Decatur Health & Rehab Center
Decatur, Alabama · CCN 015206
15 surveys since 2010. 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
- 60
- Surveys
- 15
- Harm or worse
- 4
- Immediate jeopardy
- 4
Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 119
- Ownership
- For profit - Corporation
- Chain
- VENZA CARE MANAGEMENT
- County
- Morgan
- Medicare-certified since
- 1977
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 3
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=19, floor 20).
Last survey on record
Feb 3, 2025
644 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.97 | 3.73 |
| Registered-nurse hours per resident day | 0.58 | — |
| Annual nurse turnover | 61.8% | 51.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $25,367 across 4 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J425.0% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D850.0% | E16.3% | F318.8% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6351×
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- F6401×
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
In the surveyor’s words
From the most serious findings on record at Decatur Health & Rehab Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF580Feb 3, 2025
Based on interviews, record review, and the facility's policy titled Notification of Changes, the facility failed to ensure Resident Identifier (RI) #497's physician was notified when RI #497 experienced a change in condition on 01/04/2025 at 1:24 PM when RI #497 had an elevated heart rate (HR) of 142 beats per minute (bpm). The facility further failed to notify the physician on 01/04/2025 at 9:22 PM when RI #497's heart rate continued to be elevated at 120 bpm. As a result of RI #497's physician not being notified upon the change in condition, no additional treatment or interventions were implemented which resulted in delayed treatment that was likely to result in serious injury, serious harm, impairment, or death. […]
- Immediate jeopardy, isolatedF658Feb 3, 2025
Based on interviews, review of Resident Identifier (RI) #497's medical records, and hospital record review, the facility failed to ensure: 1.) licensed staff followed standards of practice when Licensed Practical Nurse (LPN) #10 failed to completely and accurately transcribe an order. Specifically, on 01/04/2025 at 1:24 PM RI #497's HR was 142 beats per minute (bpm). LPN #10 notified Certified Registered Nurse Practicioneer (CRNP) #15 and received orders to check the resident's heart rate (HR) manually twice per day and send RI #497 to the emergency room (ER) if RI #497's HR did not decrease. LPN #10 entered into the electronic system for the manual HR assessment to begin at 8:00 PM and failed to transcribe the order to send the resident to the ER if the HR did not decrease. […]
- Immediate jeopardy, isolatedF684Feb 3, 2025
Based on interviews and resident record reviews the facility failed to ensure: 1) a system was in place to ensure newly admitted residents vital signs were assessed at a frequency expected by the Physician/Certified Registered Nurse Practitioner (CRNP); and 2) resident specific vital sign parameters were established including when the physician should be notified of abnormal values. Specifically, RI #497 was admitted to the facility on [DATE] after being admitted to the hospital on 12/17/2024 with Atrial Fibrillation with RVR (Rapid Ventricular Response). The facility's orders indicated RI #497's vitals were to be assessed every month and no parameters were established. The physician/CRNP reported they expected vitals to be assessed at least daily for newly admitted residents. […]
- Immediate jeopardy, isolatedF689May 17, 2024
Based on record review, interviews, the facility's VERIFICATION OF INVESTIGATION, a review of the Alabama Department of Public Health Online Incident Reporting System, a review of facility's policies titled Resident Elopement, and Resident-Missing the facility failed to ensure adequate supervision was provided to Resident Identifier (RI) #1 to prevent and identify elopement. On 09/14/2023 around 5:35 PM, RI #1, a resident with cognitive deficits, eloped from the facility. Certified Nursing Assistant (CNA) #5 identified that RI #1 was not in his/her room around 6:00 PM and did not act to locate RI #1, but assumed he/she had discharged home. At 8:47 PM, Licensed Practical Nurse (LPN) #8 identified that RI #1's whereabouts were unknown and initiated action to locate RI #1. […]
- No harm, potential for more than minimal, widespreadF812Feb 3, 2025
Based on observation, interview, the facility's policies for Food Safety Requirements and Date Marking for Food Safety, and the United States (U.S.) Food and Drug Administration (FDA) 2022 Food Code; the facility failed to ensure frozen chicken was safely thawed and two boiled eggs in the Reach-in Cooler had a use-by date on 01/27/2025. This had the potential to affect 100 of 100 residents receiving meals from the facility's kitchen. Findings include: The U.S. FDA 2022 Food Code included the following: . 3-501.13 Thawing. . […]
Read 20 findings in full →The most serious and the most recent: 20 of 60 on record.
Every survey on record
FindingsAt actual harm or above
- Feb 3, 2025Standard and complaint11 findings · 3 harm
- May 17, 2024Complaint1 finding · 1 harm
- May 15, 2021Standard and complaint4 findings
- Feb 12, 2021Complaint3 findings
- Aug 13, 2020Infection control1 finding
- Apr 25, 2019Standard2 findings
- May 16, 2018Standard3 findings
- Jan 25, 2018Complaint1 finding
Show the 7 earlier surveys
- Mar 23, 2017Standard12 findings
- Mar 10, 2016Standard4 findings
- Feb 5, 2015Standard2 findings
- Mar 27, 2014Standard4 findings
- Jan 10, 2013—2 findings
- Oct 27, 2011—8 findings
- Oct 21, 2010—2 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.
- Cordova Health and Rehabilitation, LLCCordova2 harm findings
- Magnolia Haven Health and Rehabilitation CenterTuskegee2 harm findings
- Rivertown Health and Rehabilitation CenterMontgomeryno harm findings
- Oak Knoll Health and Rehabilitation, LLCBirmingham2 harm findings
- Windsor HouseHuntsville8 harm findings
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