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.
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
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
Chain footprint
10 facilities
Chain averages 3 overall / 3 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
0.51
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
1.23
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.53
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.27
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.74
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.53
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.25
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
0.55
CMS adjusted RN staffing hours
Adjusted total hours
4.62
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,673
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.98
Composite VBP score used to determine payment impact.
Payment multiplier
0.9920
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.98
Baseline 23.23% · Performance 22.31% · Measure score 0.98 · Achievement 0 · Improvement 0.98
Healthcare-associated infections
6.20
Baseline 11.14% · Performance 7.02% · Measure score 6.20 · Achievement 2.71 · Improvement 6.20
Total nurse turnover
6.41
Performance 37.50% · Measure score 6.41 · Achievement 6.41 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
2.01
Baseline 4.49 hours · Performance 3.65 hours · Measure score 2.01 · Achievement 2.01 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.23% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 40 · Observed rate 7.5% · Lower 95% interval 6.83% |
| Discharge to community | 47.87% |
50.57%
2.7 pts worse
|
No Different than the National Rate · Eligible stays 33 · Observed rate 39.39% · Lower 95% interval 35.62% |
| Medicare spending per beneficiary | 1.21 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 28 · Denominator 28 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 28 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 28 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.02% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 29 · Observed rate 6.9% · Lower 95% interval 3.62% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 83 |
| Staff flu vaccination coverage | 10.78% |
42%
31.2 pts worse
|
Numerator 11 · Denominator 102 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
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 · Adjusted 1.9 · Observed 2.3 · Expected 2.3 · Used in QM five-star |
| 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 · Adjusted 3.1 · Observed 3.3 · Expected 1.7 · Used in QM five-star |
| 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 · Q1 98.2% · Q2 87.5% · Q3 79.3% · Q4 75.0% · 4Q avg 85.0% |
| 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 · 4Q avg 91.8% |
| 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 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| 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 · Q1 5.8% · Q2 4.1% · Q3 3.8% · Q4 8.0% · 4Q avg 5.4% |
| 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 · Q1 9.4% · Q2 2.0% · Q3 3.7% · Q4 7.8% · 4Q avg 5.8% |
| 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 · Q1 9.3% · Q2 13.6% · Q3 12.2% · Q4 11.9% · 4Q avg 11.8% · 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 | 22.7% |
14.8%
7.9 pts worse
|
16.3%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.7% · Used in QM five-star |
| 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 · Q1 25.0% · Q2 19.0% · Q3 22.2% · Q4 22.0% · 4Q avg 22.1% · Used in QM five-star |
| 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 · Q1 6.6% · Q2 3.7% · Q3 0.8% · Q4 2.3% · 4Q avg 3.3% · Used in QM five-star |
| 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 · Q1 9.1% · Q2 5.5% · Q3 8.8% · Q4 9.1% · 4Q avg 8.1% · Used in QM five-star |
| 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 · Q1 15.8% · Q2 23.0% · Q3 18.1% · Q4 11.8% · 4Q avg 17.0% |
| 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 · Q1 4.7% · Q2 12.1% · Q3 3.6% · Q4 2.5% · 4Q avg 5.7% · Used in QM five-star |
| 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 · Q1 28.6% · Q2 25.0% · Q3 12.5% · Q4 4.2% · 4Q avg 17.2% |
| 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 · 4Q avg 7.1% · Used in QM five-star |
| 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 · 4Q avg 12.0% |
Survey summary
Recent inspection cycles
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
Ball Healthcare Service, Inc
Operational/Managerial Control · Organization
Ball, Clarence
Corporate Director · Individual
Hall, Matthew
Corporate Officer · Individual
Perkins, Jeanell
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
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Arabella Health And Wellness Of Selma
Selma, AL
2-star overall rating with 2-star inspections with abuse icon flag with $203,450 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Park Place
Selma, AL
2-star overall rating with 2-star inspections with 5 recent health deficiencies
#3
Southland Nursing Home
Marion, AL
5-star overall rating with 4-star inspections with $5,244 in total fines with 2 recent health deficiencies
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