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

MARION REGIONAL NURSING HOME

HAMILTON, AL · 79 certified beds · Last Life Safety survey February 20, 2025

CMS Certification Number 015167 · first certified June 1977

Ownership

Operated by NORTH MISSISSIPPI HEALTH SERVICES · Non profit - Corporation

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

12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within AL

12 citations — more than 66% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (March 2026 to July 2026). Most US facilities have been surveyed by April 2027. This facility’s last Life Safety survey was February 2025. 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

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.

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 12 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.

This facility12AL median9National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in AL9
Median facility nationally11

Survey history

Citations at each Life Safety survey
22018-0862019-0942025-02
Citations at each Life Safety survey
Survey dateCitations
August 8, 20182
September 19, 20196
February 20, 20254

Most-cited tags

Most-cited tags at this facility
K-03532K-03741K-09201K-09181K-03631K-03451K-05211K-03461
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-02-20
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12025-02-20
K-0920Ensure proper usage of power strips and extension cords.12019-09-19
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-02-20
K-0363Install corridor and hallway doors that block smoke.12019-09-19
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-02-20
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12019-09-19
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.12019-09-19

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Services Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies2
Services Deficiencies1

Every citation on file

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

February 20, 2025 — 4 citations

Citations issued on February 20, 2025
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 28, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 11, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (March 11, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 17, 2025)

September 19, 2019 — 6 citations

Citations issued on September 19, 2019
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (October 29, 2019)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (October 29, 2019)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (October 29, 2019)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (October 29, 2019)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (October 29, 2019)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 29, 2019)

August 8, 2018 — 2 citations

Citations issued on August 8, 2018
TagWhat the surveyor checksStatus
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 30, 2018)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 18, 2018)

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