Cycle 1
Health 2024-06-18 · Fire 2024-06-18
11 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Huntsville, AL
The Health Center At Research Park
1-star overall rating with 1-star inspections with abuse icon flag with $69,011 in total fines with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
5275 Millennium Drive, Huntsville, AL
(256) 489-6800
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
91
Certified beds
Average residents
82
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Ensign Group
Operator or chain grouping
Approved since
2007-01-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
329 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
0.77
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.46
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
3.62
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.24
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.94
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.88
CMS adjusted RN staffing hours
Adjusted total hours
4.15
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
66%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,964
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.18
Composite VBP score used to determine payment impact.
Payment multiplier
0.9864
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.39
Baseline 23.78% · Performance 19.81% · Measure score 5.39 · Achievement 3.51 · Improvement 5.39
Healthcare-associated infections
3.32
Baseline 8.34% · Performance 7.06% · Measure score 3.32 · Achievement 2.59 · Improvement 3.32
Total nurse turnover
0
Baseline 65.85% · Performance 72.22% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
3.76
Baseline 3.54 hours · Performance 4.15 hours · Measure score 3.76 · Achievement 3.76 · Improvement 2.23
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.54% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 152 · Observed rate 10.53% · Lower 95% interval 7.42% |
| Discharge to community | 49.01% |
50.57%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 130 · Observed rate 35.38% · Lower 95% interval 39.24% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.63% |
95.27%
3.4 pts better
|
Numerator 72 · Denominator 73 |
| Falls with major injury | 1.37% |
0.77%
0.6 pts worse
|
Numerator 1 · Denominator 73 |
| Discharge self-care score | 33.33% |
53.69%
20.4 pts worse
|
Numerator 15 · Denominator 45 |
| Discharge mobility score | 35.56% |
50.94%
15.4 pts worse
|
Numerator 16 · Denominator 45 |
| Pressure ulcers or injuries, new or worsened | 5.48% |
2.29%
3.2 pts worse
|
Numerator 4 · Denominator 73 · Adjusted rate 5.55% |
| Healthcare-associated infections requiring hospitalization | 7.06% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 91 · Observed rate 7.69% · Lower 95% interval 4.38% |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Staff flu vaccination coverage | 10.14% |
42%
31.9 pts worse
|
Numerator 14 · Denominator 138 |
| Discharge function score | 40% |
56.45%
16.5 pts worse
|
Numerator 18 · Denominator 45 |
| Transfer of health information to provider | 81.48% |
95.95%
14.5 pts worse
|
Numerator 22 · Denominator 27 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 13.89% |
25.2%
11.3 pts worse
|
Numerator 5 · Denominator 36 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.0
0.3 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 3.2 · Expected 2.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
1.8
0.6 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.9 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
91.3%
6.6 pts better
|
93.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 94.3% · Q3 98.6% · Q4 98.7% · 4Q avg 97.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.9% |
94.8%
1.1 pts better
|
95.5%
0.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
3.4%
0.8 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 2.9% · Q3 4.3% · Q4 4.0% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.2% |
1.3%
4.9 pts worse
|
11.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 7.0% · Q3 6.5% · Q4 4.7% · 4Q avg 6.2% |
| Percentage of long-stay residents who lose too much weight | 3.7% |
5.3%
1.6 pts better
|
5.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 4.8% · Q3 0.0% · Q4 4.6% · 4Q avg 3.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 59.4% |
24.9%
34.5 pts worse
|
19.6%
39.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 59.0% · Q2 68.3% · Q3 55.7% · Q4 54.5% · 4Q avg 59.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 29.6% |
22.8%
6.8 pts worse
|
16.7%
12.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.6% · Q2 32.7% · Q3 27.5% · Q4 23.5% · 4Q avg 29.6% · 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 | 15.8% |
14.8%
1 pts worse
|
16.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.8% · Used in QM five-star |
| 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 · Q1 31.6% · Q2 31.1% · Q3 14.3% · Q4 4.8% · 4Q avg 20.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
1.3%
0.7 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.2% |
2.6%
0.6 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 2.9% · Q3 1.5% · Q4 1.4% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.4% |
13.5%
6.9 pts worse
|
19.8%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 21.2% · Q3 19.7% · Q4 19.6% · 4Q avg 20.4% |
| Percentage of long-stay residents with pressure ulcers | 7.0% |
5.7%
1.3 pts worse
|
5.1%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 6.6% · Q3 2.5% · Q4 10.3% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.0% |
84.3%
5.3 pts worse
|
81.7%
2.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 86.4% · Q2 76.2% · Q3 76.8% · Q4 77.6% · 4Q avg 79.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.7% |
11.5%
0.2 pts worse
|
12.0%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 12.3% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.1% |
2.1%
2 pts worse
|
1.6%
2.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 5.8% · Q3 4.3% · Q4 0.0% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 75.3% |
80.3%
5 pts worse
|
79.7%
4.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 75.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.1% |
24.5%
2.4 pts better
|
23.9%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.1% · Observed 22.8% · Expected 24.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-04-22 · Fire 2021-04-22
7 health deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-03-28 · Fire 2019-03-28
2 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-06-18
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-19
D · Potential for more than minimal harm
2019-03-28
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-05-08
D · Potential for more than minimal harm
2019-03-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-04-10
Inspection history
Recent health citations
J · Immediate jeopardy
2024-06-18
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 2024-07-23
J · Immediate jeopardy
2024-06-18
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-07-23
J · Immediate jeopardy
2024-06-18
F741 · Quality of Life and Care Deficiencies
Health
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2024-07-23
F · Potential for more than minimal harm
2024-06-18
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-07-23
F · Potential for more than minimal harm
2024-06-18
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 2024-07-23
D · Potential for more than minimal harm
2024-06-18
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 2024-07-23
D · Potential for more than minimal harm
2024-06-18
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-07-23
D · Potential for more than minimal harm
2024-06-18
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 2024-07-23
D · Potential for more than minimal harm
2024-06-18
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-07-23
D · Potential for more than minimal harm
2024-06-18
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-23
D · Potential for more than minimal harm
2024-06-18
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-23
D · Potential for more than minimal harm
2024-06-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-23
F · Potential for more than minimal harm
2021-04-22
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 2021-05-27
E · Potential for more than minimal harm
2021-04-22
F800 · Nutrition and Dietary Deficiencies
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2021-05-27
E · Potential for more than minimal harm
2021-04-22
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2021-05-27
E · Potential for more than minimal harm
2021-04-22
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2021-05-27
D · Potential for more than minimal harm
2021-04-22
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2021-05-27
D · Potential for more than minimal harm
2021-04-22
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2021-05-27
D · Potential for more than minimal harm
2019-03-28
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-04-16
C · Minimal harm
2019-03-28
F576 · Resident Rights Deficiencies
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2019-04-16
Penalties and ownership
What sits behind the stars
$69,011
2024-06-18
Fine
Fine · fine $69,011
Fine
$0
2024-06-18
Payment Denial
Payment Denial · denial start 2024-07-19 · 4 days
4 day denial
Ownership
Southstone Healthcare LLC
5% Or Greater Direct Ownership Interest · Organization
The Ensign Group Inc
5% Or Greater Indirect Ownership Interest · Organization
Albrechtsen, Tyler
Corporate Director · Individual
Albrechtsen, Tyler
Corporate Officer · Individual
Burnam, Soon
Corporate Officer · Individual
Sato, Ami
Corporate Officer · Individual
Thatcher, Brent
Corporate Officer · Individual
Wilson, Hunter
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Windsor House
Huntsville, AL
1-star overall rating with 1-star inspections with $266,231 in total fines with 11 recent health deficiencies
#2
Brookshire Healthcare Center
Huntsville, AL
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Regency Health Care And Rehabilitation Center
Huntsville, AL
1-star overall rating with 1-star inspections with $16,801 in total fines with 14 recent health deficiencies
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