Mobile, AL

Palm Gardens Health And Rehabilitation, LLC

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

3104 Dauphin Square Connector, Mobile, AL

(251) 450-2800

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

90

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Nhs Management

Operator or chain grouping

Approved since

1989-10-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.07

Registered nurse staffing

LPN hours / resident day

0.49

Licensed practical nurse staffing

Aide hours / resident day

2.70

Nurse aide staffing

Weekend hours

3.63

Weekend nurse staffing

RN turnover

61%

Annual RN turnover

Total nurse turnover

68%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.3%
8.7 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 0.4%
3.4%
3 pts better
3.3%
2.9 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 7.5%
5.3%
2.2 pts worse
5.4%
2.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.6%
24.9%
16.3 pts better
19.6%
11 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 26.2%
22.8%
3.4 pts worse
16.7%
9.5 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 9.8%
14.8%
5 pts better
16.3%
6.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 9.1%
13.4%
4.3 pts better
14.9%
5.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
1.3%
0.7 pts better
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.4%
2.6%
0.8 pts worse
1.7%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 7.2%
13.5%
6.3 pts better
19.8%
12.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.4%
5.7%
1.3 pts better
5.1%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
84.3%
15.7 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 19.0%
11.5%
7.5 pts worse
12.0%
7 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.7%
2.1%
1.4 pts better
1.6%
0.9 pts better
Short Stay · 2024Q4-2025Q3
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
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.1%
24.5%
0.6 pts worse
23.9%
1.2 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2021-07-16 · Fire 2021-07-16

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2019-11-14 · Fire 2019-11-14

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2018-09-13 · Fire 2018-09-13

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

6 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2021-07-16

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2021-07-30

D · Potential for more than minimal harm 2021-07-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-07-30

D · Potential for more than minimal harm 2021-07-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-08-01

D · Potential for more than minimal harm 2021-07-16

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-08-01

D · Potential for more than minimal harm 2019-11-14

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2019-12-13

D · Potential for more than minimal harm 2019-11-14

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2019-12-13

D · Potential for more than minimal harm 2019-11-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-12-13

D · Potential for more than minimal harm 2019-11-14

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-12-13

F · Potential for more than minimal harm 2018-09-13

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2018-10-15

E · Potential for more than minimal harm 2018-09-13

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2018-10-15

D · Potential for more than minimal harm 2018-09-13

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2018-10-15

D · Potential for more than minimal harm 2018-09-13

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 2018-10-15

D · Potential for more than minimal harm 2018-09-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2018-10-15

C · Minimal harm 2018-09-13

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2018-10-15

Inspection history

Recent health citations

F · Potential for more than minimal harm 2018-09-13

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 2018-10-15

D · Potential for more than minimal harm 2018-09-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-10-15

D · Potential for more than minimal harm 2018-09-13

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 2018-10-15

D · Potential for more than minimal harm 2018-09-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2018-10-15

Penalties and ownership

What sits behind the stars

Ownership

Northport Holding Operations, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 16 facilities 2013-03-29
Estes, James

5% Or Greater Indirect Ownership Interest · Individual

51% 45 facilities 2013-03-29
James N Estes Jr Family Dynasty Tr No 2

5% Or Greater Indirect Ownership Interest · Organization

18% 24 facilities 2013-03-29
Jennifer E Agee Family Dynasty Tr No 2

5% Or Greater Indirect Ownership Interest · Organization

18% 24 facilities 2013-03-29
James Norman Estes Jr Tr

5% Or Greater Indirect Ownership Interest · Organization

6% 42 facilities 2013-06-30
Jennifer Lee Estes Tr 031093

5% Or Greater Indirect Ownership Interest · Organization

6% 42 facilities 2013-06-30
Capital Funding LLC

5% Or Greater Security Interest · Organization

0% 22 facilities 2013-07-01
Capital Funding LLC

5% Or Greater Mortgage Interest · Organization

0% 22 facilities 2013-07-01
Estes, James

Corporate Officer · Individual

0% 45 facilities 2013-03-29
Freeman, Jeanne

Operational/Managerial Control · Individual

0% 2 facilities 2023-10-02
Freeman, Jeanne

W-2 Managing Employee · Individual

0% 2 facilities 2023-10-02
Holding Facilities Group LLC

5% Or Greater Security Interest · Organization

0% 10 facilities 2013-07-01
Long, Phillip

Corporate Officer · Individual

0% 46 facilities 2019-10-01
Macdonald-Lamier, Starann

Operational/Managerial Control · Individual

0% 4 facilities 2023-08-28
Macdonald-Lamier, Starann

Corporate Director · Individual

0% 4 facilities 2023-08-28
Macdonald-Lamier, Starann

W-2 Managing Employee · Individual

0% 4 facilities 2023-09-22
Palm Gardens Health Realty LLC

5% Or Greater Security Interest · Organization

0% 1 facilities 2013-07-01
Rasco, Lynn

Operational/Managerial Control · Individual

0% 45 facilities 2022-07-01
Rasco, Lynn

Corporate Director · Individual

0% 45 facilities 2022-07-01
Servisfirst Bank

5% Or Greater Security Interest · Organization

0% 21 facilities 2018-08-29
Simmons, Alice

Operational/Managerial Control · Individual

0% 5 facilities 2024-01-22
Simmons, Alice

Corporate Director · Individual

0% 5 facilities 2024-01-22

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Health
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Staffing
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