Bessemer, AL

Ridgeway Rehabilitation & Senior Living

2-star overall rating with 1-star inspections with abuse icon flag with $17,346 in total fines with 13 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

4201 Bessemer Super Highway, Bessemer, AL

(205) 428-3249

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Arabella Healthcare Management

Operator or chain grouping

Approved since

1967-02-02

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

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

0.51

Registered nurse staffing · state 0.64 · national 0.68

LPN hours / resident day

0.62

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.89

Nurse aide staffing · state 2.50 · national 2.35

Total nurse hours

3.02

All reported nurse hours · state 3.91 · national 3.89

Licensed hours

1.13

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

2.58

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.38

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

0.63

CMS adjusted RN staffing hours

Adjusted total hours

3.74

CMS adjusted total nurse staffing hours

Case-mix index

1.10

Higher values indicate more complex resident acuity

RN turnover

88%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

83%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,412

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

16.82

Composite VBP score used to determine payment impact.

Payment multiplier

0.9817

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

Performance 71.64% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

3.36

Baseline 3.22 hours · Performance 4.04 hours · Measure score 3.36 · Achievement 3.36 · Improvement 2.67

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.35	1.02 0.3 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 8 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	82.86%	8.2% 74.7 pts better	Numerator 58 · Denominator 70
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 217
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.4	2.0 0.6 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.6 · 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 1.0 · Expected 1.5 · Used in QM five-star
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	1.4%	3.4% 2 pts better	3.3% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 3.6% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.1%	1.3% 0.8 pts worse	11.4% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 3.9% · Q4 2.1% · 4Q avg 2.1%
Percentage of long-stay residents who lose too much weight	6.0%	5.3% 0.7 pts worse	5.4% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 6.1% · Q3 2.0% · Q4 5.9% · 4Q avg 6.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.8%	24.9% 0.1 pts better	19.6% 5.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 26.0% · Q3 22.6% · Q4 27.5% · 4Q avg 24.8%
Percentage of long-stay residents who received an antipsychotic medication	31.4%	22.8% 8.6 pts worse	16.7% 14.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 33.3% · Q3 34.4% · Q4 32.3% · 4Q avg 31.4% · 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	7.8%	14.8% 7 pts better	16.3% 8.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q3 9.6% · Q4 4.5% · 4Q avg 7.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.7%	13.4% 4.7 pts better	14.9% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 10.4% · Q3 16.0% · Q4 2.1% · 4Q avg 8.7% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
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 · Q1 0.0% · Q2 1.9% · Q3 1.8% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	6.1%	13.5% 7.4 pts better	19.8% 13.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 6.0% · Q3 5.5% · Q4 1.9% · 4Q avg 6.1%
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 · Q1 11.1% · Q2 2.3% · Q3 5.9% · Q4 3.6% · 4Q avg 5.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	85.1%	84.3% 0.8 pts better	81.7% 3.4 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 85.1%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-09 · Fire 2025-01-09

13 health deficiencies

Top issue: Environmental (2 deficiencies)

3 fire-safety deficiencies

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

Cycle 2 Health 2021-05-06 · Fire 2021-05-06

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2020-02-06 · Fire 2020-02-06

1 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-19

F · Potential for more than minimal harm 2025-01-09

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2025-02-19

D · Potential for more than minimal harm 2025-01-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-02-19

F · Potential for more than minimal harm 2020-02-06

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2020-03-13

D · Potential for more than minimal harm 2020-02-06

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2020-03-13

D · Potential for more than minimal harm 2020-02-06

K325 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-03-13

D · Potential for more than minimal harm 2020-02-06

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-03-13

Inspection history

Recent health citations

J · Immediate jeopardy 2025-05-09

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 2025-06-20

J · Immediate jeopardy 2025-05-09

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-06-20

J · Immediate jeopardy 2025-05-09

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2025-06-20

F · Potential for more than minimal harm 2025-05-09

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-06-20

E · Potential for more than minimal harm 2025-05-09

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 2025-06-20

E · Potential for more than minimal harm 2025-05-09

F924 · Environmental Deficiencies

Health

Put firmly secured handrails on each side of hallways.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-05-09

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 2025-06-20

D · Potential for more than minimal harm 2025-05-09

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-05-09

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-05-09

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-06-20

C · Minimal harm 2025-05-09

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-06-20

F · Potential for more than minimal harm 2025-01-09

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 2025-02-13

D · Potential for more than minimal harm 2025-01-09

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-13

F · Potential for more than minimal harm 2024-08-04

F925 · Environmental Deficiencies

Health

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

Corrected 2024-09-08

E · Potential for more than minimal harm 2024-08-04

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 2024-09-08