.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.7%
5.7%
About the same
5.1%
0.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 17.2%
84.3%
67.1 pts worse
81.7%
64.5 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 7.1%
2.1%
5 pts worse
1.6%
5.5 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 12.0%
80.3%
68.3 pts worse
79.7%
67.7 pts worse
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2020-01-24 · Fire 2020-01-24

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2019-02-28 · Fire 2019-02-28

3 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2018-01-11 · Fire 2018-01-11

7 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

14 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2019-02-28

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-04-08

D · Potential for more than minimal harm 2019-02-28

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-04-08

F · Potential for more than minimal harm 2018-01-11

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2018-02-15

E · Potential for more than minimal harm 2018-01-11

K226 · Egress Deficiencies

Fire Safety

Have horizontal exits used in accordance with safety requirements.

Corrected 2018-02-15

E · Potential for more than minimal harm 2018-01-11

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2018-02-15

D · Potential for more than minimal harm 2018-01-11

K232 · Egress Deficiencies

Fire Safety

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

Corrected 2018-02-15

D · Potential for more than minimal harm 2018-01-11

K325 · Smoke Deficiencies

Fire Safety

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

Corrected 2018-02-15

D · Potential for more than minimal harm 2018-01-11

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2018-02-15

D · Potential for more than minimal harm 2018-01-11

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2018-02-15

D · Potential for more than minimal harm 2018-01-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-02-15

D · Potential for more than minimal harm 2018-01-11

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2018-02-15

D · Potential for more than minimal harm 2018-01-11

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2018-02-15

C · Minimal harm 2018-01-11

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2018-02-15

C · Minimal harm 2018-01-11

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2018-02-15

C · Minimal harm 2018-01-11

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2018-02-15

C · Minimal harm 2018-01-11

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2018-02-15

Inspection history

Recent health citations

J · Immediate jeopardy 2020-01-24

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2019-07-10

J · Immediate jeopardy 2020-01-24

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2019-07-10

D · Potential for more than minimal harm 2020-01-24

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2020-02-17

D · Potential for more than minimal harm 2020-01-24

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 2020-02-17

F · Potential for more than minimal harm 2019-02-28

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 2019-04-03

D · Potential for more than minimal harm 2019-02-28

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2019-04-03

D · Potential for more than minimal harm 2019-02-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-04-03

F · Potential for more than minimal harm 2018-01-11

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 2018-02-15

F · Potential for more than minimal harm 2018-01-11

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2018-02-15

D · Potential for more than minimal harm 2018-01-11

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 2018-02-15

D · Potential for more than minimal harm 2018-01-11

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2018-02-15

D · Potential for more than minimal harm 2018-01-11

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-02-15

D · Potential for more than minimal harm 2018-01-11

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 2018-02-15

D · Potential for more than minimal harm 2018-01-11

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2018-02-15

Penalties and ownership

What sits behind the stars

Ownership

Ball, Clarence

5% Or Greater Direct Ownership Interest · Individual

100% 9 facilities 1998-12-11
Ball Healthcare Service, Inc

Operational/Managerial Control · Organization

0% 5 facilities 1998-12-11
Ball, Clarence

Corporate Director · Individual

0% 9 facilities 1998-12-11
Hall, Matthew

Corporate Officer · Individual

0% 21 facilities 2014-10-01
Perkins, Jeanell

W-2 Managing Employee · Individual

0% 2 facilities 2022-08-31

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Staffing
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