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

HERITAGE HEALTH CARE & REHAB INC

TUSCALOOSA, AL · 216 certified beds · Last Life Safety survey January 27, 2022

CMS Certification Number 015371 · first certified August 1977

Ownership

Independently operated (no chain recorded by CMS) · For 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
5
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

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 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 2023 to June 2023), and past the point by which nine in ten US facilities have been surveyed. This facility’s last Life Safety survey was January 2022. 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)

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 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
12018-0552019-0562022-01
Citations at each Life Safety survey
Survey dateCitations
May 24, 20181
May 16, 20195
January 27, 20226

Most-cited tags

Most-cited tags at this facility
K-03632K-07411K-02321K-07811K-07611K-09231K-03611K-09141
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.22022-01-27
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12022-01-27
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.12019-05-16
K-0781Have restrictions on the use of portable space heaters.12022-01-27
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12018-05-24
K-0923Have proper medical gas storage and administration areas.12022-01-27
K-0361Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.12019-05-16
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12019-05-16

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Smoke Deficiencies 4
  • Miscellaneous Deficiencies 3
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies4
Smoke Deficiencies4
Miscellaneous Deficiencies3
Egress Deficiencies1

Every citation on file

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

January 27, 2022 — 6 citations

Citations issued on January 27, 2022
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 10, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 10, 2022)
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 (March 10, 2022)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (March 10, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 10, 2022)
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.Deficient, Provider has date of correction (March 10, 2022)

May 16, 2019 — 5 citations

Citations issued on May 16, 2019
TagWhat the surveyor checksStatus
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (June 19, 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 (June 19, 2019)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 19, 2019)
K-0914Ensure 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 (June 19, 2019)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 19, 2019)

May 24, 2018 — 1 citation

Citations issued on May 24, 2018
TagWhat the surveyor checksStatus
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (July 5, 2018)

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