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

PARK MANOR HEALTH AND REHABILITATION, LLC

NORTHPORT, AL · 152 certified beds · Last Life Safety survey August 26, 2021

CMS Certification Number 015326 · first certified October 1979

Ownership

Operated by NHS MANAGEMENT · For profit - Limited Liability company

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

8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within AL

8 citations — more than 37% 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 0 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?

Well past the typical window (September 2022 to January 2023), and past the point by which nine in ten US facilities have been surveyed. This facility’s last Life Safety survey was August 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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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)

4 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 8 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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 facility8AL median9National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in AL9
Median facility nationally11

Survey history

Citations at each Life Safety survey
22018-0762019-0602021-08
Citations at each Life Safety survey
Survey dateCitations
July 19, 20182
June 21, 20196
August 26, 20210

Most-cited tags

Most-cited tags at this facility
K-03452K-07411K-03721K-02231K-09181K-03611K-09291
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22019-06-21
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12019-06-21
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12019-06-21
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12018-07-19
K-0918Have generator or other power source capable of supplying service within 10 seconds.12019-06-21
K-0361Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.12019-06-21
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.12019-06-21

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Miscellaneous Deficiencies 1
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Miscellaneous Deficiencies1
Egress Deficiencies1

Every citation on file

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

June 21, 2019 — 6 citations

Citations issued on June 21, 2019
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 30, 2019)
K-0361Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.Deficient, Provider has date of correction (July 30, 2019)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (July 30, 2019)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (July 30, 2019)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 30, 2019)
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.Deficient, Provider has date of correction (July 30, 2019)

July 19, 2018 — 2 citations

Citations issued on July 19, 2018
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (August 16, 2018)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 22, 2018)

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