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)
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
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
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
1.07
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.49
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.70
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.26
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.56
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.63
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.68
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
1.15
CMS adjusted RN staffing hours
Adjusted total hours
4.58
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
61%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
68%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,786
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.70
Composite VBP score used to determine payment impact.
Payment multiplier
0.9839
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.61
Baseline 23.21% · Performance 22.52% · Measure score 0.61 · Achievement 0 · Improvement 0.61
Healthcare-associated infections
4.50
Baseline 8.09% · Performance 6.54% · Measure score 4.50 · Achievement 4.32 · Improvement 4.50
Total nurse turnover
0
Performance 67.13% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
5.17
Baseline 4.82 hours · Performance 4.55 hours · Measure score 5.17 · Achievement 5.17 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.38% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 119 · Observed rate 10.08% · Lower 95% interval 7.51% |
| Discharge to community | 60.24% |
50.57%
9.7 pts better
|
Better than the National Rate · Eligible stays 112 · Observed rate 51.79% · Lower 95% interval 51.26% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 95.89% |
95.27%
0.6 pts better
|
Numerator 70 · Denominator 73 |
| Falls with major injury | 2.74% |
0.77%
2 pts worse
|
Numerator 2 · Denominator 73 |
| Discharge self-care score | 36.59% |
53.69%
17.1 pts worse
|
Numerator 15 · Denominator 41 |
| Discharge mobility score | 31.71% |
50.94%
19.2 pts worse
|
Numerator 13 · Denominator 41 |
| Pressure ulcers or injuries, new or worsened | 4.11% |
2.29%
1.8 pts worse
|
Numerator 3 · Denominator 73 · Adjusted rate 3.87% |
| Healthcare-associated infections requiring hospitalization | 6.54% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 68 · Observed rate 5.88% · Lower 95% interval 4.2% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 89 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 150 |
| Discharge function score | 53.66% |
56.45%
2.8 pts worse
|
Numerator 22 · Denominator 41 |
| Transfer of health information to provider | 97.5% |
95.95%
1.5 pts better
|
Numerator 39 · Denominator 40 |
| Transfer of health information to patient | 96.43% |
96.28%
0.2 pts better
|
Numerator 27 · Denominator 28 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 37 |
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 0.4% |
3.4%
3 pts better
|
3.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · 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 | 7.5% |
5.3%
2.2 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 6.5% · Q3 10.9% · Q4 5.2% · 4Q avg 7.5% |
| 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 · Q1 8.9% · Q2 8.1% · Q3 8.8% · Q4 8.6% · 4Q avg 8.6% |
| 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 · Q1 23.4% · Q2 26.5% · Q3 28.3% · Q4 26.7% · 4Q avg 26.2% · 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 | 9.8% |
14.8%
5 pts better
|
16.3%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.8% · Used in QM five-star |
| 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 · Q1 12.0% · Q2 5.5% · Q3 16.0% · Q4 3.7% · 4Q avg 9.1% · Used in QM five-star |
| 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 · Q1 1.2% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| 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 · Q1 1.6% · Q2 4.3% · Q3 3.1% · Q4 4.3% · 4Q avg 3.4% · Used in QM five-star |
| 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 · Q1 6.3% · Q2 10.8% · Q3 7.5% · Q4 4.3% · 4Q avg 7.2% |
| 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 · Q1 9.6% · Q2 3.0% · Q3 1.4% · Q4 3.7% · 4Q avg 4.4% · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 · Adjusted 19.0% · Observed 20.8% · Expected 12.2% · Used in QM five-star |
| 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 · Q1 0.8% · Q2 0.7% · Q3 0.7% · Q4 0.7% · 4Q avg 0.7% · Used in QM five-star |
| 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 · 4Q avg 100.0% |
| 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 · Adjusted 25.1% · Observed 28.6% · Expected 27.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
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
Estes, James
5% Or Greater Indirect Ownership Interest · Individual
James N Estes Jr Family Dynasty Tr No 2
5% Or Greater Indirect Ownership Interest · Organization
Jennifer E Agee Family Dynasty Tr No 2
5% Or Greater Indirect Ownership Interest · Organization
James Norman Estes Jr Tr
5% Or Greater Indirect Ownership Interest · Organization
Jennifer Lee Estes Tr 031093
5% Or Greater Indirect Ownership Interest · Organization
Capital Funding LLC
5% Or Greater Security Interest · Organization
Capital Funding LLC
5% Or Greater Mortgage Interest · Organization
Estes, James
Corporate Officer · Individual
Freeman, Jeanne
Operational/Managerial Control · Individual
Freeman, Jeanne
W-2 Managing Employee · Individual
Holding Facilities Group LLC
5% Or Greater Security Interest · Organization
Long, Phillip
Corporate Officer · Individual
Macdonald-Lamier, Starann
Operational/Managerial Control · Individual
Macdonald-Lamier, Starann
Corporate Director · Individual
Macdonald-Lamier, Starann
W-2 Managing Employee · Individual
Palm Gardens Health Realty LLC
5% Or Greater Security Interest · Organization
Rasco, Lynn
Operational/Managerial Control · Individual
Rasco, Lynn
Corporate Director · Individual
Servisfirst Bank
5% Or Greater Security Interest · Organization
Simmons, Alice
Operational/Managerial Control · Individual
Simmons, Alice
Corporate Director · Individual
Nearby options
Other facilities in reach
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Ashland Place Health And Rehabilitation, LLC
Mobile, AL
3-star overall rating with 3-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Arabella Health & Wellness Of Mobile
Mobile, AL
3-star overall rating with 3-star inspections with 2 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Little Sisters Of The Poor Sacred Heart Residence
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5-star overall rating with 5-star inspections with 1 recent health deficiencies
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