Cycle 1
Health 2022-08-25 · Fire 2022-08-25
0 health deficiencies
No concentrated health issue counts in this cycle.
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Union Springs, AL
Southern Springs Healthcare Facility
5-star overall rating with 5-star inspections with 6 fire-safety deficiencies in the latest cycle
745 Southern Springs Road, Union Springs, AL
(334) 738-5590
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
123
Certified beds
Average residents
94
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1977-07-01
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
Hours and turnover
RN hours / resident day
0.40
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.97
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
3.23
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.60
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.37
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.73
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.15
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
5.16
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
25%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,275
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
50.51
Composite VBP score used to determine payment impact.
Payment multiplier
1.0047
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.62
Baseline 18.23% · Performance 20.22% · Measure score 2.62 · Achievement 2.62 · Improvement 0
Healthcare-associated infections
2.28
Baseline 5.35% · Performance 7.15% · Measure score 2.28 · Achievement 2.28 · Improvement 0
Total nurse turnover
10
Baseline 23.30% · Performance 23.76% · Measure score 10 · Achievement 10 · Improvement 0
Adjusted total nurse staffing
5.30
Baseline 4.50 hours · Performance 4.59 hours · Measure score 5.30 · Achievement 5.30 · Improvement 0.18
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.82% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 51 · Observed rate 11.76% · Lower 95% interval 7.77% |
| Discharge to community | 42.91% |
50.57%
7.7 pts worse
|
No Different than the National Rate · Eligible stays 26 · Observed rate 30.77% · Lower 95% interval 27.55% |
| Medicare spending per beneficiary | 1.29 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 32 · Denominator 32 |
| Falls with major injury | 3.13% |
0.77%
2.4 pts worse
|
Numerator 1 · Denominator 32 |
| Discharge self-care score | 41.67% |
53.69%
12 pts worse
|
Numerator 10 · Denominator 24 |
| Discharge mobility score | 33.33% |
50.94%
17.6 pts worse
|
Numerator 8 · Denominator 24 |
| Pressure ulcers or injuries, new or worsened | 3.13% |
2.29%
0.8 pts worse
|
Numerator 1 · Denominator 32 · Adjusted rate 2.88% |
| Healthcare-associated infections requiring hospitalization | 7.15% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 41 · Observed rate 7.32% · Lower 95% interval 4.18% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 129 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 41.67% |
56.45%
14.8 pts worse
|
Numerator 10 · Denominator 24 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 11 · 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 | 1.8 |
2.0
0.2 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.5 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.8
1.3 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 32.6% |
91.3%
58.7 pts worse
|
93.4%
60.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 45.0% · Q2 24.5% · Q3 27.8% · Q4 33.0% · 4Q avg 32.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.0% |
94.8%
7.8 pts worse
|
95.5%
8.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.0% |
| 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 1.0% · Q2 1.0% · Q3 2.1% · Q4 4.3% · 4Q avg 2.0% · 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 | 8.3% |
5.3%
3 pts worse
|
5.4%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 6.2% · Q3 10.8% · Q4 4.5% · 4Q avg 8.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.2% |
24.9%
0.7 pts better
|
19.6%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 24.5% · Q3 23.2% · Q4 22.8% · 4Q avg 24.2% |
| 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 33.3% · Q2 29.9% · Q3 30.0% · Q4 32.4% · 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 | 8.8% |
14.8%
6 pts better
|
16.3%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 6.6% · Q3 6.2% · Q4 11.6% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.5% |
13.4%
1.9 pts better
|
14.9%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 10.7% · Q3 9.0% · Q4 13.7% · 4Q avg 11.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.0% |
1.3%
1.7 pts worse
|
1.0%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.6% · Q3 3.4% · Q4 4.4% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
2.6%
2.3 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.1% |
13.5%
1.4 pts better
|
19.8%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 7.5% · Q3 6.3% · Q4 12.5% · 4Q avg 12.1% |
| Percentage of long-stay residents with pressure ulcers | 10.8% |
5.7%
5.1 pts worse
|
5.1%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 11.8% · Q3 11.1% · Q4 8.5% · 4Q avg 10.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 42.1% |
84.3%
42.2 pts worse
|
81.7%
39.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 43.5% · Q3 50.0% · Q4 42.9% · 4Q avg 42.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 0.0% |
11.5%
11.5 pts better
|
12.0%
12 pts better
|
Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
2.1%
0.6 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 46.2% |
80.3%
34.1 pts worse
|
79.7%
33.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 46.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.4% |
24.5%
4.1 pts better
|
23.9%
3.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.4% · Observed 23.5% · Expected 27.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-04-25 · Fire 2019-04-25
2 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2018-05-24 · Fire 2018-05-24
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2022-08-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-04
E · Potential for more than minimal harm
2022-08-25
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-10-04
E · Potential for more than minimal harm
2022-08-25
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-10-04
D · Potential for more than minimal harm
2022-08-25
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-10-04
D · Potential for more than minimal harm
2022-08-25
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-10-04
D · Potential for more than minimal harm
2022-08-25
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-10-04
F · Potential for more than minimal harm
2019-04-25
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-06-04
F · Potential for more than minimal harm
2019-04-25
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-06-04
D · Potential for more than minimal harm
2018-05-24
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2018-07-03
D · Potential for more than minimal harm
2018-05-24
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2018-07-03
D · Potential for more than minimal harm
2018-05-24
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 2018-07-03
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-08-01
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2022-12-07
D · Potential for more than minimal harm
2019-04-25
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-05-30
D · Potential for more than minimal harm
2019-04-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-05-30
F · Potential for more than minimal harm
2018-05-24
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 2018-06-28
D · Potential for more than minimal harm
2018-05-24
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-06-28
D · Potential for more than minimal harm
2018-05-24
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 2018-06-28
C · Minimal harm
2018-05-24
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2018-06-28
Penalties and ownership
What sits behind the stars
Ownership
Estate Of Milton E. Mcgregor
5% Or Greater Direct Ownership Interest · Organization
Emfinger, Brenda
5% Or Greater Direct Ownership Interest · Individual
Finney, Ruby
W-2 Managing Employee · Individual
Main, Benjamin
5% Or Greater Direct Ownership Interest · Individual
Tanner, Kristy
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Magnolia Haven Health And Rehabilitation Center
Tuskegee, AL
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Troy Health & Rehabilitation Center
Troy, AL
1-star overall rating with 1-star inspections with 6 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#3
Tallassee Health And Rehabilitation, LLC
Tallassee, AL
2-star overall rating with 2-star inspections with 7 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
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