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

DADEVILLE HEALTHCARE CENTER

DADEVILLE, AL · 144 certified beds · Last Life Safety survey April 22, 2021

CMS Certification Number 015166 · first certified August 1978

Ownership

Operated by PRIME HEALTH CARE ENTERPRISES · For profit - Limited Liability company

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

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

14 citations — more than 79% 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 1 citation; the earlier surveys in the window averaged 6.5. 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 (May 2022 to September 2022), and past the point by which nine in ten US facilities have been surveyed. This facility’s last Life Safety survey was April 2021. 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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Emergency preparedness

4 of the 14 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)

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 14 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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	14
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
January 4, 2018	11
February 14, 2019	2
April 22, 2021	1

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	1	2021-04-22
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	1	2018-01-04
E-0039	Conduct testing and exercise requirements.	1	2018-01-04
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	1	2018-01-04
K-0712	Have simulated fire drills held at unexpected times.	1	2019-02-14
K-0351	Install an approved automatic sprinkler system.	1	2018-01-04
E-0007	Address patient/client population and determine types of services needed.	1	2018-01-04
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	1	2018-01-04

What the citations cover

Citations by CMS category

Smoke Deficiencies 6
Emergency Preparedness Deficiencies 4
Gas, Vacuum, and Electrical Systems Deficiencies 2
Egress Deficiencies 1
Other 1

Citations by CMS category
Category	Citations
Smoke Deficiencies	6
Emergency Preparedness Deficiencies	4
Gas, Vacuum, and Electrical Systems Deficiencies	2
Egress Deficiencies	1
Miscellaneous Deficiencies	1

Every citation on file

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

April 22, 2021 — 1 citation

Citations issued on April 22, 2021
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (June 3, 2021)

February 14, 2019 — 2 citations

Citations issued on February 14, 2019
Tag	What the surveyor checks	Status
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 27, 2019)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 27, 2019)

January 4, 2018 — 11 citations

Citations issued on January 4, 2018
Tag	What the surveyor checks	Status
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (February 13, 2018)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (February 13, 2018)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (February 13, 2018)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (February 1, 2018)
K-0325	Have properly installed hallway dispensers for alcohol-based hand rub.	Deficient, Provider has date of correction (January 31, 2018)
K-0342	Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.	Deficient, Provider has date of correction (February 13, 2018)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (February 2, 2018)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (January 26, 2018)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (January 10, 2018)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (January 10, 2018)
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	Deficient, Provider has date of correction (January 26, 2018)

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