01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2022-03-31 | 2 | 2022-03-31 | 2 |
| Cycle 2 | 2019-08-08 | 0 | 2019-08-08 | 1 |
| Cycle 3 | 2018-06-14 | 3 | 2018-06-14 | 4 |
CMS CCN 0151842026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Cloverdale Rehabilitation And Wellness
412 Cloverdale Road · Scottsboro, AL 35768 · Jackson County
Certified beds141CMS provider file
Recent citation rows12current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
12 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2022-03-31 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2022-05-062022-03-31 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2022-05-062022-03-31 · FIREK0293Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2022-05-052022-03-31 · FIREK0374Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2022-05-052019-08-08 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2019-09-182018-06-14 · HEALTHF0656Severity G · isolated actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Past Non-Compliance · 2018-06-052018-06-14 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2018-06-052018-06-14 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2018-07-192018-06-14 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2018-07-252018-06-14 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2018-07-252018-06-14 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2018-07-252018-06-14 · FIREK0920Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2018-07-2503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SIMS, MARKIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/31/2024
- SIMS, MARKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/27/2022
- SIMS, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/01/2022
- SIMS, MARKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/01/2022
- TRINTIY MANAGEMENT, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2004
- BAZZLE, CHERYLIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2025
- DAVIS, BROOKEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/19/2024
- SIMS, MARKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2022
- SPIVEY, DANNETTEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2022
- QUALITY CARE REHAB INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/10/2023
- TRINTIY MANAGEMENT, INC.Organization · ADP OF THE SNFNOT APPLICABLE · since 04/07/2025
- BAZZLE, CHERYLIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2025
- DAVIS, BROOKEIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/19/2024
- SIMS, MARKIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/01/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.02per resident day
RN hours0.62per resident day
Weekend nurse hours3.41per resident day
Staff turnover36.4%CMS reported field
06 / LOCAL RECORDS
Open the Scottsboro ledger →