01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2022-05-05 | 0 | 2022-05-05 | 3 |
| Cycle 2 | 2019-07-28 | 5 | 2019-07-28 | 14 |
| Cycle 3 | 2018-08-16 | 7 | 2018-08-16 | 3 |
CMS CCN 0151952026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Village At Cook Springs Skilled Nursing Facility
415 Cook Springs · Pell City, AL 35125 · St. Clair County
Certified beds168CMS provider file
Recent citation rows32current 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
32 rows in the current release
3 rows carry G–L scope/severity codes; 3 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2023-12-20 · 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 · 2024-01-24 · complaint2023-12-20 · 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 · 2024-01-24 · complaint2022-05-05 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2022-05-132022-05-05 · FIREK0345Severity E · pattern; 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 · 2022-06-152022-05-05 · 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 · 2022-05-272019-07-28 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2019-08-192019-07-28 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2019-08-192019-07-28 · HEALTHF0656Severity J · isolated immediate jeopardy
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 · 2019-08-192019-07-28 · HEALTHF0689Severity J · isolated immediate jeopardy
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: Deficient, Provider has date of correction · 2019-08-192019-07-28 · 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 · 2019-09-212019-07-28 · FIREK0131Severity D · isolated; potential for more than minimal harm
Construction Deficiencies
Meet requirements for sections of health care facilities separated by fire resistive construction.
Correction field: Deficient, Provider has date of correction · 2019-08-152019-07-28 · FIREK0222Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2019-08-152019-07-28 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2019-08-152019-07-28 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2019-08-152019-07-28 · FIREK0351Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2019-08-152019-07-28 · 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 · 2019-08-152019-07-28 · FIREK0521Severity D · isolated; 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 · 2019-08-152019-07-28 · FIREK0711Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2019-08-152019-07-28 · 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 · 2019-08-152019-07-28 · 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 · 2019-08-152019-07-28 · FIREK0918Severity E · pattern; 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 · 2019-08-152019-07-28 · FIREK0920Severity D · isolated; 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 · 2019-08-152019-07-28 · FIREK0921Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2019-08-152019-07-28 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2019-08-1503 / 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 09/27/2013
- ESTEP, BARBARAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2024
- FLIPPO, GREGORYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/02/2009
- GOFF, ROBERTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/10/2005
- HALL, MATTHEWIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/31/2022
- NELSON, DEBRAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/11/2017
- PICKELL, RANDOLPHIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/14/2021
- RENDA, NICHOLASIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/26/2020
- SMITH, GEORGEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/27/2013
- 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 09/27/2013
- ESTEP, BARBARAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- GOFF, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/10/2005
- NELSON, DEBRAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/11/2017
- RENDA, NICHOLASIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/26/2020
- SMITH, GEORGEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/27/2013
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 hours3.71per resident day
RN hours0.52per resident day
Weekend nurse hours3.18per resident day
Staff turnover57.7%CMS reported field
06 / LOCAL RECORDS
Open the Pell City ledger →