1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Ozark, AL
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
929 Mixon School Road, Ozark, AL
(334) 774-2631
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
138
Certified beds
Average residents
103
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1978-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.60
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.45
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.26
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
3.30
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.04
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.71
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.72
CMS adjusted RN staffing hours
Adjusted total hours
3.99
CMS adjusted total nurse staffing hours
Case-mix index
1.13
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
4,155
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.09
Composite VBP score used to determine payment impact.
Payment multiplier
0.9940
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
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
1.66
Baseline 6.22% · Performance 7.34% · Measure score 1.66 · Achievement 1.66 · Improvement 0
Total nurse turnover
7.99
Baseline 30.38% · Performance 31.03% · Measure score 7.99 · Achievement 7.99 · Improvement 0
Adjusted total nurse staffing
2.68
Baseline 4.13 hours · Performance 3.84 hours · Measure score 2.68 · Achievement 2.68 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.88% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 54 · Observed rate 5.56% · Lower 95% interval 6.78% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.28 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 92.5% |
95.27%
2.8 pts worse
|
Numerator 37 · Denominator 40 |
| Falls with major injury | 7.5% |
0.77%
6.7 pts worse
|
Numerator 3 · Denominator 40 |
| Discharge self-care score | 29.63% |
53.69%
24.1 pts worse
|
Numerator 8 · Denominator 27 |
| Discharge mobility score | 59.26% |
50.94%
8.3 pts better
|
Numerator 16 · Denominator 27 |
| Pressure ulcers or injuries, new or worsened | 10% |
2.29%
7.7 pts worse
|
Numerator 4 · Denominator 40 · Adjusted rate 7.05% |
| Healthcare-associated infections requiring hospitalization | 7.34% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 29 · Observed rate 6.9% · Lower 95% interval 4.26% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 124 |
| Staff flu vaccination coverage | 8.63% |
42%
33.4 pts worse
|
Numerator 12 · Denominator 139 |
| Discharge function score | 55.56% |
56.45%
0.9 pts worse
|
Numerator 15 · Denominator 27 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · 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 | 4.76% |
25.2%
20.4 pts worse
|
Numerator 1 · Denominator 21 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.0
0.3 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.3 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
1.8
0.8 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.2 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
91.3%
7.7 pts better
|
93.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 99.0% · Q3 99.0% · Q4 99.0% · 4Q avg 99.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
94.8%
4.2 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.4%
1.7 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.0% · Q3 1.0% · Q4 1.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.6% |
1.3%
2.3 pts worse
|
11.4%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 5.5% · Q4 5.6% · 4Q avg 3.6% |
| Percentage of long-stay residents who lose too much weight | 5.1% |
5.3%
0.2 pts better
|
5.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 3.3% · Q3 4.3% · Q4 4.5% · 4Q avg 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.9% |
24.9%
2 pts better
|
19.6%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 22.4% · Q3 21.1% · Q4 22.1% · 4Q avg 22.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.8% |
22.8%
2 pts better
|
16.7%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 25.0% · Q3 20.0% · Q4 18.2% · 4Q avg 20.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.0% |
0.6%
0.4 pts worse
|
0.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 1.0% · Q4 1.0% · 4Q avg 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.7% |
14.8%
1.1 pts better
|
16.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 7.0% · Q3 11.1% · Q4 7.7% · 4Q avg 13.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.4% |
13.4%
5 pts worse
|
14.9%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.9% · Q2 19.1% · Q3 12.8% · Q4 9.2% · 4Q avg 18.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
1.3%
1.1 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
2.6%
2.3 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.9% |
13.5%
5.6 pts better
|
19.8%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 3.3% · Q3 8.1% · Q4 5.1% · 4Q avg 7.9% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
5.7%
0.5 pts better
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 5.1% · Q3 5.3% · Q4 5.9% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.3% |
84.3%
1 pts worse
|
81.7%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q2 90.0% · Q3 86.4% · 4Q avg 83.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.6% |
11.5%
1.9 pts better
|
12.0%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.6% · Observed 10.3% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.1% |
2.1%
1 pts worse
|
1.6%
1.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.3% |
80.3%
11 pts better
|
79.7%
11.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 10.4% |
24.5%
14.1 pts better
|
23.9%
13.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.4% · Observed 10.3% · Expected 23.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (1 deficiency)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Nutrition and Dietary (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-08-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-16
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-08-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-16
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-08-16
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 2019-12-24
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2019-12-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-12-24
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2018-12-24
Fire Safety
Provide properly protected cooking facilities.
Corrected 2018-12-24
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2018-12-24
Inspection history
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-08-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-12-19
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-12-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-12-20
Health
Dispose of garbage and refuse properly.
Corrected 2018-12-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2018-12-20
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-12-20
Health
Provide and implement an infection prevention and control program.
Corrected 2018-12-20
Penalties and ownership
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
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