Tuskegee, AL

Magnolia Haven Health And Rehabilitation Center

3-star overall rating with 3-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

603 Wright Street, Tuskegee, AL

(334) 727-4960

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

111

Certified beds

Average residents

84

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ball Healthcare Services

Operator or chain grouping

Approved since

1975-09-01

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

0.46

Registered nurse staffing · state 0.64 · national 0.68

LPN hours / resident day

0.56

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.71

Nurse aide staffing · state 2.50 · national 2.35

Total nurse hours

2.73

All reported nurse hours · state 3.91 · national 3.89

Licensed hours

1.01

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

2.34

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.26

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

0.53

CMS adjusted RN staffing hours

Adjusted total hours

3.15

CMS adjusted total nurse staffing hours

Case-mix index

1.18

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

26%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,366

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

Performance score

40.26

Composite VBP score used to determine payment impact.

Payment multiplier

0.9932

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

8.05

Baseline 31.03% · Performance 30.77% · Measure score 8.05 · Achievement 8.05 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3.09 hours · Performance 2.99 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 14 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	7.53%	42% 34.5 pts worse	Numerator 7 · Denominator 93
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 9 · 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	2.3	2.0 0.3 pts worse	1.9 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.9 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	1.8 0.3 pts better	1.8 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	44.7%	91.3% 46.6 pts worse	93.4% 48.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 41.8% · Q2 42.7% · Q3 45.6% · Q4 48.7% · 4Q avg 44.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.8%	94.8% 4 pts better	95.5% 3.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8%
Percentage of long-stay residents experiencing one or more falls with major injury	1.3%	3.4% 2.1 pts better	3.3% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.4% · Q3 1.3% · Q4 0.0% · 4Q avg 1.3% · 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	6.2%	5.3% 0.9 pts worse	5.4% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 7.7% · Q3 7.9% · Q4 4.1% · 4Q avg 6.2%
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 7.7% · Q2 7.5% · Q3 5.2% · Q4 2.6% · 4Q avg 5.8%
Percentage of long-stay residents who received an antipsychotic medication	16.6%	22.8% 6.2 pts better	16.7% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 16.9% · Q3 17.9% · Q4 14.3% · 4Q avg 16.6% · 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	8.5%	14.8% 6.3 pts better	16.3% 7.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 4.8% · Q3 12.1% · Q4 10.8% · 4Q avg 8.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.9%	13.4% 3.5 pts better	14.9% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 10.6% · Q3 14.9% · Q4 7.4% · 4Q avg 9.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.8%	1.3% 1.5 pts worse	1.0% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.9% · Q3 3.1% · Q4 2.5% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	6.7%	2.6% 4.1 pts worse	1.7% 5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 6.2% · Q3 1.3% · Q4 7.9% · 4Q avg 6.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	3.7%	13.5% 9.8 pts better	19.8% 16.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.5% · Q3 4.1% · Q4 6.6% · 4Q avg 3.7%
Percentage of long-stay residents with pressure ulcers	12.2%	5.7% 6.5 pts worse	5.1% 7.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 8.8% · Q3 12.2% · Q4 15.3% · 4Q avg 12.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.6%	84.3% 11.3 pts better	81.7% 13.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 94.3% · Q2 95.2% · Q3 97.5% · Q4 95.2% · 4Q avg 95.6%
Percentage of short-stay residents who had an outpatient emergency department visit	12.4%	11.5% 0.9 pts worse	12.0% 0.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 13.0% · Expected 11.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	2.1% 2.1 pts better	1.6% 1.6 pts better	Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	80.3% 19.7 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.6%	24.5% 1.9 pts better	23.9% 1.3 pts better	Short Stay · 20240701-20250630 · Adjusted 22.6% · Observed 21.7% · Expected 22.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-07-19 · Fire 2023-07-19

5 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2019-10-10 · Fire 2019-10-10

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2018-10-18 · Fire 2018-10-18

3 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-07-19

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-08-31

D · Potential for more than minimal harm 2023-07-19

K226 · Egress Deficiencies

Fire Safety

Have horizontal exits used in accordance with safety requirements.

Corrected 2023-08-31

D · Potential for more than minimal harm 2023-07-19

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-08-31

D · Potential for more than minimal harm 2023-07-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-08-31

D · Potential for more than minimal harm 2019-10-10

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-11-20

D · Potential for more than minimal harm 2019-10-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-11-20

D · Potential for more than minimal harm 2019-10-10

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-11-20

D · Potential for more than minimal harm 2019-10-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-11-20

D · Potential for more than minimal harm 2019-10-10

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2019-11-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2023-07-19

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 2023-08-23

D · Potential for more than minimal harm 2023-07-19

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-08-23

D · Potential for more than minimal harm 2023-07-19

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-08-23

D · Potential for more than minimal harm 2023-07-19

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-08-23

D · Potential for more than minimal harm 2023-07-19

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-08-23

C · Minimal harm 2023-07-19

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-08-23

F · Potential for more than minimal harm 2019-10-10

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 2019-11-14

D · Potential for more than minimal harm 2018-10-18

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2018-11-22

D · Potential for more than minimal harm 2018-10-18

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 2018-11-22

Penalties and ownership