Cycle 1
Health 2019-10-17 · Fire 2019-10-17
2 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Gadsden, AL
Northside Health Care
3-star overall rating with 3-star inspections with $340,800 in total fines with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
700 Hutchins Avenue, Gadsden, AL
(256) 543-7101
Overall
3 / 5
CMS overall stars
Health inspections
3 / 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
115
Certified beds
Average residents
108
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Venza Care Management
Operator or chain grouping
Approved since
1978-08-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
21 facilities
Chain averages 3 overall / 3 health / 4 staffing / 2 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
0.66
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.65
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
3.04
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.35
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.31
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.69
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.76
CMS adjusted RN staffing hours
Adjusted total hours
5.00
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,504
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.68
Composite VBP score used to determine payment impact.
Payment multiplier
0.9926
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.32
Baseline 22.20% · Performance 18.67% · Measure score 6.32 · Achievement 5.95 · Improvement 6.32
Healthcare-associated infections
5.68
Baseline 10.81% · Performance 7.22% · Measure score 5.68 · Achievement 2.07 · Improvement 5.68
Total nurse turnover
0.59
Baseline 73.33% · Performance 68.07% · Measure score 0.59 · Achievement 0 · Improvement 0.59
Adjusted total nurse staffing
3.28
Baseline 3.54 hours · Performance 4.01 hours · Measure score 3.28 · Achievement 3.28 · Improvement 1.62
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.77% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 75 · Observed rate 6.67% · Lower 95% interval 6.5% |
| Discharge to community | 47.07% |
50.57%
3.5 pts worse
|
No Different than the National Rate · Eligible stays 57 · Observed rate 35.09% · Lower 95% interval 35.64% |
| Medicare spending per beneficiary | 1.35 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 59 · Denominator 59 |
| Falls with major injury | 1.69% |
0.77%
0.9 pts worse
|
Numerator 1 · Denominator 59 |
| Discharge self-care score | 54.29% |
53.69%
0.6 pts better
|
Numerator 19 · Denominator 35 |
| Discharge mobility score | 62.86% |
50.94%
11.9 pts better
|
Numerator 22 · Denominator 35 |
| Pressure ulcers or injuries, new or worsened | 3.39% |
2.29%
1.1 pts worse
|
Numerator 2 · Denominator 59 · Adjusted rate 3.12% |
| Healthcare-associated infections requiring hospitalization | 7.22% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 54 · Observed rate 7.41% · Lower 95% interval 4.61% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 162 |
| Staff flu vaccination coverage | 15.44% |
42%
26.6 pts worse
|
Numerator 23 · Denominator 149 |
| Discharge function score | 57.14% |
56.45%
0.7 pts better
|
Numerator 20 · Denominator 35 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 31 · Denominator 31 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 33.33% |
25.2%
8.1 pts better
|
Numerator 12 · Denominator 36 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.0
0.6 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.6 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.8
1.1 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.0% |
91.3%
4.7 pts better
|
93.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.8% · Q3 95.5% · Q4 90.6% · 4Q avg 96.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.8%
5.2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% |
3.4%
1.1 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 4.9% · Q3 4.5% · Q4 5.2% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
1.3%
1 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 1.1% |
5.3%
4.2 pts better
|
5.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.7% · Q4 1.3% · 4Q avg 1.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.8% |
24.9%
4.1 pts better
|
19.6%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 17.7% · Q3 23.0% · Q4 23.8% · 4Q avg 20.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 32.2% |
22.8%
9.4 pts worse
|
16.7%
15.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 36.4% · Q3 30.4% · Q4 28.9% · 4Q avg 32.2% · 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 | 11.5% |
14.8%
3.3 pts better
|
16.3%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 16.4% · Q3 4.9% · Q4 2.5% · 4Q avg 11.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.5% |
13.4%
3.1 pts worse
|
14.9%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 14.8% · Q3 20.3% · Q4 15.2% · 4Q avg 16.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.3%
0.8 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 0.9% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
2.6%
1.4 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.1% · Q4 2.1% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.8% |
13.5%
3.7 pts better
|
19.8%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 9.8% · Q3 14.6% · Q4 10.1% · 4Q avg 9.8% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
5.7%
0.2 pts better
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 6.5% · Q3 4.9% · Q4 6.0% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.4% |
84.3%
7.1 pts better
|
81.7%
9.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.6% · Q2 94.9% · Q3 95.0% · Q4 82.7% · 4Q avg 91.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.2% |
11.5%
0.7 pts worse
|
12.0%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.2% · Observed 14.1% · Expected 12.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
2.1%
0.7 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 2.5% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.0% |
80.3%
14.7 pts better
|
79.7%
15.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.8% |
24.5%
3.7 pts better
|
23.9%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 25.0% · Expected 28.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2018-09-06 · Fire 2018-09-06
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2017-08-17 · Fire 2017-08-17
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2019-10-17
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-11-22
D · Potential for more than minimal harm
2019-10-17
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2019-11-22
D · Potential for more than minimal harm
2019-10-17
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-11-22
D · Potential for more than minimal harm
2019-10-17
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-11-22
D · Potential for more than minimal harm
2018-09-06
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2018-10-16
D · Potential for more than minimal harm
2018-09-06
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-09-28
D · Potential for more than minimal harm
2018-09-06
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2018-09-28
D · Potential for more than minimal harm
2017-08-17
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2017-08-22
Inspection history
Recent health citations
F · Potential for more than minimal harm
2019-10-17
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 2019-11-21
D · Potential for more than minimal harm
2019-10-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-21
F · Potential for more than minimal harm
2018-09-06
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 2018-09-29
D · Potential for more than minimal harm
2018-09-06
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-09-29
D · Potential for more than minimal harm
2018-09-06
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 2018-09-29
D · Potential for more than minimal harm
2018-09-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-09-29
F · Potential for more than minimal harm
2017-08-17
F371 · Nutrition and Dietary Deficiencies
Health
Store, cook, and serve food in a safe and clean way.
Corrected 2017-09-07
E · Potential for more than minimal harm
2017-08-17
F323 · Environmental Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Corrected 2017-09-07
E · Potential for more than minimal harm
2017-08-17
F493 · Administration Deficiencies
Health
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
Corrected 2017-09-07
D · Potential for more than minimal harm
2017-08-17
F279 · Resident Assessment and Care Planning Deficiencies
Health
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2017-09-07
D · Potential for more than minimal harm
2017-08-17
F280 · Resident Assessment and Care Planning Deficiencies
Health
Allow residents the right to participate in the planning or revision of care and treatment.
Corrected 2017-09-07
D · Potential for more than minimal harm
2017-08-17
F282 · Quality of Life and Care Deficiencies
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2017-09-07
Penalties and ownership
What sits behind the stars
$340,800
2025-07-26
Fine
Fine · fine $340,800
Fine
Ownership
Aop SNF Operations Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Aop Opco Manager LLC
Operational/Managerial Control · Organization
Ch Aop Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Herzka, Yisroel
5% Or Greater Indirect Ownership Interest · Individual
Moses Strauss Family 2022 Trust
5% Or Greater Indirect Ownership Interest · Organization
Ms Aop Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Ss Aop Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Strauss, Susan
Operational/Managerial Control · Individual
Strauss, Susan
Corporate Officer · Individual
Susan Strauss Family 2022 Trust
5% Or Greater Indirect Ownership Interest · Organization
Taylor, Tina
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Gadsden Health And Rehab Center
Gadsden, AL
3-star overall rating with 3-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Mcguffey Health & Rehabilitation Center
Gadsden, AL
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Coosa Valley Health And Rehab
Glencoe, AL
3-star overall rating with 3-star inspections with 2 recent health deficiencies
Jump out