Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
EASTERN SHORE REHABILITATION AND HEALTH CENTER
DAPHNE, AL · 117 certified beds · Last Life Safety survey March 26, 2021
CMS Certification Number 015049 · first certified January 1967
Ownership
Operated by NOLAND HEALTH · Non profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within AL
6 citations — more than 22% 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
The latest survey found 1 citation; 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 (April 2022 to August 2022), and past the point by which nine in ten US facilities have been surveyed. This facility’s last Life Safety survey was March 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
3 of the 6 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 6 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in AL, and nationally. Surveyors differ markedly between states, so the AL figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 6 |
| Median facility in AL | 9 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| February 15, 2018 | 2 |
| January 31, 2019 | 3 |
| March 26, 2021 | 1 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0032 | Provide primary/alternate means for communication. | 1 | 2018-02-15 |
| K-0904 | Have a properly installed medical gas master alarm panel. | 1 | 2019-01-31 |
| E-0001 | Establish an Emergency Preparedness Program (EP). | 1 | 2021-03-26 |
| E-0007 | Address patient/client population and determine types of services needed. | 1 | 2018-02-15 |
| K-0781 | Have restrictions on the use of portable space heaters. | 1 | 2019-01-31 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2019-01-31 |
What the citations cover
- Emergency Preparedness Deficiencies 3
- Miscellaneous Deficiencies 1
- Smoke Deficiencies 1
- Gas, Vacuum, and Electrical Systems Deficiencies 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 3 |
| Miscellaneous Deficiencies | 1 |
| Smoke Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
March 26, 2021 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0001 | Establish an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (April 30, 2021) |
January 31, 2019 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (March 14, 2019) |
| K-0781 | Have restrictions on the use of portable space heaters. | Deficient, Provider has date of correction (March 14, 2019) |
| K-0904 | Have a properly installed medical gas master alarm panel. | Deficient, Provider has date of correction (March 14, 2019) |
February 15, 2018 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (March 9, 2018) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (March 9, 2018) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.