Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

CLAY COUNTY NURSING HOME

ASHLAND, AL · 83 certified beds · Last Life Safety survey March 16, 2022

CMS Certification Number 015124 · first certified December 1974

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Other

No change of ownership on CMS record since January 1, 2016, when the records begin.

5
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within AL

5 citations — more than 16% of the 224 certified nursing homes in AL. Compared within AL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 0 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (March 2023 to August 2023), and past the point by which nine in ten US facilities have been surveyed. This facility’s last Life Safety survey was March 2022. Nursing homes nationally are typically surveyed 12–17 months after the last one (median 14), measured over 19,385 consecutive surveys in the last two years of CMS records. AL has too few recent surveys to measure on its own, so the national interval is used.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 5 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in AL, and nationally. Surveyors differ markedly between states, so the AL figure is the meaningful one.

This facility5AL median9National median11
Citations on file over three years, compared
MeasureCitations
This facility5
Median facility in AL9
Median facility nationally11

Survey history

Citations at each Life Safety survey
22018-0632019-0502022-03
Citations at each Life Safety survey
Survey dateCitations
June 21, 20182
May 16, 20193
March 16, 20220

Most-cited tags

Most-cited tags at this facility
K-03631K-02321K-07111K-03451K-09291
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.12018-06-21
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.12019-05-16
K-0711Provide a written emergency evacuation plan.12019-05-16
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12018-06-21
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.12019-05-16

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 2
  • Miscellaneous Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies2
Miscellaneous Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 16, 2019 — 3 citations

Citations issued on May 16, 2019
TagWhat the surveyor checksStatus
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (May 17, 2019)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (June 20, 2019)
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.Deficient, Provider has date of correction (June 20, 2019)

June 21, 2018 — 2 citations

Citations issued on June 21, 2018
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 13, 2018)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 27, 2018)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.