Cycle 1
Health 2020-01-30 · Fire 2020-01-30
0 health deficiencies
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Mobile, AL
Springhill Senior Residence
4-star overall rating with 4-star inspections with 4 fire-safety deficiencies in the latest cycle
3717 Dauphin Street, Mobile, AL
(251) 343-0909
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
151
Certified beds
Average residents
76
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1997-11-06
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
0.74
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.38
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.20
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.81
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.46
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
4.38
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,341
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.35
Composite VBP score used to determine payment impact.
Payment multiplier
0.9933
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.27
Baseline 19.89% · Performance 20.84% · Measure score 1.27 · Achievement 1.27 · Improvement 0
Healthcare-associated infections
9.34
Baseline 6.31% · Performance 5.04% · Measure score 9.34 · Achievement 9.34 · Improvement 9
Total nurse turnover
1.82
Performance 56.25% · Measure score 1.82 · Achievement 1.82 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.71
Baseline 4.65 hours · Performance 4.13 hours · Measure score 3.71 · Achievement 3.71 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.82% |
10.72%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 219 · Observed rate 12.79% · Lower 95% interval 9.46% |
| Discharge to community | 59.06% |
50.57%
8.5 pts better
|
Better than the National Rate · Eligible stays 203 · Observed rate 56.65% · Lower 95% interval 52.11% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.25% |
95.27%
2 pts better
|
Numerator 106 · Denominator 109 |
| Falls with major injury | 0.92% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 109 |
| Discharge self-care score | 49.12% |
53.69%
4.6 pts worse
|
Numerator 28 · Denominator 57 |
| Discharge mobility score | 36.84% |
50.94%
14.1 pts worse
|
Numerator 21 · Denominator 57 |
| Pressure ulcers or injuries, new or worsened | 1.83% |
2.29%
0.5 pts better
|
Numerator 2 · Denominator 109 · Adjusted rate 2.04% |
| Healthcare-associated infections requiring hospitalization | 5.04% |
7.12%
2.1 pts better
|
No Different than the National Rate · Eligible stays 130 · Observed rate 1.54% · Lower 95% interval 2.93% |
| Staff COVID-19 vaccination coverage | 0.98% |
8.2%
7.2 pts worse
|
Numerator 1 · Denominator 102 |
| Staff flu vaccination coverage | 61.88% |
42%
19.9 pts better
|
Numerator 125 · Denominator 202 |
| Discharge function score | 36.84% |
56.45%
19.6 pts worse
|
Numerator 21 · Denominator 57 |
| Transfer of health information to provider | 82.56% |
95.95%
13.4 pts worse
|
Numerator 71 · Denominator 86 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 5.66% |
25.2%
19.5 pts worse
|
Numerator 3 · Denominator 53 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 100.0% · Q2 100.0% · Q3 100.0% · Q4 96.4% · 4Q avg 99.1% |
| 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 1.7% · Q2 0.0% · Q3 1.9% · Q4 1.8% · 4Q avg 1.4% · 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 | 7.1% |
5.3%
1.8 pts worse
|
5.4%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 12.5% · Q3 9.4% · Q4 3.3% · 4Q avg 7.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.8% |
24.9%
2.9 pts worse
|
19.6%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 28.1% · Q3 28.1% · Q4 30.0% · 4Q avg 27.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.4% |
22.8%
5.6 pts worse
|
16.7%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 28.6% · Q3 25.9% · Q4 32.0% · 4Q avg 28.4% · 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 | 17.8% |
14.8%
3 pts worse
|
16.3%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.8% · 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 9.7% · Q2 16.7% · Q3 6.7% · Q4 10.7% · 4Q avg 10.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
1.3%
0.2 pts better
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 8.6% |
2.6%
6 pts worse
|
1.7%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 7.4% · Q3 7.5% · Q4 12.5% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.8% |
13.5%
1.7 pts better
|
19.8%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 19.1% · Q3 8.3% · Q4 11.8% · 4Q avg 11.8% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
5.7%
2.8 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.6% · Q3 2.3% · Q4 2.9% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
84.3%
14.3 pts better
|
81.7%
16.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 98.4% · Q3 98.9% · Q4 98.0% · 4Q avg 98.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.5% |
11.5%
2 pts worse
|
12.0%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 12.9% · Expected 10.6% · Used in QM five-star |
| 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 · Q1 0.7% · Q2 2.7% · Q3 2.4% · Q4 1.7% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.6% |
80.3%
16.3 pts better
|
79.7%
16.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.1% |
24.5%
10.6 pts worse
|
23.9%
11.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.1% · Observed 34.7% · Expected 23.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2018-11-08 · Fire 2018-11-08
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2017-10-12 · Fire 2017-10-12
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2020-01-30
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2020-02-28
D · Potential for more than minimal harm
2020-01-30
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-02-28
D · Potential for more than minimal harm
2020-01-30
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-02-28
D · Potential for more than minimal harm
2020-01-30
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2020-02-28
E · Potential for more than minimal harm
2018-11-08
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-11-23
D · Potential for more than minimal harm
2018-11-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2018-11-23
E · Potential for more than minimal harm
2017-10-12
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2017-10-26
D · Potential for more than minimal harm
2017-10-12
K352 · Smoke Deficiencies
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2017-10-26
Inspection history
Recent health citations
F · Potential for more than minimal harm
2018-11-08
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 2018-11-23
D · Potential for more than minimal harm
2018-11-08
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-11-23
D · Potential for more than minimal harm
2018-11-08
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 2018-11-23
D · Potential for more than minimal harm
2018-11-08
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2018-11-23
D · Potential for more than minimal harm
2017-10-12
F241 · Resident Rights Deficiencies
Health
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Corrected 2017-10-26
Penalties and ownership
What sits behind the stars
Ownership
Southern Medical Health Systems Inc
5% Or Greater Direct Ownership Interest · Organization
Wallace, Celia
5% Or Greater Indirect Ownership Interest · Individual
Davis, Lana
Operational/Managerial Control · Individual
Davis, Lana
Corporate Director · Individual
Sanders, Donald
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Crowne Health Care Of Springhill
Mobile, AL
4-star overall rating with 4-star inspections
#2
Palm Gardens Health And Rehabilitation, LLC
Mobile, AL
5-star overall rating with 5-star inspections with 4 fire-safety deficiencies in the latest cycle
#3
Ashland Place Health And Rehabilitation, LLC
Mobile, AL
3-star overall rating with 3-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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