2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Summerford Health and Rehab is a large 216-bed care home on Highway 31 Southwest in Falkville, Alabama. The average stay here runs about 136 days, meaning the daily routine balances fast-turnover therapy for people recovering from surgery with traditional long-term residential care. When it comes to the bills, the front office handles traditional Medicare, state Medicaid, and standard private pay.
The 24-hour nursing team provides about 3 hours and 39 minutes of direct, hands-on attention to each resident daily. This crew coordinates short-term rehab, wound care, and temporary respite stays, backed by an in-house lab as well as dental, vision, and nutrition services. Inside the building, residents have access to private or semi-private rooms, a beauty salon, laundry services, and even a pool. The location is somewhat walkable, but visiting family members will still mostly want a car to get around town.
State reports for this property have flagged compliance deficiencies regarding resident protection protocols, abuse reporting procedures, secure unit staffing levels, fall prevention, daily living care delivery, and infection control. Going over these specific surveys with the management team is a good way to see how they handle quality assurance and daily safety before you move forward.
Prospective residents can get in touch with the administrative office to check on current room availability or to learn how the general intake process works.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 38m per day | ■ Avg State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 47m per day | ■ Avg State avg: 47m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 47m per day | ▼ 29% State avg: 2h 30m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 49m per day | ▼ 14% State avg: 3h 17m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▲ 67% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 23m per day | ▲ 5% State avg: 22m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Summerford Health and Rehab LLC is administered by Rebecca Fraizer-Smith.
In Alabama, the Department of Public Health, Bureau of Health Provider Standards conducts unannounced surveys to ensure facilities meet state licensing and federal certification safety standards.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Alabama state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | AL Average | vs. AL Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 15 | 17 | This facility has 12% fewer total deficiencies than a typical Alabama assisted living residence (15 vs. AL avg 17).↓ 12% better |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 1.9 | 2.1 | This facility has 10% fewer deficiencies per year than a typical Alabama assisted living residence (1.9 vs. AL avg 2.1).↓ 10% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Apr 2024
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 14 citations resulted from standard inspections; 2 of 14 resulted from complaint investigations; and 3 of 14 came from combined inspections (standard and complaint).
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
34 total: 11 full-time employees and 23 contractors.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
51 total: 15 full-time employees and 36 contractors.
51
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
110 total: 52 full-time employees and 58 contractors.
110
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
11,205 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 52 | 58 | 110 | 22,169 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 15 | 36 | 51 | 9,755 | 92 | 100% | 9.5 |
| Registered Nurse | 11 | 23 | 34 | 7,462 | 92 | 100% | 8.5 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,879 | 92 | 100% | 7.5 |
| Speech Language Pathologist | 5 | 0 | 5 | 951 | 71 | 77% | 6.1 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 695 | 55 | 60% | 8.1 |
| Physical Therapy Aide | 4 | 0 | 4 | 533 | 64 | 70% | 7.5 |
| Physical Therapy Assistant | 2 | 0 | 2 | 526 | 69 | 75% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 498 | 63 | 68% | 7.9 |
| Dental Services Staff | 1 | 0 | 1 | 493 | 62 | 67% | 7.9 |
| Administrator | 1 | 0 | 1 | 483 | 61 | 66% | 7.9 |
| Other Social Services Staff | 1 | 0 | 1 | 466 | 62 | 67% | 7.5 |
| Qualified Social Worker | 4 | 0 | 4 | 206 | 49 | 53% | 3.7 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
60% lower than State averageState average: $65K
27% more fines than State averageState average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 24, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 24, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 24, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.7
13% better than State averageState average: 8.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.3
13% worse than State averageState average: 14.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.0%
22% worse than State averageState average: 13.9%
Percent of long-stay residents whose ability to move independently worsened
11.8%
27% better than State averageState average: 16.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.2%
48% worse than State averageState average: 13.6%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
22% worse than State averageState average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
4.9%
18% better than State averageState average: 5.9%
Percent of long-stay residents with a urinary tract infection
2.1%
22% better than State averageState average: 2.7%
Percent of long-stay residents who lose too much weight
0.9%
83% better than State averageState average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State averageState average: 1.2%
Percent of long-stay residents who received an antipsychotic medication
25.7%
24% worse than State averageState average: 20.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.5%
5% better than State averageState average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
65.4%
31% worse than State averageState average: 94.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.89
6% better than State averageState average: 2.00
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.94
8% worse than State averageState average: 1.79
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.6%
12% better than State averageState average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
3.2%
52% worse than State averageState average: 2.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.4%
8% better than State averageState average: 80.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
33.2%
36% worse than State averageState average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.9%
30% worse than State averageState average: 11.5%
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
81% worse than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
48.9%
9% worse than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
57.8%
14% better than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
40% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
153Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Summerford Health and Rehab LLC from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #128 / 131Payroll — State benchmarkedThis home is ranked 128th out of 131 homes in Alabama for Payroll. Shows total annual staff payroll benchmarked to the Alabama average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (40% of admissions), and a typical Medicare stay runs around 28 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Falkville's city center to Summerford Health and Rehab LLC's address, calculated via Google Maps.
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The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.
| Washington County Nursing Home | NH ADC RC SNF | Chatom | - | 88 | - | 37 | - |
| Albertville Nursing Home | NH RC SNF | North Albertville | - | 159 | - | 66 | - |
| Piedmont Health Care Center | NH AL MC SNF | Piedmont | - | 91 | - | 61 | - |
| Westminster Village – Spanish Fort | NH AL HC HOS IL MC PC SNF | Spanish Fort (Bridgehead) | - | 60 | - | 27 | Studio / 1 Bed / 2 Bed |
| Summerford Health and Rehab LLC | NH RC SNF | Sw Falkville | - | 216 | - | 31 | - |
Summerford Health and Rehab LLC has a walk score of 31. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Summerford Health and Rehab LLC's occupancy is 67.5%.
No, Summerford Health and Rehab LLC has a no-pet policy.
Summerford Health and Rehab LLC is registered as a for-profit in AL.
Rebecca Fraizer-Smith is the administrator of Summerford Health and Rehab LLC.
Summerford Health and Rehab LLC has 216 beds.
Summerford Health and Rehab LLC is located at 4087 Highway 31 Sw, Falkville, AL 35622.
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