Eight Mile, AL

Pine Haven Rehabilitation And Wellness Center

2-star overall rating with 2-star inspections with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

4525 St Stephens Road, Eight Mile, AL

(251) 452-0996

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

172

Certified beds

Average residents

145

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Norbert Bennett & Donald Denz

Operator or chain grouping

Approved since

1978-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.37

Registered nurse staffing

LPN hours / resident day

0.61

Licensed practical nurse staffing

Aide hours / resident day

2.25

Nurse aide staffing

Weekend hours

2.97

Weekend nurse staffing

RN turnover

31%

Annual RN turnover

Total nurse turnover

44%

Annual nurse turnover

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
Number of outpatient emergency department visits per 1000 long-stay resident days	2.2	1.8 0.4 pts worse	1.8 0.4 pts worse	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	90.6%	91.3% 0.7 pts worse	93.4% 2.8 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	86.7%	94.8% 8.1 pts worse	95.5% 8.8 pts worse	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	5.3%	3.4% 1.9 pts worse	3.3% 2 pts worse	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	5.8%	5.3% 0.5 pts worse	5.4% 0.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.1%	24.9% 13.8 pts better	19.6% 8.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	45.0%	22.8% 22.2 pts worse	16.7% 28.3 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	9.7%	14.8% 5.1 pts better	16.3% 6.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	12.1%	13.4% 1.3 pts better	14.9% 2.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	1.3% 0.8 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	0.9%	2.6% 1.7 pts better	1.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	9.1%	13.5% 4.4 pts better	19.8% 10.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	5.8%	5.7% 0.1 pts worse	5.1% 0.7 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	57.3%	84.3% 27 pts worse	81.7% 24.4 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	10.7%	11.5% 0.8 pts better	12.0% 1.3 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	1.9%	2.1% 0.2 pts better	1.6% 0.3 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	32.7%	80.3% 47.6 pts worse	79.7% 47 pts worse	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.2%	24.5% 1.3 pts better	23.9% 0.7 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-10-19 · Fire 2022-10-19

9 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2021-06-08 · Fire 2021-06-08

8 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2019-04-11 · Fire 2019-04-11

8 health deficiencies

Top issue: Resident Rights (4 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2022-10-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-11-23

E · Potential for more than minimal harm 2022-10-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-23

D · Potential for more than minimal harm 2022-10-19

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-11-23

D · Potential for more than minimal harm 2022-10-19

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-11-23

D · Potential for more than minimal harm 2022-10-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-11-23

D · Potential for more than minimal harm 2022-10-19

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-11-23

D · Potential for more than minimal harm 2022-10-19

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-11-23

D · Potential for more than minimal harm 2022-10-19

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 2022-11-23

D · Potential for more than minimal harm 2022-10-19

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-11-23

E · Potential for more than minimal harm 2021-06-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-06-16

E · Potential for more than minimal harm 2019-04-11

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-05-23

E · Potential for more than minimal harm 2019-04-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-05-23

D · Potential for more than minimal harm 2019-04-11

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2019-05-23

D · Potential for more than minimal harm 2019-04-11

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2019-05-23

D · Potential for more than minimal harm 2019-04-11

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-05-24

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-05-31

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-07-05

E · Potential for more than minimal harm 2022-10-19

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2022-11-23

D · Potential for more than minimal harm 2022-10-19

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2022-11-23

D · Potential for more than minimal harm 2022-10-19

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2022-11-23

D · Potential for more than minimal harm 2022-10-19

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-11-23

D · Potential for more than minimal harm 2022-10-19

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2022-11-23

D · Potential for more than minimal harm 2022-10-19

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 2022-11-23

D · Potential for more than minimal harm 2022-10-19

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-11-23

D · Potential for more than minimal harm 2022-10-19

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-11-23

D · Potential for more than minimal harm 2022-10-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-11-23

F · Potential for more than minimal harm 2021-06-08

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2021-07-09

F · Potential for more than minimal harm 2021-06-08

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2021-07-09

D · Potential for more than minimal harm 2021-06-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2021-07-09

D · Potential for more than minimal harm 2021-06-08

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2021-07-09

D · Potential for more than minimal harm 2021-06-08

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-07-09

D · Potential for more than minimal harm 2021-06-08

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2021-07-09

D · Potential for more than minimal harm 2021-06-08

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2021-07-09

D · Potential for more than minimal harm 2019-04-11

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2019-05-16

D · Potential for more than minimal harm 2019-04-11

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2019-05-16

D · Potential for more than minimal harm 2019-04-11

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-05-16

D · Potential for more than minimal harm 2019-04-11

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2019-05-16

D · Potential for more than minimal harm 2019-04-11

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2019-05-16

D · Potential for more than minimal harm 2019-04-11

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2019-05-16

D · Potential for more than minimal harm 2019-04-11

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2019-05-16

D · Potential for more than minimal harm 2019-04-11

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 2019-05-16

Penalties and ownership