Cycle 1
Health 2021-04-11 · Fire 2021-04-11
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Hayneville, AL
Orchard Rehabilitation & Healthcare Center
4-star overall rating with 5-star inspections
629 State Highway 21 South, Hayneville, AL
(334) 548-5995
Overall
4 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
72
Certified beds
Average residents
54
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ball Healthcare Services
Operator or chain grouping
Approved since
2000-09-20
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
0.96
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
1.90
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
3.42
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.52
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.74
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.47
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
1.15
CMS adjusted RN staffing hours
Adjusted total hours
4.11
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,987
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.57
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
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
6.84
Baseline 25.53% · Performance 35.71% · Measure score 6.84 · Achievement 6.84 · Improvement 0
Adjusted total nurse staffing
2.47
Baseline 3.90 hours · Performance 3.78 hours · Measure score 2.47 · Achievement 2.47 · 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 16 · 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 17 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 17 · 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 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 8.82% |
8.2%
0.6 pts better
|
Numerator 6 · Denominator 68 |
| Staff flu vaccination coverage | 1.49% |
42%
40.5 pts worse
|
Numerator 1 · Denominator 67 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
91.3%
5.1 pts better
|
93.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 97.7% · Q3 96.0% · Q4 96.3% · 4Q avg 96.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.8% |
94.8%
1 pts better
|
95.5%
0.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.7% |
3.4%
2.3 pts worse
|
3.3%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 4.7% · Q3 6.0% · Q4 5.6% · 4Q avg 5.7% · 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 | 6.5% |
5.3%
1.2 pts worse
|
5.4%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 7.3% · Q3 6.1% · Q4 5.9% · 4Q avg 6.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.7% |
24.9%
15.2 pts better
|
19.6%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 9.8% · Q3 8.2% · Q4 10.0% · 4Q avg 9.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.0% |
22.8%
0.2 pts worse
|
16.7%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 17.2% · Q3 18.8% · Q4 33.3% · 4Q avg 23.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.6% |
0.6%
1 pts worse
|
0.1%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.3% · Q3 2.0% · Q4 0.0% · 4Q avg 1.6% |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.5% |
14.8%
0.3 pts better
|
16.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 11.6% · Q4 14.7% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.2% |
13.4%
10.8 pts worse
|
14.9%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.0% · Q2 29.4% · Q3 19.5% · Q4 14.3% · 4Q avg 24.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.6% |
1.3%
2.3 pts worse
|
1.0%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 4.6% · Q3 2.3% · Q4 3.2% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.1% |
2.6%
0.5 pts worse
|
1.7%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.7% · Q3 2.0% · Q4 1.9% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.3% |
13.5%
1.8 pts worse
|
19.8%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 22.0% · Q3 13.2% · Q4 11.0% · 4Q avg 15.3% |
| Percentage of long-stay residents with pressure ulcers | 7.7% |
5.7%
2 pts worse
|
5.1%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 12.5% · Q3 4.2% · Q4 11.8% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.0% |
84.3%
6.7 pts better
|
81.7%
9.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.9% · Q2 96.9% · Q3 100.0% · Q4 73.9% · 4Q avg 91.0% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 13.0% |
2.1%
10.9 pts worse
|
1.6%
11.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 13.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 34.4% |
80.3%
45.9 pts worse
|
79.7%
45.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 34.4% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-01-31 · Fire 2019-01-31
1 health deficiencies
Top issue: Administration (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2018-03-16 · Fire 2018-03-16
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2019-01-31
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-02-14
D · Potential for more than minimal harm
2018-03-16
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-03-22
Inspection history
Recent health citations
D · Potential for more than minimal harm
2019-01-31
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2019-03-01
J · Immediate jeopardy
2018-03-16
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2018-04-09
J · Immediate jeopardy
2018-03-16
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2018-04-09
D · Potential for more than minimal harm
2018-03-16
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2018-04-09
Penalties and ownership
What sits behind the stars
Ownership
Ball, Clarence
5% Or Greater Direct Ownership Interest · Individual
Ball, Clarence
Corporate Director · Individual
Cash, Cassandra
Operational/Managerial Control · Individual
Greene, Jacquelyn
Operational/Managerial Control · Individual
Hall, Matthew
Corporate Officer · Individual
Holt, Thomas
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
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Father Purcell Memorial Exceptional Children's Ctr
Montgomery, AL
1-star overall rating with 1-star inspections with 6 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#2
John Knox Manor Inc I I
Montgomery, AL
2-star overall rating with 3-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Capitol Hill Healthcare Center
Montgomery, AL
4-star overall rating with 4-star inspections with 1 recent health deficiencies
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