2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
10 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Mc Calla, AL
3-star overall rating with 3-star inspections with 2 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
6450 Old Tuscaloosa Highway, Mc Calla, AL
(205) 477-6161
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
103
Certified beds
Average residents
100
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1971-07-01
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
RN hours / resident day
0.41
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.68
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.32
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
3.41
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.09
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.25
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.50
CMS adjusted RN staffing hours
Adjusted total hours
4.17
CMS adjusted total nurse staffing hours
Case-mix index
1.12
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
29%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
8,067
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.92
Composite VBP score used to determine payment impact.
Payment multiplier
0.9848
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Performance 21.72% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
0
Performance 8.33% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
7.68
Baseline 37.10% · Performance 32.31% · Measure score 7.68 · Achievement 7.68 · Improvement 3.41
Adjusted total nurse staffing
3.49
Baseline 3.98 hours · Performance 4.07 hours · Measure score 3.49 · Achievement 3.49 · Improvement 0.03
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.49% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 44 · Observed rate 9.09% · Lower 95% interval 6.74% |
| Discharge to community | 44.16% |
50.57%
6.4 pts worse
|
No Different than the National Rate · Eligible stays 30 · Observed rate 36.67% · Lower 95% interval 29.01% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 84.62% |
95.27%
10.6 pts worse
|
Numerator 22 · Denominator 26 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 26 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 26 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.33% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 29 · Observed rate 13.79% · Lower 95% interval 4.59% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 89 |
| Staff flu vaccination coverage | 73.86% |
42%
31.9 pts better
|
Numerator 65 · Denominator 88 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.3 |
2.0
1.3 pts worse
|
1.9
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.2 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.8
0.8 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
91.3%
7.8 pts better
|
93.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 97.6% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.9% |
94.8%
4.1 pts better
|
95.5%
3.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 10.5% |
3.4%
7.1 pts worse
|
3.3%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 9.6% · Q3 12.9% · Q4 7.6% · 4Q avg 10.5% · 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 | 7.9% |
5.3%
2.6 pts worse
|
5.4%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 5.1% · Q3 7.8% · Q4 6.8% · 4Q avg 7.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 44.1% |
24.9%
19.2 pts worse
|
19.6%
24.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 43.3% · Q3 42.2% · Q4 41.9% · 4Q avg 44.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 41.1% |
22.8%
18.3 pts worse
|
16.7%
24.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 49.0% · Q2 40.4% · Q3 39.6% · Q4 36.5% · 4Q avg 41.1% · 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 | 16.8% |
14.8%
2 pts worse
|
16.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 15.0% · Q3 16.1% · Q4 11.5% · 4Q avg 16.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.9% |
13.4%
1.5 pts worse
|
14.9%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 8.8% · Q3 13.6% · Q4 14.1% · 4Q avg 14.9% · 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 1.0% · Q2 1.0% · Q3 2.1% · Q4 3.4% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.4% |
2.6%
0.2 pts better
|
1.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.4% · Q3 2.4% · Q4 2.2% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.6% |
13.5%
3.9 pts better
|
19.8%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 9.4% · Q3 5.5% · Q4 9.2% · 4Q avg 9.6% |
| Percentage of long-stay residents with pressure ulcers | 7.2% |
5.7%
1.5 pts worse
|
5.1%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 4.8% · Q3 7.1% · Q4 8.7% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
84.3%
12.6 pts better
|
81.7%
15.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.0% · Q2 98.3% · Q3 96.9% · Q4 94.5% · 4Q avg 96.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.3% |
11.5%
4.8 pts worse
|
12.0%
4.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.3% · Observed 15.4% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 8.4% |
2.1%
6.3 pts worse
|
1.6%
6.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 4.0% · Q3 7.1% · Q4 15.0% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.4% |
80.3%
6.1 pts better
|
79.7%
6.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.8% |
24.5%
2.3 pts worse
|
23.9%
2.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.8% · Observed 23.1% · Expected 20.5% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (1 deficiency)
10 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Nursing and Physician Services (2 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-04-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-04-02
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2020-04-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-04-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-04-02
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-04-02
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-04-02
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2020-04-02
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2020-04-02
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-04-02
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-06-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-06-11
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-06-24
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-06-11
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-06-11
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-06-11
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-06-11
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2018-06-22
Fire Safety
Conduct testing and exercise requirements.
Corrected 2018-05-31
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2018-05-31
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2018-05-31
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-04-03
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2020-04-03
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-06-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-05-24
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-05-24
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2018-05-24
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2018-05-24
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2018-05-24
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2018-05-24
Health
Post nurse staffing information every day.
Corrected 2018-05-24
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
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