Deficiency Index

Hendrix Health and Rehabilitation

Double Springs, Alabama · CCN 015138

10 surveys since 2011, and no finding has been recorded at harm level.

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

Citations on record
25
Surveys
10
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2023
’11’15’20’23
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file7/10

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

The facility

Certified beds
110
Ownership
For profit - Individual
Chain
Independent
County
Winston · rural
Medicare-certified since
1979

CMS ratings

Overall
2
Health inspection
2
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=3, floor 20).

Last survey on record

Sep 7, 2023

1,159 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 day3.783.73
Registered-nurse hours per resident day0.47—
Annual nurse turnover44.3%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 minimalD342.9%E114.3%F342.9%
No harm, potential for minimalA—B—C—
CMS’s current file: 7 of the 25 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5501×

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

  • F6571×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F8141×

    Dispose of garbage and refuse properly.

  • F8801×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

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

  • No harm, potential for more than minimal, widespreadF812Sep 7, 2023

    Based on observations, interviews, the facility's policies for Food Receipt and Storage, Insect and Rodent Control, Hand Sanitation During Dishwashing, and Hand-washing Guidelines, the facility's Pest Elimination Services Agreement, the facility's Pest Elimination Scope of Service, the facility's pest control service reports, and the 2022 United States (U.S.) Food and Drug Administration (FDA) Food Code; the facility failed to prevent potential cross contamination by not ensuring: food was stored a minimum of six inches from the floor and a cut watermelon was covered and dated in the refrigerator, insects were not present in the kitchen and receiving harbor from cracked/missing tile and pooled water, an employee washed hands when going from handling dirty dishes to clean dishes, and… […]

  • No harm, potential for more than minimal, widespreadF814Sep 7, 2023

    Based on observation, interview, the facility's policy for Garbage and Refuse, a waste management invoice for the facility, and the 2022 United States (U.S.) Food and Drug Administration (FDA) Food Code; the facility failed to ensure three of three dumpsters were not filled to overflowing with plastic bags of garbage/trash, with the dumpster lids open, and with four plastic bags of garbage/trash on the pavement beside the dumpsters on 09/05/2023 at 4:23 PM. This had the potential to affect 103 of 103 residents residing in the facility. Findings include: The facility's policy for Garbage and Refuse dated 02/01/2002, included the following: Purpose: To prevent the spread of bacteria that may cause food borne illnesses. Process: . e. […]

  • No harm, potential for more than minimal, isolatedF550Sep 7, 2023

    Based on observations, interviews, and resident record review, the facility failed to ensure staff did not stand while feeding Resident Identifier (RI) #8 the breakfast meal on 09/06/2023. This deficient practice had the potential to affect RI #8, one of one resident sampled for dignity. Findings include: RI #8 was admitted to the facility on [DATE]. RI #8's quarterly Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 06/28/2023 documented RI #8 had a Brief Interview for Mental Status (BIMS) score of zero, which indicated RI #8 had severely impaired cognitive skills for daily decision making; and RI #8 required one person assistance with eating. […]

Read 20 findings in full →The most serious and the most recent: 20 of 25 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 7, 2023Standard3 findings
  • Oct 29, 2019Standard2 findings
  • Sep 12, 2018Standard2 findings
  • Aug 24, 2017Standard1 finding
  • Aug 18, 2016Standard4 findings
  • Aug 6, 2015Standard3 findings
  • Sep 18, 2014Standard6 findings
  • Aug 29, 2013—2 findings
Show the 2 earlier surveys
  • Jul 19, 2012—1 finding
  • May 12, 2011—1 finding

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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