Deficiency Index

Arlington Rehabilitation & Healthcare Center

Birmingham, Alabama · CCN 015153

16 surveys since 2012, 2 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
49
Surveys
16
Harm or worse
2
Immediate jeopardy
2
The record, 2012–2024
’12’15’20’24
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file12/16

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
117
Ownership
For profit - Corporation
Chain
BALL HEALTHCARE SERVICES
County
Jefferson
Medicare-certified since
1977

CMS ratings

Overall
4
Health inspection
4
Staffing
2
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=3, floor 20).

Last survey on record

Feb 22, 2024

991 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.353.73
Registered-nurse hours per resident day0.46—
Annual nurse turnover40.4%51.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1090.9%E—F19.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 11 of the 49 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6582×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5831×

    Keep residents' personal and medical records private and confidential.

  • F6411×

    Ensure each resident receives an accurate assessment.

In the surveyor’s words

From the most serious findings on record at Arlington Rehabilitation & Healthcare Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF740Feb 22, 2024

    Based on interviews, record review, and the facility's policy titled Behavior Management Program the facility failed to ensure staff implemented Resident Identifier (RI) #3's behavioral care plan approaches. RI #3 had care planned behaviors of being combative and resisting care with an approach to leave the resident alone and return later when the resident resisted care. On 03/31/2023 staff continued to provide care to RI #3 after staff observed the resident was agitated and the resident asked to be left alone. This deficient practice affected RI #3, one of 12 sampled residents whose plan of care was reviewed. […]

  • No harm, potential for more than minimal, isolatedF641Apr 1, 2021

    Based on interview, record review and review of the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) 3.0 User's Manual, the facility failed to accurately code the resident's status on the completed Minimum Data Set (MDS) Assessment for three (3) residents (Resident #21, #25 and #94) out of 21 sampled residents. The findings include: Interview with the Director of Nursing (DON), on 4/1/21 at 3:00 p.m. revealed the facility did not have a policy to ensure MDS assessments were accurately coded. […]

  • No harm, potential for more than minimal, isolatedF842Apr 1, 2021

    Based on interview, record review and facility policy review, the facility failed to accurately document the code status of two (2) out of 24 sampled residents (Resident #17 and #94). The facility failed to properly transcribe the correct code status of Resident #17 and #94 to the Physician's Order. The findings include: Review of the facility's policy titled, Advance Directive and Refusal of Treatment, dated ,[DATE], revealed the policy did not address the use of the Physician's Order for Life Sustaining Treatment (POLST) as the POLST is not considered an Advance Directive by definition of an Advance Directive. 1. Review of the Face Sheet for Resident #17 revealed admission into the facility on [DATE]. […]

Read 22 findings in full →The most serious and the most recent: 22 of 49 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 22, 2024Complaint1 finding
  • Apr 1, 2021Standard2 findings
  • Aug 26, 2020Infection control1 finding
  • Mar 21, 2019Standard3 findings
  • Mar 15, 2018Standard5 findings
  • Feb 2, 2017Standard2 findings
  • Dec 8, 2016Complaint2 findings
  • Sep 27, 2016Complaint1 finding
Show the 8 earlier surveys
  • Jul 21, 2016Complaint1 finding
  • Nov 19, 2015Standard4 findings
  • Jul 9, 2015Complaint8 findings
  • Nov 20, 2014Standard and complaint5 findings
  • Mar 20, 2014Standard2 findings
  • Jan 25, 2013—1 finding
  • Jun 1, 2012—5 findings
  • Apr 19, 2012—6 findings · 2 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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