Deficiency Index

Wetumpka Health and Rehabilitation, LLC

Wetumpka, Alabama · CCN 015027

13 surveys since 2011, 1 of them producing a finding at harm level or worse.

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

Citations on record
53
Surveys
13
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2023
’11’15’20’23
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file11/13

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

The facility

Certified beds
121
Ownership
For profit - Corporation
Chain
NHS MANAGEMENT
County
Elmore
Medicare-certified since
1967

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=17, floor 20).

Last survey on record

Dec 7, 2023

1,068 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 day3.723.73
Registered-nurse hours per resident day0.55—
Annual nurse turnover50.0%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 minimalD1055.6%E316.7%F422.2%
No harm, potential for minimalA—B—C15.6%
CMS’s current file: 18 of the 53 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • 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.

  • F5841×

    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.

  • F6091×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6411×

    Ensure each resident receives an accurate assessment.

In the surveyor’s words

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

  • No harm, potential for more than minimal, widespreadF804Dec 7, 2023

    Based on a test tray observation, interview, medical record review, and review of the facility's policies for Food Preparation Guidelines and Food Taste Test; the facility failed to ensure meals, other than pureed meals, were served at an acceptable warm temperature for lunch on 12/06/2023. This had the potential to affect 110 of 113 residents receiving meals from the facility's kitchen. This also affected two residents who said hot food was served cold, Resident Identifier (RI) #30 and RI #85. Findings include: The facility's policy for Food Preparation Guidelines, dated 08/10/2018, included the following: . PURPOSE: . Food should be palatable, attractive, and at the proper temperature, as determined by the type of food, to ensure resident/guest(s) satisfaction. STANDARD: . Food . […]

  • No harm, potential for more than minimal, widespreadF812Dec 7, 2023

    Based on observation; interview; the 2022 United States (U.S.) Food and Drug Administration (FDA) Food Code; the facility's policies for Leftover Food Storage and Use, Dish Machine Sanitization, Food Cooking and Serving Temperatures, Food Preparation Guidelines, Cleaning of Miscellaneous Equipment and Utensils, Calibrating and Sanitizing Thermometers, Cleaning Schedules, and Insect and Rodent Control; the facility's food holding temperature record, reports from the facility's dishmachine service provider; and facility work order #954; the facility failed to ensure: badly stained dishware was properly cleaned or removed from service to residents, the dishwashing machine's final rinse temperature reached 180 degrees Fahrenheit (F) on 12/05/2023, coffee cups did not have built-up residue… […]

  • No harm, potential for more than minimal, widespreadF814Dec 7, 2023

    Based on observations, interviews, review of the the 2022 United States (U.S.) Food and Drug Administration (FDA) Food Code, and review of the facility's policies for Garbage and Refuse and Insect and Rodent Control, the facility failed to ensure the garbage dumpster was closed, the grease refuse container was closed, the grease refuse container was not leaking, and the dumpster area was not littered with food-related trash and other items. This affected one of one garbage dumpster and one of one grease refuse container; and had the potential to affect 114 of 114 residents in the facility. Findings include: The facility's policy for Garbage and Refuse, dated 02/01/2002, included the following: . […]

  • No harm, potential for more than minimal, widespreadF804Jul 12, 2022

    Based on observation, interview, resident record review, the 2017 Food Code, the food temperature record,the menu for breakfast on 07/11/2022, the Physician Orders List for Dietary, and the facility's policies for Tray Assembly, Tray Distribution, and Food Taste Test; the facility failed to ensure the coffee and grits served at breakfast on 07/11/2022 were received at an appetizing temperature upon delivery to residents. This affected Resident Identifiers (RI) #9 and #10 and had the potential to affect all residents receiving meals from the facility kitchen, 109 of 111 residents. Findings include: The facility's policy for Food Taste Test, dated 02/01/2002, included the following: . PURPOSE: . help promote the resident/guest(s) dietary intake. PROCESS: . c. Check the food for: . […]

  • No harm, potential for more than minimal, patternF584Dec 7, 2023

    Based on observations, interviews and review of a facility policy titled, Resident Environmental Quality, the facility failed to ensure an end cap on a hand rail on one hallway was not missing; six air conditioner vents were free of dried dustlike condensations; five ventilation returns were free of dust and dried condensations that were dark in color; the corner trim was not missing and exposing nails at a nurses' station; and one fire extinguisher box was free of a brown colored substance. These deficient practices were observed during the survey and affected three of the six halls at the facility. […]

Read 21 findings in full →The most serious and the most recent: 21 of 53 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 7, 2023Standard and complaint15 findings
  • Jul 12, 2022Complaint2 findings
  • Apr 25, 2019Standard3 findings
  • Apr 13, 2018Standard1 finding
  • Feb 23, 2017Standard3 findings
  • Mar 3, 2016Standard2 findings
  • Jan 29, 2015Standard4 findings
  • Nov 20, 2014Complaint3 findings
Show the 5 earlier surveys
  • Jul 23, 2014Complaint1 finding
  • Jun 6, 2014Standard6 findings · 1 harm
  • Aug 15, 2013—2 findings
  • Aug 23, 2012—10 findings
  • Aug 30, 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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