01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2022-02-25 | 6 | 2022-02-25 | 2 |
| Cycle 2 | 2019-05-23 | 1 | 2019-05-23 | 7 |
| Cycle 3 | 2018-05-25 | 2 | 2018-05-25 | 5 |
CMS CCN 0152222026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Fairhope Health & Rehab
108 South Church Street · Fairhope, AL 36532 · Baldwin County
Certified beds131CMS provider file
Recent citation rows23current 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
23 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2022-02-25 · HEALTHF0636Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2022-03-312022-02-25 · HEALTHF0638Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Correction field: Deficient, Provider has date of correction · 2022-03-312022-02-25 · HEALTHF0640Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2022-03-312022-02-25 · HEALTHF0758Severity E · pattern; 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 · 2022-03-312022-02-25 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2022-03-312022-02-25 · 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 · 2022-03-312022-02-25 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2022-04-062022-02-25 · FIREK0521Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2022-04-062019-05-23 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2019-07-042019-05-23 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2019-06-272019-05-23 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2019-07-042019-05-23 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2019-07-042019-05-23 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2019-07-042019-05-23 · FIREK0521Severity C · widespread; potential for minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Waiver has been granted · 2019-07-042019-05-23 · FIREK0761Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2019-07-042019-05-23 · FIREK0914Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2019-07-042018-05-25 · FIREE0039Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2018-06-282018-05-25 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2018-06-282018-05-25 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2018-06-282018-05-25 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2018-06-282018-05-25 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2018-06-282018-05-25 · FIREK0521Severity C · widespread; potential for minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2018-06-282018-05-25 · FIREK0926Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Correction field: Deficient, Provider has date of correction · 2018-06-2803 / 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
- ADAMSON, MICHELEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/10/2017
- BRITTON, ISAACIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/14/2007
- ESTEP, BARBARAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2024
- GOFF, ROBERTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/02/1987
- HALL, MATTHEWIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/31/2022
- HALL, RANDALLIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2017
- KNIGHT, CAROLIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/14/2025
- MCGILL MELTON, CHERIEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/22/2022
- NELSON, DEBRAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/11/2017
- QUINTERO, ABELIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/03/2024
- RENDA, NICHOLASIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/26/2020
- SMITH, GEORGEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/25/2009
- WAGGONER, JAMESIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/10/2017
- ADAMSON, MICHELEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/10/2017
- BRITTON, ISAACIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/14/2007
- ESTEP, BARBARAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- GOFF, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/02/1987
- KNIGHT, CAROLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/14/2025
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 hours4.00per resident day
RN hours0.42per resident day
Weekend nurse hours3.34per resident day
Staff turnover35.1%CMS reported field
06 / LOCAL RECORDS
Open the Fairhope ledger →