Cycle 1
Health 2022-03-11 · Fire 2022-03-11
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Talladega, AL
Talladega Healthcare Center, Inc
3-star overall rating with 3-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
616 Chaffee Street, Talladega, AL
(256) 362-4197
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
234
Certified beds
Average residents
225
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Rehab Select
Operator or chain grouping
Approved since
1977-03-01
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
0.45
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
3.16
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.61
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.95
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.50
CMS adjusted RN staffing hours
Adjusted total hours
5.10
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
32%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,599
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
19.82
Composite VBP score used to determine payment impact.
Payment multiplier
0.9822
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.41% · Performance 24.85% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.77% · Performance 9.39% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.73
Baseline 59.48% · Performance 56.61% · Measure score 1.73 · Achievement 1.73 · Improvement 0.33
Adjusted total nurse staffing
6.20
Baseline 4.87 hours · Performance 4.84 hours · Measure score 6.20 · Achievement 6.20 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.68% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 111 · Observed rate 14.41% · Lower 95% interval 8.68% |
| Discharge to community | 33.03% |
50.57%
17.5 pts worse
|
Worse than the National Rate · Eligible stays 62 · Observed rate 24.19% · Lower 95% interval 22.75% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 96.43% |
95.27%
1.2 pts better
|
Numerator 54 · Denominator 56 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 56 |
| Discharge self-care score | 51.02% |
53.69%
2.7 pts worse
|
Numerator 25 · Denominator 49 |
| Discharge mobility score | 42.86% |
50.94%
8.1 pts worse
|
Numerator 21 · Denominator 49 |
| Pressure ulcers or injuries, new or worsened | 1.79% |
2.29%
0.5 pts better
|
Numerator 1 · Denominator 56 · Adjusted rate 1.5% |
| Healthcare-associated infections requiring hospitalization | 9.39% |
7.12%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 75 · Observed rate 13.33% · Lower 95% interval 6.06% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 330 |
| Staff flu vaccination coverage | 7% |
42%
35 pts worse
|
Numerator 24 · Denominator 343 |
| Discharge function score | 46.94% |
56.45%
9.5 pts worse
|
Numerator 23 · Denominator 49 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 27 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.0
0.7 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.6 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
1.8
0.4 pts worse
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
91.3%
8.2 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.0% · Q3 99.5% · Q4 99.5% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.3% |
94.8%
1.5 pts better
|
95.5%
0.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.4%
0.6 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 2.9% · Q3 2.3% · Q4 2.3% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.8% |
1.3%
0.5 pts better
|
11.4%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.5% · Q3 0.5% · Q4 0.5% · 4Q avg 0.8% |
| Percentage of long-stay residents who lose too much weight | 2.6% |
5.3%
2.7 pts better
|
5.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.0% · Q3 4.0% · Q4 1.9% · 4Q avg 2.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.1% |
24.9%
4.8 pts better
|
19.6%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 19.7% · Q3 20.6% · Q4 20.6% · 4Q avg 20.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.3% |
22.8%
5.5 pts worse
|
16.7%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.2% · Q2 34.8% · Q3 26.5% · Q4 19.4% · 4Q avg 28.3% · 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 | 9.9% |
14.8%
4.9 pts better
|
16.3%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 10.7% · Q3 9.8% · Q4 12.6% · 4Q avg 9.9% · 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 6.1% · Q2 7.4% · Q3 8.5% · Q4 8.5% · 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 1.5% · Q2 1.3% · Q3 0.4% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
2.6%
0.6 pts better
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.9% · Q3 2.4% · Q4 1.4% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.8% |
13.5%
7.7 pts better
|
19.8%
14 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 7.4% · Q3 4.6% · Q4 5.4% · 4Q avg 5.8% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
5.7%
0.7 pts better
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 6.4% · Q3 4.2% · Q4 3.1% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.2% |
84.3%
13.9 pts better
|
81.7%
16.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.3% · Q2 98.1% · Q3 98.9% · Q4 100.0% · 4Q avg 98.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.8% |
11.5%
1.7 pts better
|
12.0%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 11.5% · Expected 13.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.0% |
2.1%
0.9 pts worse
|
1.6%
1.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.5% · Q3 2.2% · Q4 2.5% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.7% |
80.3%
11.4 pts better
|
79.7%
12 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.8% |
24.5%
1.7 pts better
|
23.9%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 26.2% · Expected 27.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-08-01 · Fire 2019-08-01
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2018-06-21 · Fire 2018-06-21
2 health deficiencies
Top issue: Infection Control (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2022-03-11
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-04-20
D · Potential for more than minimal harm
2022-03-11
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 2022-04-20
F · Potential for more than minimal harm
2019-08-01
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-09-10
E · Potential for more than minimal harm
2019-08-01
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-09-10
D · Potential for more than minimal harm
2019-08-01
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-09-10
D · Potential for more than minimal harm
2019-08-01
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2019-09-10
D · Potential for more than minimal harm
2019-08-01
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-09-10
D · Potential for more than minimal harm
2019-08-01
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-09-10
F · Potential for more than minimal harm
2018-06-21
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-08-01
E · Potential for more than minimal harm
2018-06-21
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2018-08-01
E · Potential for more than minimal harm
2018-06-21
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2018-08-01
D · Potential for more than minimal harm
2018-06-21
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 2018-08-01
D · Potential for more than minimal harm
2018-06-21
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2018-08-01
D · Potential for more than minimal harm
2018-06-21
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2018-08-01
Inspection history
Recent health citations
F · Potential for more than minimal harm
2022-03-11
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 2022-04-15
D · Potential for more than minimal harm
2022-03-11
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2022-04-15
F · Potential for more than minimal harm
2019-08-01
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 2019-09-05
D · Potential for more than minimal harm
2019-08-01
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-09-05
D · Potential for more than minimal harm
2019-08-01
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2019-09-05
D · Potential for more than minimal harm
2019-08-01
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 2019-09-05
D · Potential for more than minimal harm
2019-08-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-09-05
D · Potential for more than minimal harm
2018-06-21
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2018-07-26
D · Potential for more than minimal harm
2018-06-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-07-26
Penalties and ownership
What sits behind the stars
Ownership
Schmidt, Christopher
5% Or Greater Direct Ownership Interest · Individual
Lee, Lawrence
Operational/Managerial Control · Individual
Meadows, Destiny
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
Sheffield, Collin
Operational/Managerial Control · Individual
Stephenson, Tammy
Operational/Managerial Control · Individual
Stephenson, Tammy
Corporate Director · Individual
Stephenson, Tammy
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Meadowview Nursing Center
Pell City, AL
3-star overall rating with 3-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Diversicare Of Pell City
Pell City, AL
2-star overall rating with 2-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Clay County Nursing Home
Ashland, AL
4-star overall rating with 4-star inspections with 2 recent health deficiencies
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