Deficiency Index

Cloverdale Rehabilitation and Wellness

Scottsboro, Alabama · CCN 015184

8 surveys since 2011. The first finding at harm level was recorded in 2018.

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

Citations on record
26
Surveys
8
Harm or worse
2
Immediate jeopardy
0
The record, 2011–2022
’11’15’20’22
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file6/8

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

The facility

Certified beds
141
Ownership
For profit - Corporation
Chain
TRINITY MANAGEMENT, INC.
County
Jackson · rural
Medicare-certified since
1977

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=2, floor 20).

Last survey on record

Mar 31, 2022

1,684 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 day4.023.81
Registered-nurse hours per resident day0.62—
Annual nurse turnover36.4%47.7%

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 harmG240.0%H—I—
No harm, potential for more than minimalD240.0%E120.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 5 of the 26 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6561×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6891×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F7581×

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

In the surveyor’s words

From the most serious findings on record at Cloverdale Rehabilitation and Wellness, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF880Mar 31, 2022

    Based on observations, interviews, review of a facility policy titled Infection Control Isolation Droplet Precautions for COVID-19, and a document titled PPE (personal protective equipment) Education, the facility failed to ensure trash and linen receptacles were available inside the transmission based precaution rooms for the disposal of contaminated linens, trash, and PPE. As a result, staff were having to discard used PPE after exiting the rooms. This was noted with four of four rooms identified by the facility as being under transmission based precautions. Findings include: A review of a facility policy titled Infection Control Isolation Droplet Precautions for COVID-19, indicated, . […]

  • No harm, potential for more than minimal, isolatedF758Mar 31, 2022

    Based on record review, observations, interviews, and review of the facility's policy titled Pharmacy Unnecessary Drugs, the facility failed to ensure Resident Identifier (RI) #73, who received [CONDITION(S)] medications, was monitored for adverse effects (side effects) of the medications. The deficient practice affected RI #73, one of five sampled residents reviewed for unnecessary medications. Findings include: A review of the facility's policy titled Pharmacy Unnecessary Drugs, dated 07/2014, revealed: Policy: Each resident's drug regimen shall be free of unnecessary drugs. Procedure: .2. […]

Read 20 findings in full →The most serious and the most recent: 20 of 26 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 31, 2022Standard2 findings
  • Jul 29, 2020Infection control1 finding
  • Jun 14, 2018Standard3 findings · 2 harm
  • Apr 13, 2017Standard7 findings
  • Mar 10, 2016Standard6 findings
  • Feb 28, 2013—1 finding
  • Dec 15, 2011—2 findings
  • Jun 30, 2011—4 findings

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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