Cycle 1
Health 2022-01-19 · Fire 2022-01-19
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Sylacauga, AL
Sylacauga Health And Rehab Services
4-star overall rating with 4-star inspections with 1 fire-safety deficiencies in the latest cycle
1007 W Fort Williams St, Sylacauga, AL
(256) 245-7402
Overall
4 / 5
CMS overall stars
Health inspections
4 / 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
149
Certified beds
Average residents
129
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Noland Health
Operator or chain grouping
Approved since
1977-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
10 facilities
Chain averages 3 overall / 2 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
0.74
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.70
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.57
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.00
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.43
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.49
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.44
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
0.74
CMS adjusted RN staffing hours
Adjusted total hours
4.04
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
32%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,481
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
49.51
Composite VBP score used to determine payment impact.
Payment multiplier
1.0035
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.57
Baseline 20.89% · Performance 19.31% · Measure score 4.57 · Achievement 4.57 · Improvement 3.59
Healthcare-associated infections
4.85
Baseline 5.56% · Performance 6.39% · Measure score 4.85 · Achievement 4.85 · Improvement 0
Total nurse turnover
7.35
Baseline 47.96% · Performance 33.63% · Measure score 7.35 · Achievement 7.35 · Improvement 5.70
Adjusted total nurse staffing
3.03
Baseline 3.09 hours · Performance 3.94 hours · Measure score 3.03 · Achievement 3.03 · Improvement 2.65
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.33% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 97 · Observed rate 12.37% · Lower 95% interval 7.96% |
| Discharge to community | 63.79% |
50.57%
13.2 pts better
|
Better than the National Rate · Eligible stays 59 · Observed rate 61.02% · Lower 95% interval 52.07% |
| Medicare spending per beneficiary | 0.72 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 53 · Denominator 53 |
| Falls with major injury | 3.77% |
0.77%
3 pts worse
|
Numerator 2 · Denominator 53 |
| Discharge self-care score | 10.53% |
53.69%
43.2 pts worse
|
Numerator 4 · Denominator 38 |
| Discharge mobility score | 21.05% |
50.94%
29.9 pts worse
|
Numerator 8 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 1.89% |
2.29%
0.4 pts better
|
Numerator 1 · Denominator 53 · Adjusted rate 1.5% |
| Healthcare-associated infections requiring hospitalization | 6.39% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 56 · Observed rate 3.57% · Lower 95% interval 3.45% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 175 |
| Staff flu vaccination coverage | 87.68% |
42%
45.7 pts better
|
Numerator 242 · Denominator 276 |
| Discharge function score | 15.79% |
56.45%
40.7 pts worse
|
Numerator 6 · Denominator 38 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 40 · Denominator 40 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 53.33% |
25.2%
28.1 pts better
|
Numerator 16 · Denominator 30 |
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 · Adjusted 1.9 · Observed 1.6 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.8
0.3 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
91.3%
6.1 pts better
|
93.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 96.6% · Q3 96.2% · Q4 97.4% · 4Q avg 97.4% |
| 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 | 3.8% |
3.4%
0.4 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.3% · Q3 3.8% · Q4 2.6% · 4Q avg 3.8% · 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 | 5.6% |
5.3%
0.3 pts worse
|
5.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 6.1% · Q3 6.9% · Q4 5.5% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.8% |
24.9%
3.9 pts worse
|
19.6%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 30.6% · Q3 29.9% · Q4 25.5% · 4Q avg 28.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.6% |
22.8%
9.2 pts better
|
16.7%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 15.6% · Q3 15.5% · Q4 13.9% · 4Q avg 13.6% · 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 | 13.8% |
14.8%
1 pts better
|
16.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 20.5% · Q3 7.5% · Q4 21.4% · 4Q avg 13.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.7% |
13.4%
5.7 pts better
|
14.9%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 10.6% · Q3 5.3% · Q4 8.8% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
1.3%
0.5 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.5% · Q3 0.0% · Q4 0.6% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.5% |
2.6%
4.9 pts worse
|
1.7%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 8.5% · Q3 6.6% · Q4 4.4% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.2% |
13.5%
6.3 pts better
|
19.8%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 9.0% · Q3 6.4% · Q4 6.1% · 4Q avg 7.2% |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
5.7%
2.4 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.3% · Q3 3.4% · Q4 2.4% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.4% |
84.3%
11.1 pts better
|
81.7%
13.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.6% · Q2 97.6% · Q3 94.9% · Q4 94.0% · 4Q avg 95.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.1% |
11.5%
3.6 pts worse
|
12.0%
3.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.1% · Observed 14.9% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.1%
2.1 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
80.3%
19.7 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 11.6% |
24.5%
12.9 pts better
|
23.9%
12.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 10.6% · Expected 21.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-04-18 · Fire 2019-04-18
5 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2018-05-22 · Fire 2018-05-22
4 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-01-19
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-03-02
F · Potential for more than minimal harm
2019-04-18
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2019-05-22
D · Potential for more than minimal harm
2019-04-18
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-05-22
D · Potential for more than minimal harm
2019-04-18
K361 · Smoke Deficiencies
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2019-05-22
D · Potential for more than minimal harm
2019-04-18
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-05-22
D · Potential for more than minimal harm
2019-04-18
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-05-22
E · Potential for more than minimal harm
2018-05-22
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 2018-06-14
D · Potential for more than minimal harm
2018-05-22
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-06-04
Inspection history
Recent health citations
F · Potential for more than minimal harm
2019-04-18
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 2019-05-23
D · Potential for more than minimal harm
2019-04-18
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 2019-05-23
D · Potential for more than minimal harm
2019-04-18
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-05-23
D · Potential for more than minimal harm
2019-04-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-05-23
C · Minimal harm
2019-04-18
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2019-05-23
E · Potential for more than minimal harm
2018-05-22
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-06-26
D · Potential for more than minimal harm
2018-05-22
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2018-06-26
D · Potential for more than minimal harm
2018-05-22
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2018-06-26
C · Minimal harm
2018-05-22
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2018-06-26
Penalties and ownership
What sits behind the stars
Ownership
Noland Health Services, Inc
5% Or Greater Direct Ownership Interest · Organization
Adamson, Michele
Corporate Director · Individual
Blackwell, Crystal
Operational/Managerial Control · Individual
Boddie, Diana
Operational/Managerial Control · Individual
Britton, Isaac
Corporate Director · Individual
Estep, Barbara
Operational/Managerial Control · Individual
Estep, Barbara
Corporate Director · Individual
Faircloth, Shannon
Operational/Managerial Control · Individual
Goff, Robert
Corporate Director · Individual
Hall, Matthew
Operational/Managerial Control · Individual
Kenwright, Karen
Operational/Managerial Control · Individual
Nelson, Debra
Corporate Director · Individual
Noland Health Services, Inc
Operational/Managerial Control · Organization
Renda, Nicholas
Operational/Managerial Control · Individual
Renda, Nicholas
Corporate Director · Individual
Smith, George
Corporate Director · Individual
Smothers, Kathy
Operational/Managerial Control · Individual
Urban, Kelley
Operational/Managerial Control · Individual
Waggoner, James
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Coosa Valley Healthcare Center
Sylacauga, AL
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
#2
Goodwater Healthcare Center
Goodwater, AL
5-star overall rating with 5-star inspections
#3
Columbiana Health And Rehabilitation, LLC
Columbiana, AL
4-star overall rating with 4-star inspections with $8,018 in total fines with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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