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MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION Inspection Report, Violations & Safety Grade (FLORENCE, Alabama)

805 FLAGG CIRCLE, FLORENCE, Alabama 35631

Phone: 2567405400

CMS Overall:3/5

Overview & Bed Count

Certified Beds
222
Avg Residents/Day
196.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Lauderdale
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing4/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityAlabama AvgDifference
RN Hours per Resident per Day0.680.66+0.02
Total Nurse Hours per Resident per Day3.273.90-0.63
CMS Staffing Rating4/53.7/5-
Nursing Staff Turnover39.9%46.8%-

Health Citation History

11 health citations on record

DateCategoryDescriptionSeverity
2025-09-18Freedom 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.D – Moderate Harm Potential
2025-09-18Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2025-09-18Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2025-09-18Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-09-18Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D – Moderate Harm Potential
2025-09-18Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2019-09-05Resident Assessment and Care Planning DeficienciesProvide doctor's orders for the resident's immediate care at the time the resident was admitted.D – Moderate Harm Potential
2018-08-02Nutrition 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
2018-08-02Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2018-08-02Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2018-08-02Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

7 fire safety citations on record

DateCategoryDescriptionSeverity
2025-09-18Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2019-09-05Smoke DeficienciesHave a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.E – Moderate Harm Potential
2019-09-05Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2019-09-05Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2018-08-02Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2018-08-02Smoke 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
2018-08-02Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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