Cycle 1
Health 2020-03-02 · Fire 2020-03-02
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Opp, AL
Opp Health And Rehabilitation, LLC
3-star overall rating with 3-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
115 Paulk Avenue, Opp, AL
(334) 493-4558
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
197
Certified beds
Average residents
157
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Nhs Management
Operator or chain grouping
Approved since
1978-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
43 facilities
Chain averages 3 overall / 3 health / 4 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
0.43
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.67
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
3.90
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.24
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.44
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.13
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
0.48
CMS adjusted RN staffing hours
Adjusted total hours
4.33
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,982
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.59
Composite VBP score used to determine payment impact.
Payment multiplier
1.0000
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.78
Baseline 20.15% · Performance 18.29% · Measure score 6.78 · Achievement 6.78 · Improvement 5.47
Healthcare-associated infections
5.69
Baseline 5.73% · Performance 6.13% · Measure score 5.69 · Achievement 5.69 · Improvement 0
Total nurse turnover
2.69
Performance 52.70% · Measure score 2.69 · Achievement 2.69 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.48
Baseline 4.17 hours · Performance 4.07 hours · Measure score 3.48 · Achievement 3.48 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.74% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 254 · Observed rate 8.27% · Lower 95% interval 7.14% |
| Discharge to community | 47.47% |
50.57%
3.1 pts worse
|
No Different than the National Rate · Eligible stays 204 · Observed rate 42.65% · Lower 95% interval 38.87% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.19% |
95.27%
3.9 pts better
|
Numerator 122 · Denominator 123 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 123 |
| Discharge self-care score | 57.3% |
53.69%
3.6 pts better
|
Numerator 51 · Denominator 89 |
| Discharge mobility score | 44.94% |
50.94%
6 pts worse
|
Numerator 40 · Denominator 89 |
| Pressure ulcers or injuries, new or worsened | 4.07% |
2.29%
1.8 pts worse
|
Numerator 5 · Denominator 123 · Adjusted rate 4.6% |
| Healthcare-associated infections requiring hospitalization | 6.13% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 103 · Observed rate 3.88% · Lower 95% interval 3.01% |
| Staff COVID-19 vaccination coverage | 6.92% |
8.2%
1.3 pts worse
|
Numerator 11 · Denominator 159 |
| Staff flu vaccination coverage | 14.14% |
42%
27.9 pts worse
|
Numerator 28 · Denominator 198 |
| Discharge function score | 60.67% |
56.45%
4.2 pts better
|
Numerator 54 · Denominator 89 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 63 · Denominator 63 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 31 · Denominator 31 |
| Resident COVID-19 vaccinations up to date | 4.62% |
25.2%
20.6 pts worse
|
Numerator 3 · Denominator 65 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
2.0
0.8 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.8
0.6 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% |
91.3%
3.9 pts better
|
93.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 81.8% · Q2 99.3% · Q3 100.0% · Q4 100.0% · 4Q avg 95.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.5% |
94.8%
1.3 pts worse
|
95.5%
2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% |
3.4%
0.9 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 4.8% · Q3 4.3% · Q4 5.5% · 4Q avg 4.3% · 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 | 4.8% |
5.3%
0.5 pts better
|
5.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 6.6% · Q3 5.1% · Q4 4.3% · 4Q avg 4.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.0% |
24.9%
1.9 pts better
|
19.6%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 24.4% · Q3 20.0% · Q4 21.4% · 4Q avg 23.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 32.3% |
22.8%
9.5 pts worse
|
16.7%
15.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.0% · Q2 34.0% · Q3 31.5% · Q4 30.6% · 4Q avg 32.3% · 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 | 9.3% |
14.8%
5.5 pts better
|
16.3%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 8.5% · Q3 13.7% · Q4 4.2% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.2% |
13.4%
8.2 pts better
|
14.9%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 5.6% · Q3 5.8% · Q4 5.7% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
1.3%
0.5 pts worse
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.2% · Q3 2.5% · Q4 1.7% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.9% |
2.6%
2.3 pts worse
|
1.7%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 5.6% · Q3 3.6% · Q4 2.8% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.8% |
13.5%
7.7 pts better
|
19.8%
14 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.1% · Q3 7.9% · Q4 5.4% · 4Q avg 5.8% |
| Percentage of long-stay residents with pressure ulcers | 7.1% |
5.7%
1.4 pts worse
|
5.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 7.9% · Q3 7.2% · Q4 6.1% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.0% |
84.3%
9.3 pts worse
|
81.7%
6.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 48.5% · Q2 69.1% · Q3 90.2% · Q4 96.3% · 4Q avg 75.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.0% |
11.5%
4.5 pts worse
|
12.0%
4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 16.8% · Expected 11.7% · 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 1.1% · Q2 1.0% · Q3 3.2% · 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 | 65.3% |
80.3%
15 pts worse
|
79.7%
14.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 65.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 37.5% |
24.5%
13 pts worse
|
23.9%
13.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 37.5% · Observed 32.7% · Expected 20.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-05-22 · Fire 2019-05-22
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2018-07-26 · Fire 2018-07-26
2 health deficiencies
Top issue: Infection Control (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2020-03-02
E42 · Emergency Preparedness Deficiencies
Fire Safety
Meet the requirements of an integrated health system.
Corrected 2020-04-06
D · Potential for more than minimal harm
2020-03-02
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-04-06
D · Potential for more than minimal harm
2020-03-02
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-04-06
D · Potential for more than minimal harm
2020-03-02
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 2020-04-06
E · Potential for more than minimal harm
2018-07-26
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2018-09-05
E · Potential for more than minimal harm
2018-07-26
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-09-05
E · Potential for more than minimal harm
2018-07-26
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2018-09-05
D · Potential for more than minimal harm
2018-07-26
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 2018-09-05
D · Potential for more than minimal harm
2018-07-26
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2018-09-05
Inspection history
Recent health citations
F · Potential for more than minimal harm
2020-03-02
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 2020-04-05
F · Potential for more than minimal harm
2019-05-22
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 2019-06-25
D · Potential for more than minimal harm
2019-05-22
F690 · Quality of Life and Care Deficiencies
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 2019-06-25
D · Potential for more than minimal harm
2019-05-22
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-06-25
D · Potential for more than minimal harm
2018-07-26
F690 · Quality of Life and Care Deficiencies
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 2018-08-30
D · Potential for more than minimal harm
2018-07-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-08-30
Penalties and ownership
What sits behind the stars
Ownership
Nhs Operations LLC
5% Or Greater Direct Ownership Interest · Organization
Estes, James
5% Or Greater Indirect Ownership Interest · Individual
James Norman Estes Jr Tr
5% Or Greater Indirect Ownership Interest · Organization
Jennifer Lee Estes Tr 031093
5% Or Greater Indirect Ownership Interest · Organization
Baggett, Bryan
Operational/Managerial Control · Individual
Estes, James
Corporate Officer · Individual
Long, Phillip
Corporate Officer · Individual
Nhs Facilities Group LLC
5% Or Greater Security Interest · Organization
Opp Health Realty, LLC
5% Or Greater Security Interest · Organization
Perkins, Jeanell
Operational/Managerial Control · Individual
Rasco, Lynn
Operational/Managerial Control · Individual
Rasco, Lynn
Corporate Director · Individual
Regions Bank
5% Or Greater Security Interest · Organization
Richburg, Julie
Operational/Managerial Control · Individual
Richburg, Julie
Corporate Director · Individual
Servisfirst Bank
5% Or Greater Security Interest · Organization
Nearby options
Other facilities in reach
#1
Elba Nursing And Rehabilitation Center, LLC
Elba, AL
1-star overall rating with 2-star inspections with 4 recent health deficiencies
#2
Andalusia Manor
Andalusia, AL
4-star overall rating with 3-star inspections with 2 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Florala Health And Rehabilitation LLC
Florala, AL
3-star overall rating with 3-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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