Cycle 1
Health 2024-03-23 · Fire 2024-03-23
8 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Dothan, AL
Wesley Place On Honeysuckle
2-star overall rating with 2-star inspections with $48,689 in total fines with 8 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
718 Honeysuckle Road, Dothan, AL
(334) 792-0921
Overall
2 / 5
CMS overall stars
Health inspections
2 / 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
166
Certified beds
Average residents
156
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1977-07-01
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
0.45
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
2.78
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.22
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.73
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.17
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
5.06
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
59%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,297
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.99
Composite VBP score used to determine payment impact.
Payment multiplier
0.9982
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.89
Baseline 23.92% · Performance 21.58% · Measure score 2.89 · Achievement 0 · Improvement 2.89
Healthcare-associated infections
4.46
Baseline 5.91% · Performance 6.50% · Measure score 4.46 · Achievement 4.46 · Improvement 0
Total nurse turnover
2.76
Baseline 57.21% · Performance 52.41% · Measure score 2.76 · Achievement 2.76 · Improvement 0.99
Adjusted total nurse staffing
7.88
Baseline 5.43 hours · Performance 5.32 hours · Measure score 7.88 · Achievement 7.88 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.08% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 236 · Observed rate 8.9% · Lower 95% interval 7.54% |
| Discharge to community | 60.19% |
50.57%
9.6 pts better
|
Better than the National Rate · Eligible stays 191 · Observed rate 59.16% · Lower 95% interval 54.36% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.23% |
95.27%
4 pts better
|
Numerator 129 · Denominator 130 |
| Falls with major injury | 1.54% |
0.77%
0.8 pts worse
|
Numerator 2 · Denominator 130 |
| Discharge self-care score | 61.18% |
53.69%
7.5 pts better
|
Numerator 52 · Denominator 85 |
| Discharge mobility score | 37.65% |
50.94%
13.3 pts worse
|
Numerator 32 · Denominator 85 |
| Pressure ulcers or injuries, new or worsened | 1.54% |
2.29%
0.8 pts better
|
Numerator 2 · Denominator 130 · Adjusted rate 1.52% |
| Healthcare-associated infections requiring hospitalization | 6.5% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 127 · Observed rate 4.72% · Lower 95% interval 4.21% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 256 |
| Staff flu vaccination coverage | 13.13% |
42%
28.9 pts worse
|
Numerator 34 · Denominator 259 |
| Discharge function score | 58.82% |
56.45%
2.4 pts better
|
Numerator 50 · Denominator 85 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 40 · Denominator 40 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 52 · Denominator 52 |
| Resident COVID-19 vaccinations up to date | 11.94% |
25.2%
13.3 pts worse
|
Numerator 8 · Denominator 67 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.0 |
2.0
1 pts worse
|
1.9
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.4 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
1.8
0.8 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.6% |
91.3%
5.3 pts better
|
93.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 99.3% · Q3 95.0% · Q4 93.5% · 4Q avg 96.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% |
94.8%
3.2 pts better
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.2% |
3.4%
3.8 pts worse
|
3.3%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 9.4% · Q3 3.5% · Q4 5.8% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.4% |
1.3%
0.9 pts better
|
11.4%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.4% |
| Percentage of long-stay residents who lose too much weight | 8.3% |
5.3%
3 pts worse
|
5.4%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 6.2% · Q3 11.0% · Q4 8.7% · 4Q avg 8.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.9% |
24.9%
5 pts better
|
19.6%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 18.6% · Q3 18.3% · Q4 18.3% · 4Q avg 19.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.9% |
22.8%
1.9 pts better
|
16.7%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 22.8% · Q3 19.8% · Q4 18.1% · 4Q avg 20.9% · 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 | 19.5% |
14.8%
4.7 pts worse
|
16.3%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 21.5% · Q3 22.2% · Q4 19.2% · 4Q avg 19.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.8% |
13.4%
12.4 pts worse
|
14.9%
10.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 29.6% · Q3 29.0% · Q4 25.2% · 4Q avg 25.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
1.3%
About the same
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 0.6% · Q4 2.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
2.6%
0.2 pts worse
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.8% · Q3 7.4% · Q4 2.3% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.9% |
13.5%
5.4 pts worse
|
19.8%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 18.0% · Q3 14.0% · Q4 26.7% · 4Q avg 18.9% |
| Percentage of long-stay residents with pressure ulcers | 2.7% |
5.7%
3 pts better
|
5.1%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 5.4% · Q3 1.5% · Q4 2.2% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.7% |
84.3%
1.4 pts better
|
81.7%
4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.6% · Q2 97.1% · Q3 84.4% · Q4 66.4% · 4Q avg 85.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 24.9% |
11.5%
13.4 pts worse
|
12.0%
12.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.9% · Observed 24.5% · Expected 11.0% · 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 1.4% · Q2 3.9% · Q3 3.8% · Q4 2.7% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.4% |
80.3%
1.9 pts worse
|
79.7%
1.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.9% |
24.5%
6.4 pts worse
|
23.9%
7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.9% · Observed 29.2% · Expected 22.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-08-29 · Fire 2019-08-29
0 health deficiencies
No concentrated health issue counts in this cycle.
5 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Cycle 3
Health 2018-08-30 · Fire 2018-08-30
7 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-03-23
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 2024-05-02
F · Potential for more than minimal harm
2024-03-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-02
E · Potential for more than minimal harm
2024-03-23
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-05-02
E · Potential for more than minimal harm
2024-03-23
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-05-02
D · Potential for more than minimal harm
2024-03-23
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-05-02
D · Potential for more than minimal harm
2024-03-23
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2024-05-02
D · Potential for more than minimal harm
2024-03-23
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-05-02
D · Potential for more than minimal harm
2024-03-23
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-02
D · Potential for more than minimal harm
2024-03-23
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-05-02
D · Potential for more than minimal harm
2024-03-23
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-02
F · Potential for more than minimal harm
2019-08-29
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-09-20
E · Potential for more than minimal harm
2019-08-29
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-09-20
D · Potential for more than minimal harm
2019-08-29
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-09-20
D · Potential for more than minimal harm
2019-08-29
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2019-09-20
D · Potential for more than minimal harm
2019-08-29
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-09-20
F · Potential for more than minimal harm
2018-08-30
K751 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of flammable curtains.
Corrected 2018-10-10
F · Potential for more than minimal harm
2018-08-30
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2018-10-10
E · Potential for more than minimal harm
2018-08-30
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-10-10
D · Potential for more than minimal harm
2018-08-30
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-10-10
Inspection history
Recent health citations
J · Immediate jeopardy
2024-03-23
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 2023-09-18
J · Immediate jeopardy
2024-03-23
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 2023-09-18
D · Potential for more than minimal harm
2024-03-23
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-04-27
D · Potential for more than minimal harm
2024-03-23
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 2024-04-27
D · Potential for more than minimal harm
2024-03-23
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-27
D · Potential for more than minimal harm
2024-03-23
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 2024-04-27
D · Potential for more than minimal harm
2024-03-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-27
B · Minimal harm
2024-03-23
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-04-27
F · Potential for more than minimal harm
2018-08-30
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 2018-10-04
D · Potential for more than minimal harm
2018-08-30
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2018-10-04
D · Potential for more than minimal harm
2018-08-30
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2018-10-04
D · Potential for more than minimal harm
2018-08-30
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2018-10-04
D · Potential for more than minimal harm
2018-08-30
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 2018-10-04
D · Potential for more than minimal harm
2018-08-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-10-04
C · Minimal harm
2018-08-30
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2018-10-04
Penalties and ownership
What sits behind the stars
$6,606
2024-03-23
Fine
Fine · fine $6,606
Fine
$10,468
2024-03-23
Fine
Fine · fine $10,468
Fine
$4,587
2023-10-30
Fine
Fine · fine $4,587
Fine
$4,235
2023-10-23
Fine
Fine · fine $4,235
Fine
$3,882
2023-10-17
Fine
Fine · fine $3,882
Fine
$3,529
2023-10-10
Fine
Fine · fine $3,529
Fine
$3,147
2023-10-02
Fine
Fine · fine $3,147
Fine
$2,797
2023-09-25
Fine
Fine · fine $2,797
Fine
$2,447
2023-09-18
Fine
Fine · fine $2,447
Fine
$2,098
2023-09-11
Fine
Fine · fine $2,098
Fine
$1,748
2023-09-05
Fine
Fine · fine $1,748
Fine
$3,145
2023-08-14
Fine
Fine · fine $3,145
Fine
Ownership
Baxter, John
Corporate Director · Individual
Carden, Nathan
Corporate Director · Individual
Chapman, Lynn
Corporate Director · Individual
Clark, Marsha
Corporate Director · Individual
Giles, Michael
Corporate Director · Individual
Holloway, Maudine
Corporate Director · Individual
Jackson, Vicki
Corporate Officer · Individual
Lyles, Steven
Corporate Officer · Individual
March, Daniel
W-2 Managing Employee · Individual
Mathison, John
Corporate Director · Individual
Mckee, Robert
Corporate Director · Individual
Methodist Home For The Aging
Operational/Managerial Control · Organization
Mount, John
Corporate Director · Individual
Peacock, Tommy
Corporate Director · Individual
Roberts, Henry
Corporate Director · Individual
Russell, Scott
Corporate Director · Individual
Salter, Betty
Corporate Director · Individual
Sanders, James
Corporate Director · Individual
Scales, Robert
Corporate Director · Individual
Schultz, Ronald
Corporate Officer · Individual
Steele, James
Corporate Director · Individual
Sumner, Samuel
Corporate Director · Individual
Takacs, Terrye
Corporate Director · Individual
Tomlin, Christopher
Corporate Director · Individual
Waters, Thomas
Corporate Director · Individual
Williamson, Samual
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Westside Terrace Health & Rehabilitation Center
Dothan, AL
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Extendicare Health And Rehab
Dothan, AL
2-star overall rating with 2-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Hartford Health Care
Hartford, AL
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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