Falkville, AL

Summerford Health And Rehab, LLC

2-star overall rating with 2-star inspections with $25,568 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

4087 Highway 31 Southwest, Falkville, AL

(256) 784-5275

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

216

Certified beds

Average residents

132

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-04-19

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.65

Registered nurse staffing

LPN hours / resident day

0.88

Licensed practical nurse staffing

Aide hours / resident day

1.83

Nurse aide staffing

Weekend hours

2.92

Weekend nurse staffing

RN turnover

54%

Annual RN turnover

Total nurse turnover

62%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.9
2.0
0.1 pts better
1.9
About the same
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.9
1.8
0.1 pts worse
1.8
0.1 pts worse
Long Stay · 20240701-20250630
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
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 65.4%
94.8%
29.4 pts worse
95.5%
30.1 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.8%
3.4%
0.4 pts worse
3.3%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 1.2%
5.3%
4.1 pts better
5.4%
4.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 32.5%
24.9%
7.6 pts worse
19.6%
12.9 pts worse
Long Stay · 2024Q4-2025Q3
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
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
Percentage of long-stay residents whose ability to walk independently worsened 14.7%
14.8%
0.1 pts better
16.3%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 20.3%
13.4%
6.9 pts worse
14.9%
5.4 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 1.5%
2.6%
1.1 pts better
1.7%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.9%
13.5%
7.4 pts worse
19.8%
1.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.4%
5.7%
0.3 pts better
5.1%
0.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.0%
84.3%
10.7 pts better
81.7%
13.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 14.9%
11.5%
3.4 pts worse
12.0%
2.9 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 3.7%
2.1%
1.6 pts worse
1.6%
2.1 pts worse
Short Stay · 2024Q4-2025Q3
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
Percentage of short-stay residents who were rehospitalized after a nursing home admission 33.2%
24.5%
8.7 pts worse
23.9%
9.3 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-09-15 · Fire 2023-09-15

5 health deficiencies

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

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2019-11-07 · Fire 2019-11-07

7 health deficiencies

Top issue: Resident Rights (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2018-09-26 · Fire 2018-09-26

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-09-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-10-26

E · Potential for more than minimal harm 2023-09-15

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-10-26

D · Potential for more than minimal harm 2023-09-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-26

D · Potential for more than minimal harm 2019-11-07

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-11-25

D · Potential for more than minimal harm 2019-11-07

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-11-25

D · Potential for more than minimal harm 2019-11-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-12-18

D · Potential for more than minimal harm 2018-09-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-10-19

D · Potential for more than minimal harm 2018-09-26

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2018-10-19

Inspection history

Recent health citations

G · Actual harm 2024-04-24

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 2024-06-15

G · Actual harm 2024-04-24

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-05-10

E · Potential for more than minimal harm 2023-09-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-14

D · Potential for more than minimal harm 2023-09-15

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-10-14

D · Potential for more than minimal harm 2023-09-15

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 2023-10-14

D · Potential for more than minimal harm 2023-09-15

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 2023-10-14

D · Potential for more than minimal harm 2023-09-15

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 2023-10-14

D · Potential for more than minimal harm 2023-09-15

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-10-14

D · Potential for more than minimal harm 2023-09-15

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-10-14

E · Potential for more than minimal harm 2019-11-07

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2019-12-06

D · Potential for more than minimal harm 2019-11-07

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2019-12-06

D · Potential for more than minimal harm 2019-11-07

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2019-12-06

D · Potential for more than minimal harm 2019-11-07

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 2019-12-06

D · Potential for more than minimal harm 2019-11-07

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 2019-12-06

Penalties and ownership

What sits behind the stars

$6,027 2024-04-24

Fine

Fine · fine $6,027

Fine

$8,260 2024-04-24

Fine

Fine · fine $8,260

Fine

$11,281 2024-04-24

Fine

Fine · fine $11,281

Fine

Ownership

Sf Soco Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2020-01-01
Sfk Holdco LLC

5% Or Greater Indirect Ownership Interest · Organization

50% 1 facilities 2021-01-01
Lerner, Shalom

Corporate Officer · Individual

0% 2 facilities 2021-01-01
Lerner, Shalom

W-2 Managing Employee · Individual

0% 2 facilities 2021-01-01
Sfl Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 2021-01-01

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#3

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Fines
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