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

STONEHAVEN HEALTH AND REHABILITATION CENTER

BESSEMER, AL · 79 certified beds · Last Life Safety survey February 12, 2023

CMS Certification Number 015050 · first certified January 1967

Ownership

Operated by ARABELLA HEALTHCARE MANAGEMENT · For profit - Limited Liability company

Ownership changed May 1, 2022 (change of ownership)to OAK CREST HEALTH & WELLNESS from AMERICAN HEALTH CORPORATION AND SUBSIDIARIES

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

23 citations — more than 96% 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 17 citations; the earlier surveys in the window averaged 3. 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 (February 2024 to July 2024), and past the point by which nine in ten US facilities have been surveyed. This facility’s last Life Safety survey was February 2023. 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

1 of the 23 citations on file is 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

E-0001

Physical environment (health survey)

3 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 23 Life Safety citations above. The Physical Environment Index

F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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	23
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
October 31, 2018	1
October 16, 2019	5
February 12, 2023	17

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-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2023-02-12
K-0351	Install an approved automatic sprinkler system.	2	2023-02-12
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	2	2023-02-12
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	1	2019-10-16
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	1	2023-02-12
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	1	2023-02-12
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	1	2023-02-12
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	1	2023-02-12

What the citations cover

Citations by CMS category

Smoke Deficiencies 9
Gas, Vacuum, and Electrical Systems Deficiencies 6
Miscellaneous Deficiencies 3
Services Deficiencies 2
Other 3

Citations by CMS category
Category	Citations
Smoke Deficiencies	9
Gas, Vacuum, and Electrical Systems Deficiencies	6
Miscellaneous Deficiencies	3
Services Deficiencies	2
Egress Deficiencies	2
Emergency Preparedness Deficiencies	1

Every citation on file

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

February 12, 2023 — 17 citations

Citations issued on February 12, 2023
Tag	What the surveyor checks	Status
E-0001	Establish an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (March 23, 2023)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (March 23, 2023)
K-0222	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.	Deficient, Provider has date of correction (March 23, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (March 23, 2023)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (March 23, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 23, 2023)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (March 23, 2023)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (March 23, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (March 23, 2023)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (March 23, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 23, 2023)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (March 23, 2023)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (March 23, 2023)
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 (March 23, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 23, 2023)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (March 23, 2023)
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	Deficient, Provider has date of correction (March 23, 2023)

October 16, 2019 — 5 citations

Citations issued on October 16, 2019
Tag	What the surveyor checks	Status
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (November 25, 2019)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (November 25, 2019)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (November 25, 2019)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (November 25, 2019)
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	Deficient, Provider has date of correction (November 25, 2019)

October 31, 2018 — 1 citation

Citations issued on October 31, 2018
Tag	What the surveyor checks	Status
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (December 13, 2018)

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