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CORDOVA HEALTH AND REHABILITATION, LLC Inspection Report, Violations & Safety Grade (CORDOVA, Alabama)

70 HIGHLAND STREET WEST, CORDOVA, Alabama 35550

Phone: 2054839282

CMS Overall:1/5

Overview & Bed Count

Certified Beds
114
Avg Residents/Day
105
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Walker
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
Yes

CMS Star Ratings

Overall1/5
Health1/5
Staffing4/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityAlabama AvgDifference
RN Hours per Resident per Day0.660.66+0.00
Total Nurse Hours per Resident per Day4.063.90+0.16
CMS Staffing Rating4/53.7/5-
Nursing Staff Turnover58.1%46.8%-

Health Citation History

13 health citations on record

DateCategoryDescriptionSeverity
2024-11-20Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J – Immediate Jeopardy
2024-11-20Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.J – Immediate Jeopardy
2024-11-20Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-11-20Environmental DeficienciesKeep all essential equipment working safely.F – Moderate Harm Potential
2024-11-20Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2024-11-20Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-11-20Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D – Moderate Harm Potential
2024-11-20Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2024-11-20Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.C – Minimal Harm Potential
2019-10-03Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2018-09-06Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.F – Moderate Harm Potential
2018-09-06Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2018-09-06Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

22 fire safety citations on record

DateCategoryDescriptionSeverity
2024-11-20Smoke DeficienciesProperly install and monitor supervisory attachments on automatic sprinkler systems.F – Moderate Harm Potential
2024-11-20Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2024-11-20Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-11-20Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-11-20Egress DeficienciesHave horizontal exits used in accordance with safety requirements.D – Moderate Harm Potential
2024-11-20Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.D – Moderate Harm Potential
2024-11-20Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2024-11-20Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2019-10-03Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2019-10-03Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2019-10-03Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2019-10-03Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2019-10-03Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.D – Moderate Harm Potential
2019-10-03Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.D – Moderate Harm Potential
2019-10-03Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2018-09-06Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2018-09-06Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2018-09-06Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2018-09-06Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2018-09-06Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2018-09-06Miscellaneous DeficienciesHave restrictions on the use of portable space heaters.D – Moderate Harm Potential
2018-09-06Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.D – Moderate Harm Potential

Total Penalties & Fines

$76,242
Total Fine Amount (CMS)
1
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2024-11-20Fine$76,242-
2024-11-20Payment Denial-4 days starting 2024-12-21
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