Deficiency Index

Columbiana Health and Rehabilitation, LLC

Columbiana, Alabama · CCN 015453

9 surveys since 2012. The first finding at harm level was recorded in 2024.

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

Citations on record
18
Surveys
9
Harm or worse
1
Immediate jeopardy
0
The record, 2012–2024
’12’15’20’24
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file6/9

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

The facility

Certified beds
63
Ownership
For profit - Corporation
Chain
NHS MANAGEMENT
County
Shelby
Medicare-certified since
2004

CMS ratings

Overall
4
Health inspection
4
Staffing
3
Quality measures
4

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

Apr 18, 2024

935 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 day3.513.90
Registered-nurse hours per resident day0.62—
Annual nurse turnover52.8%46.0%

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

Enforcement

Fines
$8,018 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

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 harmG125.0%H—I—
No harm, potential for more than minimalD375.0%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 4 of the 18 citations on record.

In the surveyor’s words

From the most serious findings on record at Columbiana Health and Rehabilitation, LLC, in the surveyor’s own words.

  • Actual harm, isolatedF760Apr 18, 2024

    Based on interviews, resident record review, review of the facility's investigative file, review of a facility policy titled, Medication Error ., the facility failed to ensure Resident Identifier (RI) #1, a resident with a history of seizures, received his/her Oxcarbazepine 300 mg (milligrams) QID (four times a day) as ordered. On 05/11/2023 at 10 PM, on 05/12/2023 at 4 AM, 10 AM and 4 PM, RI #1 did not receive the Oxcarbazepine as ordered by the physician; and on 05/13/2023, RI #1 began to have seizures and was sent to ER (emergency room ) for evaluation. […]

  • No harm, potential for more than minimal, isolatedF880Apr 18, 2024

    Based on observations, interviews, resident record review, and review of a facility policy titled, Hand Hygiene, the facility failed to ensure Certified Nursing Assistant (CNA) #9, performed hand hygiene and used Personal Protective Equipment (PPE) in a manner to prevent cross-contamination. On 04/17/2024 CNA #9 failed to perform hand hygiene after removing contaminated gloves, and before handling clean linens while providing incontinent care for Resident Identifier (RI) #5. This deficient practice affected RI #5; one of one resident observed receiving incontinent care. […]

  • No harm, potential for more than minimal, isolatedF583Aug 24, 2022

    Based on observation, record review, interviews, and review of a facility policy titled Intramuscular Medications the facility failed to ensure Employee Identifier (EI) #2 Licensed Practical Nurse (LPN), provided privacy when administering intramuscular medication to Resident Identifier (RI) #15 during morning medication administration on 8/23/22. This deficient practice had the potential to affect RI #15, one of one resident observed receiving intramuscular medication. Findings Include: A facility policy titled Intramuscular Medications with a review date of 4/20 documented .Intramuscular medications are administered in a safe and accurate manner. Procedures . 6. Provide privacy. 7. Select an appropriate site for injection. RI #15 was admitted to the facility 12/7/18. […]

Read all 18 findings in full →

Every survey on record

FindingsAt actual harm or above

  • Apr 18, 2024Complaint2 findings · 1 harm
  • Aug 24, 2022Standard1 finding
  • Oct 17, 2019Standard1 finding
  • Nov 16, 2017Standard1 finding
  • Nov 2, 2016Standard2 findings
  • Dec 3, 2015Standard6 findings
  • Oct 30, 2014Standard1 finding
  • Jan 10, 2013—1 finding
Show the 1 earlier survey
  • Apr 12, 2012—3 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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