Cycle 1
Health 2022-07-29 · Fire 2022-07-29
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Dothan, AL
Westside Terrace Health & Rehabilitation Center
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
501 North Woodburn Drive, Dothan, AL
(334) 794-1000
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
165
Certified beds
Average residents
155
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-09-22
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
0.53
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.93
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.57
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.63
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.79
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
5.08
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
13%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,473
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.46
Composite VBP score used to determine payment impact.
Payment multiplier
1.0116
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.25
Baseline 18.55% · Performance 18.54% · Measure score 6.25 · Achievement 6.25 · Improvement 0
Healthcare-associated infections
5.38
Baseline 4.59% · Performance 6.23% · Measure score 5.38 · Achievement 5.38 · Improvement 0
Total nurse turnover
4.83
Baseline 36.59% · Performance 43.96% · Measure score 4.83 · Achievement 4.83 · Improvement 0
Adjusted total nurse staffing
6.13
Baseline 4.76 hours · Performance 4.82 hours · Measure score 6.13 · Achievement 6.13 · Improvement 0.11
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.59% |
10.72%
2.1 pts better
|
No Different than the National Rate · Eligible stays 336 · Observed rate 5.95% · Lower 95% interval 6.47% |
| Discharge to community | 64.78% |
50.57%
14.2 pts better
|
Better than the National Rate · Eligible stays 303 · Observed rate 63.37% · Lower 95% interval 58.89% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.45% |
95.27%
4.2 pts better
|
Numerator 180 · Denominator 181 |
| Falls with major injury | 1.66% |
0.77%
0.9 pts worse
|
Numerator 3 · Denominator 181 |
| Discharge self-care score | 57.75% |
53.69%
4.1 pts better
|
Numerator 82 · Denominator 142 |
| Discharge mobility score | 42.96% |
50.94%
8 pts worse
|
Numerator 61 · Denominator 142 |
| Pressure ulcers or injuries, new or worsened | 2.21% |
2.29%
0.1 pts better
|
Numerator 4 · Denominator 181 · Adjusted rate 2.26% |
| Healthcare-associated infections requiring hospitalization | 6.23% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 188 · Observed rate 4.26% · Lower 95% interval 4% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 206 |
| Staff flu vaccination coverage | 14.38% |
42%
27.6 pts worse
|
Numerator 43 · Denominator 299 |
| Discharge function score | 41.55% |
56.45%
14.9 pts worse
|
Numerator 59 · Denominator 142 |
| Transfer of health information to provider | 99.24% |
95.95%
3.3 pts better
|
Numerator 131 · Denominator 132 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 3.81% |
25.2%
21.4 pts worse
|
Numerator 4 · Denominator 105 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.0
About the same
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.7 · 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 | 99.6% |
91.3%
8.3 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 99.3% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.3% |
94.8%
2.5 pts better
|
95.5%
1.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.4% |
3.4%
4 pts worse
|
3.3%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 7.4% · Q3 10.9% · Q4 8.0% · 4Q avg 7.4% · 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 | 8.4% |
5.3%
3.1 pts worse
|
5.4%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 6.2% · Q3 8.6% · Q4 8.5% · 4Q avg 8.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.9% |
24.9%
6 pts better
|
19.6%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 20.7% · Q3 18.6% · Q4 17.6% · 4Q avg 18.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.2% |
22.8%
5.6 pts better
|
16.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 15.8% · Q3 17.6% · Q4 19.0% · 4Q avg 17.2% · 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 | 13.6% |
14.8%
1.2 pts better
|
16.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 23.9% · Q3 3.0% · Q4 6.8% · 4Q avg 13.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.0% |
13.4%
1.6 pts worse
|
14.9%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 18.7% · Q3 7.3% · Q4 11.5% · 4Q avg 15.0% · 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 3.5% · Q2 0.7% · Q3 0.7% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.5% |
2.6%
0.9 pts worse
|
1.7%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 3.8% · Q3 1.6% · Q4 1.6% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.2% |
13.5%
6.7 pts worse
|
19.8%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 25.6% · Q3 16.1% · Q4 14.3% · 4Q avg 20.2% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
5.7%
0.1 pts worse
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 5.5% · Q3 6.7% · Q4 6.3% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
84.3%
15.1 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.7% · Q2 99.6% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.6% |
11.5%
5.9 pts better
|
12.0%
6.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.6% · Observed 5.0% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
2.1%
0.8 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.2% · Q3 1.2% · Q4 2.2% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.5% |
80.3%
4.2 pts better
|
79.7%
4.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.5% |
24.5%
7 pts better
|
23.9%
6.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.5% · Observed 14.9% · Expected 20.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-08-15 · Fire 2019-08-15
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Cycle 3
Health 2018-08-09 · Fire 2018-08-09
2 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2022-07-29
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-09-07
F · Potential for more than minimal harm
2022-07-29
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-07
F · Potential for more than minimal harm
2022-07-29
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-07
E · Potential for more than minimal harm
2022-07-29
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 2022-09-07
E · Potential for more than minimal harm
2022-07-29
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-09-07
D · Potential for more than minimal harm
2022-07-29
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 2022-09-07
E · Potential for more than minimal harm
2019-08-15
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2019-09-25
E · Potential for more than minimal harm
2019-08-15
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-09-25
E · Potential for more than minimal harm
2019-08-15
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-09-25
E · Potential for more than minimal harm
2019-08-15
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-09-25
D · Potential for more than minimal harm
2019-08-15
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-09-25
D · Potential for more than minimal harm
2019-08-15
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 2019-09-25
D · Potential for more than minimal harm
2018-08-09
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2018-09-17
D · Potential for more than minimal harm
2018-08-09
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2018-09-17
Inspection history
Recent health citations
D · Potential for more than minimal harm
2022-07-29
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 2022-09-02
E · Potential for more than minimal harm
2019-08-15
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 2019-09-19
F · Potential for more than minimal harm
2018-08-09
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 2018-09-13
D · Potential for more than minimal harm
2018-08-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-09-13
Penalties and ownership
What sits behind the stars
Ownership
Hughes, Kristie
Operational/Managerial Control · Individual
Reid, Calvin
Operational/Managerial Control · Individual
Turenne & Associates LLC
Operational/Managerial Control · Organization
Turenne, Roger
Corporate Director · Individual
Turenne, William
Corporate Director · Individual
Walls, Emily
Operational/Managerial Control · Individual
Walls, Emily
Corporate Director · Individual
Nearby options
Other facilities in reach
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Wesley Place On Honeysuckle
Dothan, AL
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
#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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