{"schema_version":"1.0.0","facility":{"id":"cms-015152","ccn":"015152","name":"Extendicare Health and Rehab","source_name":"EXTENDICARE HEALTH AND REHAB","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"AL","address":{"line1":"950 South St. Andrews Street","city":"Dothan","state":"AL","zip":"36302","county_name":"Houston County","county_fips":"01069","county_method":"name_match","ssa_county_code":"340","urban":true},"location":{"lat":31.2112,"lon":-85.39,"method":"cms_published_coordinates"},"phone":"3347931177","certification":{"authority":"CMS","ccn":"015152","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1978-04-18","certified_beds":170,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/015152"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":170,"avg_residents_per_day":155.7},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"NOLAND EXTENDICARE, LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":true,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":2},"health_inspection":{"value":2},"quality_measures":{"value":3},"long_stay_qm":{"value":4},"short_stay_qm":{"value":3},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.73925,"lpn_hprd":1.11404,"rn_hprd":0.5897,"licensed_hprd":1.70374,"total_nurse_hprd":4.443,"weekend_total_nurse_hprd":3.70888,"weekend_rn_hprd":0.40734,"pt_hprd":0.02575,"nursing_turnover_pct":57.6,"rn_turnover_pct":50,"administrators_left":0,"case_mix_index":1.2944,"case_mix_index_ratio":0.91785,"case_mix_total_nurse_hprd":3.5804,"adjusted_total_nurse_hprd":4.80267,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2022-06-18","cycle1_deficiencies":4,"cycle1_score":32,"cycle2_date":"2019-07-18","cycle23_deficiencies":4,"cycle23_score":40,"total_weighted_score":34},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-374","cms_chain_id":"374","name":"NOLAND HEALTH"},"operator_id":"op-noland-extendicare-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/015152","provenance":[{"source_id":"cms_provider_info","source_record_id":"015152","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=015152&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"015152","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=015152&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":6,"health_count":3,"fire_count":3,"complaint_count":0,"latest_date":"2022-06-18","latest_standard_health":"2022-06-18","earliest_date":"2018-08-02","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":28,"health_count":12,"fire_count":16,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":0,"by_severity":{"potential":26,"minimal":2},"by_scope_severity":{"E":4,"D":17,"F":5,"C":2},"by_concept":{"environment_life_safety":15,"food_nutrition":3,"medication":4,"clinical_care":3,"emergency_preparedness":1,"resident_rights":1,"infection_prevention":1},"type_ids":["cms-k0363","cms-k0521","cms-k0362","cms-k0511","cms-k0920","cms-f0812","cms-f0758","cms-f0700","cms-f0759","cms-e0004","cms-k0918","cms-k0211","cms-k0232","cms-k0311","cms-k0352","cms-k0761","cms-f0567","cms-f0686","cms-f0761","cms-k0324","cms-k0351","cms-f0695","cms-f0755","cms-f0880"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":43,"organizations":5,"individuals":37,"not_available":false}},"row":{"id":"cms-015152","ccn":"015152","name":"Extendicare Health and Rehab","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"AL","city":"Dothan","zip":"36302","county_fips":"01069","county_name":"Houston County","address":"950 South St. Andrews Street","beds":170,"residents":155.7,"ownership":"for_profit","operator_id":"op-noland-extendicare-llc","operator_name":"Noland Extendicare, LLC","chain_id":"cms-chain-374","chain_name":"Noland Health","lat":31.2112,"lon":-85.39,"overall":2,"health_rating":2,"staffing_rating":4,"qm_rating":3,"nurse_hprd":4.44,"turnover":57.6,"inspections":6,"last_inspection":"2022-06-18","deficiencies":28,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0363","cms-k0521","cms-k0362","cms-k0511","cms-k0920","cms-f0812","cms-f0758","cms-f0700","cms-f0759","cms-e0004","cms-k0918","cms-k0211","cms-k0232","cms-k0311","cms-k0352","cms-k0761","cms-f0567","cms-f0686","cms-f0761","cms-k0324","cms-k0351","cms-f0695","cms-f0755","cms-f0880"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-noland-extendicare-llc","name":"Noland Extendicare, LLC","legal_name":"NOLAND EXTENDICARE, LLC","facility_count":1,"states":["AL"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-374","name":"Noland Health","cms_chain_id":"374","facility_count":10,"states":["AL"],"cms_reported":{"facility_count":10,"avg_overall_rating":2.7,"avg_health_inspection_rating":2.5,"avg_staffing_rating":4.1,"avg_qm_rating":3.3}},"ownership":[{"owner_type":"individual","owner_name":"Michele Adamson","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"ADAMSON, MICHELE"},{"owner_type":"individual","owner_name":"Isaac Britton","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"BRITTON, ISAAC"},{"owner_type":"individual","owner_name":"Barbara Estep","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"ESTEP, BARBARA"},{"owner_type":"individual","owner_name":"Shenika Ford","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"FORD, SHENIKA"},{"owner_type":"individual","owner_name":"Robert Goff","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"GOFF, ROBERT"},{"owner_type":"individual","owner_name":"Carol Knight","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-14","owner_name_raw":"KNIGHT, CAROL"},{"owner_type":"individual","owner_name":"Jesse Morriss","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"MORRISS, JESSE"},{"owner_type":"individual","owner_name":"Debra Nelson","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"NELSON, DEBRA"},{"owner_type":"individual","owner_name":"Nicholas Renda","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"RENDA, NICHOLAS"},{"owner_type":"individual","owner_name":"James Waggoner","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"WAGGONER, JAMES"},{"owner_id":"org-noland-health-services-inc","owner_type":"organization","owner_name":"Noland Health Services, Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01"},{"owner_type":"individual","owner_name":"Crystal Blackwell","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-09","owner_name_raw":"BLACKWELL, CRYSTAL"},{"owner_type":"individual","owner_name":"Barbara Estep","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"ESTEP, BARBARA"},{"owner_type":"individual","owner_name":"Shenika Ford","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"FORD, SHENIKA"},{"owner_type":"individual","owner_name":"Matthew Hall","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2026-07-01","owner_name_raw":"HALL, MATTHEW"},{"owner_type":"individual","owner_name":"Karen Kenwright","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"KENWRIGHT, KAREN"},{"owner_type":"individual","owner_name":"Nicholas Renda","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"RENDA, NICHOLAS"},{"owner_type":"individual","owner_name":"Shanna Rivers","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2026-01-11","owner_name_raw":"RIVERS, SHANNA"},{"owner_type":"individual","owner_name":"Jennifer Shunnara","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2026-02-08","owner_name_raw":"SHUNNARA, JENNIFER"},{"owner_type":"individual","owner_name":"Kelley Urban","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"URBAN, KELLEY"},{"owner_type":"individual","owner_name":"Michele Adamson","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"ADAMSON, MICHELE"},{"owner_type":"individual","owner_name":"Isaac Britton","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"BRITTON, ISAAC"},{"owner_type":"individual","owner_name":"Barbara Estep","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"ESTEP, BARBARA"},{"owner_type":"individual","owner_name":"Robert Goff","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"GOFF, ROBERT"},{"owner_type":"individual","owner_name":"Carol Knight","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-14","owner_name_raw":"KNIGHT, CAROL"},{"owner_type":"individual","owner_name":"Debra Nelson","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"NELSON, DEBRA"},{"owner_type":"individual","owner_name":"Nicholas Renda","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"RENDA, NICHOLAS"},{"owner_type":"individual","owner_name":"James Waggoner","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"WAGGONER, JAMES"},{"owner_id":"org-champion-rehab-resources-llc","owner_type":"organization","owner_name":"Champion Rehab Resources, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-08-28"},{"owner_id":"org-noland-health-services-inc","owner_type":"organization","owner_name":"Noland Health Services, Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01"},{"owner_id":"org-noland-pharmacy-llc","owner_type":"organization","owner_name":"Noland Pharmacy LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01"},{"owner_id":"org-southern-clinic-pc","owner_type":"organization","owner_name":"Southern Clinic PC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01"},{"owner_id":"org-warren-averett-llc","owner_type":"organization","owner_name":"Warren Averett LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-03"},{"owner_type":"individual","owner_name":"Crystal Blackwell","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-09","owner_name_raw":"BLACKWELL, CRYSTAL"},{"owner_type":"individual","owner_name":"Barbara Estep","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"ESTEP, BARBARA"},{"owner_type":"individual","owner_name":"Shenika Ford","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"FORD, SHENIKA"},{"owner_type":"individual","owner_name":"Matthew Hall","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"HALL, MATTHEW"},{"owner_type":"individual","owner_name":"Karen Kenwright","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"KENWRIGHT, KAREN"},{"owner_type":"individual","owner_name":"Jesse Morriss","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"MORRISS, JESSE"},{"owner_type":"individual","owner_name":"Nicholas Renda","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"RENDA, NICHOLAS"},{"owner_type":"individual","owner_name":"Shanna Rivers","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2026-01-11","owner_name_raw":"RIVERS, SHANNA"},{"owner_type":"individual","owner_name":"Jennifer Shunnara","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2026-02-08","owner_name_raw":"SHUNNARA, JENNIFER"},{"owner_type":"individual","owner_name":"Kelley Urban","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"URBAN, KELLEY"}],"inspections":[{"id":"cms-015152-20220618-fire","ccn":"015152","date":"2022-06-18","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0362","ss":"D","sl":2,"cs":"corrected","cd":"2022-06-24","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2022-07-28","std":1,"tv":"New"},{"t":"cms-k0511","ss":"D","sl":2,"cs":"corrected","cd":"2022-06-29","std":1,"tv":"New"},{"t":"cms-k0521","ss":"E","sl":2,"cs":"corrected","cd":"2022-07-01","std":1,"tv":"New"},{"t":"cms-k0920","ss":"D","sl":2,"cs":"corrected","cd":"2022-08-01","std":1,"tv":"New"}]},{"id":"cms-015152-20220618-health","ccn":"015152","date":"2022-06-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0700","ss":"D","sl":2,"cs":"corrected","cd":"2022-07-25","std":1},{"t":"cms-f0758","ss":"E","sl":2,"cs":"corrected","cd":"2022-07-25","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2022-07-25","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2022-07-25","std":1}]},{"id":"cms-015152-20190718-fire","ccn":"015152","date":"2019-07-18","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0004","ss":"F","sl":2,"cs":"corrected","cd":"2019-08-16","std":1,"tv":"New"},{"t":"cms-k0211","ss":"D","sl":2,"cs":"corrected","cd":"2019-08-29","std":1,"tv":"New"},{"t":"cms-k0232","ss":"D","sl":2,"cs":"corrected","cd":"2019-07-26","std":1,"tv":"New"},{"t":"cms-k0311","ss":"D","sl":2,"cs":"corrected","cd":"2019-07-25","std":1,"tv":"New"},{"t":"cms-k0352","ss":"D","sl":2,"cs":"corrected","cd":"2019-08-08","std":1,"tv":"New"},{"t":"cms-k0761","ss":"D","sl":2,"cs":"corrected","cd":"2019-08-06","std":1,"tv":"New"},{"t":"cms-k0918","ss":"E","sl":2,"cs":"corrected","cd":"2019-07-31","std":1,"tv":"New"},{"t":"cms-k0521","ss":"C","sl":1,"cs":"waiver_granted","cd":"2019-08-08","std":1,"tv":"New"}]},{"id":"cms-015152-20190718-health","ccn":"015152","date":"2019-07-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0567","ss":"F","sl":2,"cs":"corrected","cd":"2019-08-06","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2019-08-05","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2019-08-09","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2019-08-09","std":1}]},{"id":"cms-015152-20180802-fire","ccn":"015152","date":"2018-08-02","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2018-08-06","std":1,"tv":"New"},{"t":"cms-k0351","ss":"D","sl":2,"cs":"corrected","cd":"2018-08-06","std":1,"tv":"New"},{"t":"cms-k0521","ss":"C","sl":1,"cs":"corrected","cd":"2018-08-06","std":1,"tv":"New"}]},{"id":"cms-015152-20180802-health","ccn":"015152","date":"2018-08-02","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2018-08-29","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2018-09-04","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2018-08-28","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2018-09-05","std":1}]}],"deficiency_types":{"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0521":{"code":"K-0521","title":"Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0362":{"code":"K-0362","title":"Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0758":{"code":"F-0758","title":"Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0700":{"code":"F-0700","title":"Try different approaches before using a bed rail.  If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-e0004":{"code":"E-0004","title":"Develop and maintain an Emergency Preparedness Program (EP).","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0211":{"code":"K-0211","title":"Keep aisles, corridors, and exits free of obstruction in case of emergency.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0232":{"code":"K-0232","title":"Have corridors or aisles that are unobstructed and are at least 8 feet in width.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0311":{"code":"K-0311","title":"Have an enclosure around a vertical opening shaft.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0352":{"code":"K-0352","title":"Properly install and monitor supervisory attachments on automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0567":{"code":"F-0567","title":"Honor the resident's right to manage his or her financial affairs.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0761":{"code":"F-0761","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0351":{"code":"K-0351","title":"Install an approved automatic sprinkler system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=015152&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=015152&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=015152&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=015152&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=015152&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=015152&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"AL","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.3,"staffing_rating":3.7,"avg_residents_per_day":98.2,"cycle1_health_deficiencies":4,"cycle1_fire_deficiencies":3.6,"nurse_aide_hprd":2.46,"lpn_hprd":0.78,"rn_hprd":0.66177,"licensed_hprd":1.44,"total_nurse_hprd":3.902,"weekend_total_nurse_hprd":3.26956,"weekend_rn_hprd":0.37,"pt_hprd":0.04,"nursing_turnover_pct":46.8,"rn_turnover_pct":40,"administrators_left":0.5,"case_mix_index":1.22996,"fines":0.3,"fine_amount":13397,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"AL","name":"Alabama"},"county":{"fips":"01069","name":"Houston County"},"zip":"36302","city":"Dothan"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-015049","ccn":"015049","name":"Eastern Shore Rehabilitation and Health Center","address":"101 Villa Drive","city":"Daphne","state":"AL","zip":"36526","beds":117,"overall":4,"inspections":6,"last_inspection":"2021-03-26","deficiencies":13,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-015098","ccn":"015098","name":"Allen Health and Rehabilitation","address":"735 South Washington Avenue","city":"Mobile","state":"AL","zip":"36603","beds":119,"overall":3,"inspections":6,"last_inspection":"2020-02-21","deficiencies":21,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-015160","ccn":"015160","name":"Sylacauga Health and Rehab Services","address":"1007 W Fort Williams St","city":"Sylacauga","state":"AL","zip":"35150","beds":149,"overall":4,"inspections":6,"last_inspection":"2022-01-19","deficiencies":17,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-015195","ccn":"015195","name":"Village at Cook Springs Skilled Nursing Facility","address":"415 Cook Springs","city":"Pell City","state":"AL","zip":"35125","beds":168,"overall":1,"inspections":7,"last_inspection":"2023-12-20","deficiencies":32,"serious":3,"ij":3,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-015222","ccn":"015222","name":"Fairhope Health & Rehab","address":"108 South Church Street","city":"Fairhope","state":"AL","zip":"36532","beds":131,"overall":2,"inspections":6,"last_inspection":"2022-02-25","deficiencies":23,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-015369","ccn":"015369","name":"Oaks on Parkwood Skilled Nursing Facility","address":"2625 Laurel Oak Drive","city":"Bessemer","state":"AL","zip":"35022","beds":130,"overall":1,"inspections":8,"last_inspection":"2025-09-28","deficiencies":25,"serious":1,"ij":1,"open":0,"fines_total":17345,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-015375","ccn":"015375","name":"Anniston Health and Rehab Services","address":"600 E 8th Street","city":"Anniston","state":"AL","zip":"36207","beds":85,"overall":4,"inspections":6,"last_inspection":"2021-12-02","deficiencies":18,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-015388","ccn":"015388","name":"East Glen","address":"53 Medical Park Drive East","city":"Birmingham","state":"AL","zip":"35235","beds":108,"overall":3,"inspections":6,"last_inspection":"2023-03-16","deficiencies":20,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":9,"same_site_review":[],"nearby":[{"id":"cms-015175","ccn":"015175","name":"Wesley Place on Honeysuckle","address":"718 Honeysuckle Road","city":"Dothan","state":"AL","zip":"36305","beds":166,"overall":2,"inspections":6,"last_inspection":"2024-03-23","deficiencies":34,"serious":2,"ij":2,"open":0,"fines_total":29778,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.4},{"id":"cms-015425","ccn":"015425","name":"Westside Terrace Health & Rehabilitation Center","address":"501 North Woodburn Drive","city":"Dothan","state":"AL","zip":"36303","beds":165,"overall":5,"inspections":6,"last_inspection":"2022-07-29","deficiencies":18,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7}]}}