Deficiency Index

Northgate Health and Rehabilitation Center

Bessemer, Alabama · CCN 015060

17 surveys since 2011. The first finding at harm level was recorded in 2015.

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

Citations on record
65
Surveys
17
Harm or worse
11
Immediate jeopardy
11
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy11

Findings at the most serious level CMS records.

Beyond CMS’s monthly file12/17

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

The facility

Certified beds
69
Ownership
For profit - Corporation
Chain
ARABELLA HEALTHCARE MANAGEMENT
County
Jefferson
Medicare-certified since
1967

CMS ratings

Overall
2
Health inspection
1
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 51 for-profit facilities of 66–99 beds in Alabama.

Last survey on record

May 9, 2025

549 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 day3.193.90
Registered-nurse hours per resident day1.06—
Annual nurse turnover78.6%46.9%

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

Enforcement

Fines
$17,346 across 3 penalties
Payment denials
1

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 jeopardyJ313.0%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1356.5%E313.0%F313.0%
No harm, potential for minimalA—B—C14.3%
CMS’s current file: 23 of the 65 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F5842×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F6862×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • F5571×

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

In the surveyor’s words

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

  • Immediate jeopardy, isolatedF600May 9, 2025

    Based on interviews, resident record reviews, review of a facility policy titled Abuse, Neglect and Exploitation, review of Facility Reported Incidents (FRIs) received by the State Agency, and review of the facility's investigative files, the facility failed to protect the residents' rights to be free from sexual and physical abuse perpetrated by residents. Specifically: 1.) The facility failed to ensure Resident Identifier (RI) #49 was free from sexual abuse perpetrated by RI #1, a resident with a history of sexually inappropriate behavior to include vulgar comments and obscene language. On 09/12/2024 RI #1was found unsupervised in the Activity Room with his/her hand on RI #49's breast. […]

  • Immediate jeopardy, isolatedF605May 9, 2025

    Based on interviews, record review, and review of a facility policy titled Unnecessary Drugs the facility failed to ensure adequate monitoring for behaviors was completed accurately, properly, and consistently while a Gradual Dose Reduction (GDR) for a psychotropic medication was being attempted. Specifically, RI #1 had a dose reduction of Seroquel on 08/28/2024 and the facility did not have a documented system to include timeframe and instructions to staff on monitoring for behaviors while a GDR attempt was in progress. […]

  • Immediate jeopardy, isolatedF740May 9, 2025

    Based on interviews, resident record review, and review of a facility policy titled Behavioral Health Care Services, the facility failed to ensure residents with behaviors were managed and addressed to protect other residents from abuse, and to ensure other residents' safety and privacy was protected from residents with combative, aggressive, and sexual behaviors. Specifically, 1.) The facility failed to ensure staff documented the presence of or absence of target behaviors that were identified in Resident Identifier (RI) #1's Care Plan to ensure RI #1's behaviors were managed. RI #1 had diagnoses of Schizophrenia and Bipolar Disorder and a history of sexually inappropriate behavior. […]

  • Immediate jeopardy, isolatedF689Sep 23, 2022

    Based on interviews, record review, review of the facility's policy titled, Elopements and Wandering Residents, and review of the facility's investigation regarding Resident Identifier (RI) #1's elopement, facility staff failed to implement the elopement policy after a door alarmed on 09/15/2022, when RI #1 exited a facility door and left the premises. Per facility video footage, on 09/15/2022 at approximately 8:02 PM, RI #1 exited the facility and proceeded to leave the property and was out of view at approximately 8:05 PM. […]

  • No harm, potential for more than minimal, widespreadF801May 9, 2025

    Based on interview and review of the Dietary Manager's (DM) employee file, the facility failed to have a qualified Dietary Manager. This had the potential to affect 60 of 60 residents receiving meals from the kitchen. Findings include: An undated job offer letter for the position of Dietary Director (Dietary Manager) from the Administrator included: 1.) The date the offer was accepted by the Dietary Manager: 01/21/2025. 2.) The hire date for the Dietary Manager: 02/14/2025. 3.) The start date for the Dietary Manager: 03/11/2025. A job description for Dietary Manager, dated 12/08/2018 and signed by the Dietary Manager on 03/11/2025, included the following: . […]

Read 28 findings in full →The most serious and the most recent: 28 of 65 on record.

Every survey on record

FindingsAt actual harm or above

  • May 9, 2025Complaint11 findings · 3 harm
  • Jan 9, 2025Standard and complaint2 findings
  • Aug 4, 2024Complaint7 findings
  • Sep 23, 2022Complaint1 finding · 1 harm
  • Jul 7, 2022Complaint1 finding
  • May 6, 2021Standard2 findings
  • Feb 6, 2020Standard1 finding
  • Nov 29, 2018Standard6 findings
Show the 9 earlier surveys
  • Feb 1, 2018Standard1 finding
  • Sep 10, 2017Complaint4 findings · 4 harm
  • Nov 30, 2016Standard1 finding
  • Oct 1, 2015Standard6 findings
  • Apr 16, 2015Complaint3 findings · 3 harm
  • Jan 7, 2015Standard4 findings
  • Jan 16, 2014—4 findings
  • Feb 7, 2013—6 findings
  • Mar 10, 2011—5 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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