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

ATHENS HEALTH AND REHABILITATION LLC

ATHENS, AL · 149 certified beds · Last Life Safety survey April 14, 2022

CMS Certification Number 015016 · first certified January 1967

Ownership

Operated by NHS MANAGEMENT · For profit - Corporation

Ownership changed January 1, 2016 (change of ownership)from BEST HEALTH, LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within AL

18 citations — more than 91% 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

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

The latest survey found 2 citations; the earlier surveys in the window averaged 8. 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 (April 2023 to September 2023), and past the point by which nine in ten US facilities have been surveyed. This facility’s last Life Safety survey was April 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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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 18 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

1 physical-environment citation 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 18 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.

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.

Citations on file over three years, compared
Measure	Citations
This facility	18
Median facility in AL	9
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
July 19, 2018	2
August 29, 2019	14
April 14, 2022	2

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0363	Install corridor and hallway doors that block smoke.	2	2022-04-14
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	2	2022-04-14
K-0920	Ensure proper usage of power strips and extension cords.	1	2019-08-29
K-0511	Have properly installed electrical wiring and gas equipment.	1	2019-08-29
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	1	2019-08-29
K-0293	Have properly located and lighted "Exit" signs.	1	2019-08-29
E-0037	Establish staff and initial training requirements.	1	2018-07-19
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	1	2019-08-29

What the citations cover

Citations by CMS category

Smoke Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 5
Emergency Preparedness Deficiencies 2
Egress Deficiencies 2
Other 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	5
Emergency Preparedness Deficiencies	2
Egress Deficiencies	2
Services Deficiencies	1
Miscellaneous Deficiencies	1

Every citation on file

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

April 14, 2022 — 2 citations

Citations issued on April 14, 2022
Tag	What the surveyor checks	Status
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (May 16, 2022)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (May 16, 2022)

August 29, 2019 — 14 citations

Citations issued on August 29, 2019
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (October 9, 2019)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (October 9, 2019)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (October 9, 2019)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (October 9, 2019)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 9, 2019)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (October 9, 2019)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (October 10, 2019)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (October 9, 2019)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (October 9, 2019)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (October 9, 2019)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (October 9, 2019)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (October 9, 2019)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (October 9, 2019)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (October 9, 2019)

July 19, 2018 — 2 citations

Citations issued on July 19, 2018
Tag	What the surveyor checks	Status
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (August 31, 2018)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (August 6, 2018)

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