01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-08-21 | 14 | 2024-08-21 | 0 |
| Cycle 2 | 2019-08-29 | 3 | 2019-08-29 | 2 |
| Cycle 3 | 2018-08-23 | 1 | 2018-08-23 | 0 |
CMS CCN 0153722026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Regency Health Care And Rehabilitation Center
2061 Poole Drive, Nw · Huntsville, AL 35810 · Madison County
Certified beds90CMS provider file
Recent citation rows20current CMS citation release
Penalty rows3current 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
20 rows in the current release
3 rows carry G–L scope/severity codes; 2 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-08-21 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2024-09-24 · complaint2024-08-21 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-09-24 · complaint2024-08-21 · HEALTHF0640Severity D · isolated; 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 · 2024-09-24 · complaint2024-08-21 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-09-24 · complaint2024-08-21 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2024-09-24 · complaint2024-08-21 · HEALTHF0656Severity D · isolated; potential for more than minimal 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: Deficient, Provider has date of correction · 2024-09-24 · complaint2024-08-21 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-09-24 · complaint2024-08-21 · 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 · 2024-09-24 · complaint2024-08-21 · HEALTHF0684Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-09-24 · complaint2024-08-21 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-09-24 · complaint2024-08-21 · HEALTHF0755Severity G · isolated actual 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 · 2024-09-24 · complaint2024-08-21 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-09-24 · complaint2024-08-21 · HEALTHF0867Severity J · isolated immediate jeopardy
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2024-09-24 · complaint2024-08-21 · 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 · 2024-09-24 · complaint2019-08-29 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2019-09-272019-08-29 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2019-10-152019-08-29 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2019-10-152019-08-29 · FIREK0232Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Correction field: Deficient, Provider has date of correction · 2019-09-202019-08-29 · 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 · 2019-09-232018-08-23 · HEALTHF0812Severity E · pattern; 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 · 2018-09-2703 / 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 |
|---|---|---|---|
| 2024-08-21 | Fine | $6,500 | 0 |
| 2024-08-21 | Fine | $10,301 | 0 |
| 2024-08-21 | Payment Denial | $0 | 4 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- HUNTSVILLE SENIOR SERVICES LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 05/27/2006
- SABIR INVESTMENTS, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 05/01/2018
- HOWE, DONAVONIndividual · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 05/27/2006
- NESMITH, VICKIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/24/2024
- NKEA, EVELINEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/03/2024
- VOLLMER, DONALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/14/2022
- HUNTSVILLE SENIOR SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/27/2006
- NESMITH, VICKIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/09/2024
- NKEA, EVELINEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/12/2024
- HILL EDUCATIONAL SERVICES, INC.Organization · ADP OF THE SNFNOT APPLICABLE · since 12/14/2024
- SABIR INVESTMENTS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/01/2018
- HOWE, DONAVONIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/27/2006
- NESMITH, VICKIIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/09/2024
- NKEA, EVELINEIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/12/2024
- VOLLMER, DONALDIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/14/2022
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 hours4.30per resident day
RN hours0.66per resident day
Weekend nurse hours3.38per resident day
Staff turnover62.7%CMS reported field
06 / LOCAL RECORDS
Open the Huntsville ledger →Other published facilities nearby
Brookshire Healthcare Center129 beds · CMS overall 3/518 citation rowsDiversicare Of Big Springs145 beds · CMS overall 4/516 citation rowsFairview At Redstone Village56 beds · CMS overall 4/58 citation rowsHuntsville Health & Rehabilitation, Llc105 beds · CMS overall 1/542 citation rowsRocket City Rehabilitation And Healthcare Center159 beds · CMS overall 1/531 citation rowsThe Health Center At Research Park91 beds · CMS overall 1/523 citation rowsWillowbrooke Ct Skilled Care Ctr At Magnolia Trace59 beds · CMS overall 5/513 citation rowsWindsor House117 beds · CMS overall 1/528 citation rows