Cycle 1
Health 2021-04-15 · Fire 2021-04-15
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Piedmont, AL
Piedmont Health Care Center
5-star overall rating with 5-star inspections
30 Roundtree Drive, Piedmont, AL
(256) 447-8258
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
91
Certified beds
Average residents
84
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1977-08-01
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
Hours and turnover
RN hours / resident day
0.71
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
3.03
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.53
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.98
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.39
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.78
CMS adjusted RN staffing hours
Adjusted total hours
4.96
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,188
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.70
Composite VBP score used to determine payment impact.
Payment multiplier
0.9879
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.90% · Performance 21.23% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.40
Baseline 6.03% · Performance 7.12% · Measure score 2.40 · Achievement 2.40 · Improvement 0
Total nurse turnover
4.86
Baseline 44.68% · Performance 43.81% · Measure score 4.86 · Achievement 4.86 · Improvement 0
Adjusted total nurse staffing
6.22
Baseline 4.33 hours · Performance 4.85 hours · Measure score 6.22 · Achievement 6.22 · Improvement 3.07
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.94% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 185 · Observed rate 12.97% · Lower 95% interval 8.81% |
| Discharge to community | 58.94% |
50.57%
8.4 pts better
|
Better than the National Rate · Eligible stays 179 · Observed rate 54.75% · Lower 95% interval 51.05% |
| Medicare spending per beneficiary | 0.74 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 98.18% |
95.27%
2.9 pts better
|
Numerator 108 · Denominator 110 |
| Falls with major injury | 0.91% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 110 |
| Discharge self-care score | 54.79% |
53.69%
1.1 pts better
|
Numerator 40 · Denominator 73 |
| Discharge mobility score | 42.47% |
50.94%
8.5 pts worse
|
Numerator 31 · Denominator 73 |
| Pressure ulcers or injuries, new or worsened | 2.73% |
2.29%
0.4 pts worse
|
Numerator 3 · Denominator 110 · Adjusted rate 2.6% |
| Healthcare-associated infections requiring hospitalization | 7.12% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 120 · Observed rate 6.67% · Lower 95% interval 4.33% |
| Staff COVID-19 vaccination coverage | 5.04% |
8.2%
3.2 pts worse
|
Numerator 6 · Denominator 119 |
| Staff flu vaccination coverage | 20.14% |
42%
21.9 pts worse
|
Numerator 29 · Denominator 144 |
| Discharge function score | 57.53% |
56.45%
1.1 pts better
|
Numerator 42 · Denominator 73 |
| Transfer of health information to provider | 91.89% |
95.95%
4.1 pts worse
|
Numerator 34 · Denominator 37 |
| Transfer of health information to patient | 96.08% |
96.28%
0.2 pts worse
|
Numerator 49 · Denominator 51 |
| Resident COVID-19 vaccinations up to date | 1.67% |
25.2%
23.5 pts worse
|
Numerator 1 · Denominator 60 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
2.0
0.4 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 1.8 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.8
0.7 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
91.3%
7.6 pts better
|
93.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
94.8%
3.8 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.4%
1.6 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.5% · Q3 1.5% · Q4 2.9% · 4Q avg 1.8% · 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 | 4.2% |
5.3%
1.1 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.3% · Q3 6.5% · Q4 2.0% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 42.3% |
24.9%
17.4 pts worse
|
19.6%
22.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.8% · Q2 43.8% · Q3 42.6% · Q4 44.0% · 4Q avg 42.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.6% |
22.8%
7.2 pts better
|
16.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 19.4% · Q3 11.1% · Q4 18.9% · 4Q avg 15.6% · 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 | 22.5% |
14.8%
7.7 pts worse
|
16.3%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 26.1% · Q3 18.7% · 4Q avg 22.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.3% |
13.4%
5.9 pts worse
|
14.9%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 11.6% · Q3 25.0% · Q4 15.9% · 4Q avg 19.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
1.3%
0.6 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.6% · Q3 1.1% · Q4 1.2% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
2.6%
About the same
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 1.5% · Q3 3.1% · Q4 1.5% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.8% |
13.5%
5.3 pts worse
|
19.8%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 25.3% · Q2 15.7% · Q3 20.0% · Q4 13.6% · 4Q avg 18.8% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
5.7%
0.9 pts better
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 5.6% · Q3 3.4% · Q4 5.3% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
84.3%
14.7 pts better
|
81.7%
17.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.2% · Q3 98.4% · Q4 98.5% · 4Q avg 99.0% |
| 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 9.5% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% |
2.1%
0.1 pts worse
|
1.6%
0.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 2.3% · Q4 3.1% · 4Q avg 2.2% · 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 | 22.9% |
24.5%
1.6 pts better
|
23.9%
1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.9% · Observed 23.2% · Expected 24.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-02-14 · Fire 2019-02-14
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2018-02-15 · Fire 2018-02-15
3 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2018-02-15
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2018-03-07
D · Potential for more than minimal harm
2018-02-15
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-03-07
Inspection history
Recent health citations
F · Potential for more than minimal harm
2018-02-15
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 2018-03-08
F · Potential for more than minimal harm
2018-02-15
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2018-03-08
D · Potential for more than minimal harm
2018-02-15
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2018-03-08
Penalties and ownership
What sits behind the stars
Ownership
Keener, Sandra
W-2 Managing Employee · Individual
Piedmont Health Care Center
5% Or Greater Direct Ownership Interest · Organization
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#2
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2-star overall rating with 1-star inspections with 10 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Coosa Valley Health And Rehab
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3-star overall rating with 3-star inspections with 2 recent health deficiencies
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