Deficiency Index

Merry Wood Lodge

Elmore, Alabama · CCN 015019

18 surveys since 2011. The first finding at harm level was recorded in 2019.

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

Citations on record
58
Surveys
18
Harm or worse
12
Immediate jeopardy
11
The record, 2011–2024
’11’15’20’24
No harm recordedHarm or worseNot surveyed
Immediate jeopardy11

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/18

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

The facility

Certified beds
124
Ownership
For profit - Limited Liability company
Chain
GENESIS HEALTHCARE
County
Elmore
Medicare-certified since
1974

CMS ratings

Overall
1
Health inspection
1
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=9, floor 20).

Last survey on record

Oct 17, 2024

753 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 day3.243.73
Registered-nurse hours per resident day0.78—
Annual nurse turnover51.9%51.3%

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

Enforcement

Fines
$182,968 across 1 penalty
Payment denials
1
Special focus
SFF Candidate
Abuse icon
Flagged by CMS on Care Compare

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 jeopardyJ317.6%K—L211.8%
Actual harmG15.9%H—I—
No harm, potential for more than minimalD529.4%E15.9%F317.6%
No harm, potential for minimalA—B—C211.8%
CMS’s current file: 17 of the 58 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6002×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F8122×

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

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6071×

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • F6101×

    Respond appropriately to all alleged violations.

In the surveyor’s words

From the most serious findings on record at Merry Wood Lodge, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF835Sep 1, 2024

    Based on interviews, record review, review of the facility's investigative file, review of the facility's abuse policy titled Abuse Prohibition, and review of the job responsibilities of the Administrator (ADM), the ADM failed to ensure the Abuse Policy was implemented, failed to investigate abuse thoroughly, failed to identify abuse, and take appropriate action for prevention of abuse. On 07/01/2023, Certified Nursing Assistant (CNA #14) reported that she grabbed Resident Identifier (RI) #398's wrists to keep RI #398 from hitting her to Licensed Practical Nurse (LPN) #17. The incident was not reported to the Administrator (ADM) and no protective measures were implemented until 07/06/2023. On 07/06/2023 red and purple discolorations were noted on RI #398 's bilateral arms and wrists. […]

  • Immediate jeopardy, widespreadF867Sep 1, 2024

    Based on interviews, record review, review of facility policies titled Abuse Prohibition and Center Quality Assurance Performance Improvement Process, the facility failed to ensure the Quality Assurance and Performance Improvement (QAPI) committee reviewed and analyzed an allegation of abuse in a manner to analyze causes and implement preventative actions. The committee failed to identify physical abuse against Resident Identifier (RI) #398 and failed to identify concerns with identification, reporting, investigation, and protection for an allegation of physical abuse reported to the State Agency (SA) on 07/06/2023. […]

  • Immediate jeopardy, isolatedF600Sep 1, 2024

    Based on interviews, residents' record review, review of a facility policy titled Abuse Prohibition, review of Facility Reported Incidents (FRIs) received by the State Agency, and review of the facility's investigative files, the facility failed to protect residents right to be from abuse perpetrated by staff of the facility. On 07/01/2023 Resident Identifier (RI) #398 was physically abused by Certified Nursing Assistant (CNA) #14. This deficiency was cited as the result of the investigation of complaint /report #AL00044697. The facility further failed to ensure RI #48 was free from abuse perpetrated by CNA #10. On 03/10/2024 RI #48 was physically abused by CNA #10. The facility further failed to substantiate the allegations as abuse. […]

  • Immediate jeopardy, isolatedF607Sep 1, 2024

    Based on interviews, record review, review of the facility's investigative file and review of the facility's abuse policy titled Abuse Prohibition, the facility failed to ensure the abuse policy was implemented following an incident of staff to resident physical abuse. The facility failed to ensure the incident was identified by licensed staff as abuse and protective measures were immediately implemented to prevent further potential abuse. The facility further failed to ensure the incident was reported to the Administrator (ADM) within two hours and thoroughly investigated to identify that abuse occurred and to ensure appropriate actions were taken to prevent further potential abuse. […]

  • Immediate jeopardy, isolatedF610Sep 1, 2024

    Based on interviews, record reviews, review of the facility's abuse policy titled, Abuse Prohibition, review of Facility Reported Incidents (FRIs) received by the Alabama State Survey Agency, and review of the facility's investigative files, the facility failed to ensure an allegation of staff to resident physical abuse was thoroughly investigated to identify that abuse occurred, determine if bruising was a result of the abuse, and take appropriate action to prevent further potential abuse. On 07/01/2023, Certified Nursing Assistant (CNA #14) reported to Licensed Practical Nurse (LPN) #17 that she grabbed Resident Identifier (RI) #398's wrists to keep RI #398 from hitting her. […]

Read 21 findings in full →The most serious and the most recent: 21 of 58 on record.

Every survey on record

FindingsAt actual harm or above

  • Oct 17, 2024Complaint1 finding · 1 harm
  • Sep 1, 2024Standard and complaint8 findings · 5 harm
  • Mar 3, 2020Standard and complaint6 findings
  • Mar 2, 2019Complaint6 findings · 6 harm
  • Dec 13, 2018Standard2 findings
  • Mar 29, 2018Standard and complaint3 findings
  • Feb 2, 2017Standard and complaint5 findings
  • Dec 17, 2015Standard1 finding
Show the 10 earlier surveys
  • Mar 12, 2015Complaint6 findings
  • Nov 20, 2014Complaint1 finding
  • Oct 2, 2014Standard and complaint3 findings
  • Feb 21, 2014Complaint1 finding
  • Oct 30, 2013—3 findings
  • Jan 24, 2013—2 findings
  • Nov 8, 2012—2 findings
  • Sep 27, 2012—2 findings
  • Jun 16, 2012—3 findings
  • Dec 2, 2011—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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