Cycle 1
Health 2022-06-16 · Fire 2022-06-16
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Alabaster, AL
Shelby Ridge Nursing Home
1-star overall rating with 2-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
881 3rd Street Northeast, Alabaster, AL
(205) 620-8500
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
131
Certified beds
Average residents
125
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Rehab Select
Operator or chain grouping
Approved since
1991-01-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 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
0.39
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
1.39
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
3.41
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
5.20
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.78
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
4.53
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
0.05
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.43
CMS adjusted RN staffing hours
Adjusted total hours
5.70
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
61%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,135
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.15
Composite VBP score used to determine payment impact.
Payment multiplier
0.9941
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.47
Baseline 18.67% · Performance 20.75% · Measure score 1.47 · Achievement 1.47 · Improvement 0
Healthcare-associated infections
6.94
Baseline 5.54% · Performance 5.76% · Measure score 6.94 · Achievement 6.94 · Improvement 0
Total nurse turnover
1.03
Baseline 67.33% · Performance 60.85% · Measure score 1.03 · Achievement 0.69 · Improvement 1.03
Adjusted total nurse staffing
7.02
Baseline 5.54 hours · Performance 5.08 hours · Measure score 7.02 · Achievement 7.02 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.65% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 78 · Observed rate 10.26% · Lower 95% interval 7% |
| Discharge to community | 47.76% |
50.57%
2.8 pts worse
|
No Different than the National Rate · Eligible stays 64 · Observed rate 43.75% · Lower 95% interval 37.92% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 38 · Denominator 38 |
| Falls with major injury | 2.63% |
0.77%
1.9 pts worse
|
Numerator 1 · Denominator 38 |
| Discharge self-care score | 51.85% |
53.69%
1.8 pts worse
|
Numerator 14 · Denominator 27 |
| Discharge mobility score | 22.22% |
50.94%
28.7 pts worse
|
Numerator 6 · Denominator 27 |
| Pressure ulcers or injuries, new or worsened | 2.63% |
2.29%
0.3 pts worse
|
Numerator 1 · Denominator 38 · Adjusted rate 2.85% |
| Healthcare-associated infections requiring hospitalization | 5.76% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 44 · Observed rate 0% · Lower 95% interval 3.21% |
| Staff COVID-19 vaccination coverage | 17.39% |
8.2%
9.2 pts better
|
Numerator 36 · Denominator 207 |
| Staff flu vaccination coverage | 6.91% |
42%
35.1 pts worse
|
Numerator 23 · Denominator 333 |
| Discharge function score | 29.63% |
56.45%
26.8 pts worse
|
Numerator 8 · Denominator 27 |
| 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 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 13.04% |
25.2%
12.2 pts worse
|
Numerator 3 · Denominator 23 |
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 2.1 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.7 |
1.8
1.9 pts worse
|
1.8
1.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 3.6 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.2% |
91.3%
4.9 pts better
|
93.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.5% · Q2 94.8% · Q3 98.3% · Q4 97.2% · 4Q avg 96.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.3% |
94.8%
0.5 pts worse
|
95.5%
1.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
3.4%
1.4 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.6% · Q3 1.7% · Q4 0.9% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.2% |
1.3%
1.9 pts worse
|
11.4%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 2.9% · Q3 2.8% · Q4 1.1% · 4Q avg 3.2% |
| Percentage of long-stay residents who lose too much weight | 8.8% |
5.3%
3.5 pts worse
|
5.4%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 5.9% · Q3 18.2% · Q4 6.4% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.7% |
24.9%
4.2 pts better
|
19.6%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.2% · Q2 21.6% · Q3 19.8% · Q4 21.1% · 4Q avg 20.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.7% |
22.8%
1.1 pts better
|
16.7%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.0% · Q2 30.1% · Q3 16.2% · Q4 11.4% · 4Q avg 21.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.7% |
0.6%
0.1 pts worse
|
0.1%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.9% · Q4 0.9% · 4Q avg 0.7% |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.1% |
14.8%
7.3 pts worse
|
16.3%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 39.3% · Q3 13.4% · Q4 20.1% · 4Q avg 22.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.9% |
13.4%
2.5 pts better
|
14.9%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 10.5% · Q3 12.9% · Q4 13.6% · 4Q avg 10.9% · 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 0.7% · Q2 0.0% · Q3 0.6% · Q4 0.8% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.2% |
2.6%
0.6 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 6.1% · Q3 0.0% · Q4 1.9% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.8% |
13.5%
5.7 pts better
|
19.8%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 10.4% · Q3 3.2% · Q4 10.9% · 4Q avg 7.8% |
| Percentage of long-stay residents with pressure ulcers | 10.1% |
5.7%
4.4 pts worse
|
5.1%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 12.5% · Q3 10.8% · Q4 8.9% · 4Q avg 10.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.3% |
84.3%
About the same
|
81.7%
2.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 73.3% · Q2 79.0% · Q3 91.0% · Q4 95.2% · 4Q avg 84.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.6% |
11.5%
7.1 pts worse
|
12.0%
6.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 21.6% · Expected 13.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
2.1%
1.8 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.6% |
80.3%
3.7 pts worse
|
79.7%
3.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.2% |
24.5%
5.7 pts worse
|
23.9%
6.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.2% · Observed 32.4% · Expected 25.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-12-12 · Fire 2019-12-12
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2018-10-26 · Fire 2018-10-26
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2022-06-16
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 2022-07-04
E · Potential for more than minimal harm
2022-06-16
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-07-04
D · Potential for more than minimal harm
2022-06-16
K343 · Smoke Deficiencies
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2022-07-04
D · Potential for more than minimal harm
2022-06-16
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-07-04
D · Potential for more than minimal harm
2022-06-16
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-07-04
D · Potential for more than minimal harm
2022-06-16
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-07-04
E · Potential for more than minimal harm
2019-12-12
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-01-22
D · Potential for more than minimal harm
2019-12-12
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2020-01-22
D · Potential for more than minimal harm
2019-12-12
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-01-22
D · Potential for more than minimal harm
2018-10-26
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-12-06
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-03-09
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-13
D · Potential for more than minimal harm
2023-03-09
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 2023-04-13
D · Potential for more than minimal harm
2023-03-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-13
F · Potential for more than minimal harm
2022-06-16
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 2022-07-11
D · Potential for more than minimal harm
2022-06-16
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 2022-07-11
D · Potential for more than minimal harm
2022-06-16
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 2022-07-11
D · Potential for more than minimal harm
2019-12-12
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 2020-01-16
D · Potential for more than minimal harm
2019-12-12
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-01-16
D · Potential for more than minimal harm
2019-12-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-01-16
D · Potential for more than minimal harm
2018-10-26
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2018-11-30
Penalties and ownership
What sits behind the stars
Ownership
Schmidt, Christopher
5% Or Greater Direct Ownership Interest · Individual
Davis, Khaley
Operational/Managerial Control · Individual
Emfinger, Julie
Operational/Managerial Control · Individual
Lee, Lawrence
Operational/Managerial Control · Individual
Schmidt Wallace Healthcare Management Company Inc
Operational/Managerial Control · Organization
Schmidt, Christopher
Operational/Managerial Control · Individual
Schmidt, Christopher
Corporate Director · Individual
Schmidt, Christopher
Corporate Officer · Individual
Stephenson, Tammy
Operational/Managerial Control · Individual
Stephenson, Tammy
Corporate Director · Individual
Stephenson, Tammy
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
The Healthcare Center At Buck Creek
Alabaster, AL
3-star overall rating with 3-star inspections with $16,801 in total fines with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Galleria Woods Skilled Nursing Facility
Birmingham, AL
3-star overall rating with 2-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Diversicare Of Riverchase
Birmingham, AL
3-star overall rating with 2-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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