MERRY WOOD LODGE

ELMORE, AL · 124 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • ⚠ This facility has a substantiated finding of abuse
  • ⚠ 1-star health inspection rating (lowest possible)
  • ⚠ 8 deficiencies — 2.1x the state average
  • ⚠ 5 citation(s) at the highest severity level — immediate risk to residents
  • ⚠ 1 citation(s) where residents suffered actual harm
  • ⚠ $182,968 in fines over 3 years

Green Flags

No positive signals identified yet.

Quick Facts

★★☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
8
2.1x state avg
Deficiencies
$182,968
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

October 16, 2024

1 deficiency
F0600 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

August 31, 2024

8 deficiencyies
F0600 Immediate Jeopardy Scope/Severity: J

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

F0607 Immediate Jeopardy Scope/Severity: J

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

F0610 Immediate Jeopardy Scope/Severity: J

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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

F0814 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Dispose of garbage and refuse properly.

F0835 Immediate Jeopardy Scope/Severity: L

Administration Deficiencies

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Administer the facility in a manner that enables it to use its resources effectively and efficiently.

F0851 No Harm Scope/Severity: C

Administration Deficiencies

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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

F0867 Immediate Jeopardy Scope/Severity: L

Administration Deficiencies

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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

March 2, 2020

6 deficiencyies
F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0732 No Harm Scope/Severity: C

Nursing and Physician Services Deficiencies

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Post nurse staffing information every day.

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

December 12, 2018

2 deficiencyies
F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0689 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

See full violation history →

Staffing

0.86
RN hrs/res/day
0.49
LPN hrs/res/day
2.13
CNA hrs/res/day
3.13
Weekend hrs/res/day
51%
Total nurse turnover
58%
RN turnover

A nurse checks on each resident roughly every 6.9 hours on average.

Fines & Penalties

  • Fine Aug 31, 2024
    $182,968
  • Payment Denial Aug 31, 2024
    Payment Denial
Total $182,968

Ownership

For profit - Limited Liability company Chain: GENESIS HEALTHCARE

  • GENESIS HOLDINGS LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    100% Organization

  • FC-GEN OPERATIONS INVESTMENT LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization

  • GEN OPERATIONS I LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization

  • GEN OPERATIONS II LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization

  • GENESIS HEALTHCARE INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization

  • GENESIS HEALTHCARE LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization

  • HCCF MANAGEMENT GROUP XI LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization

  • SUN HEALTHCARE GROUP INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization

  • SUNDANCE REHABILITATION HOLDCO INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2016

    NO PERCENTAGE PROVIDED Organization

  • WELLTOWER OP LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2024

    NO PERCENTAGE PROVIDED Organization

  • ZAC PROPERTIES XI LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization

  • FISHMAN, STEVEN

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Individual

  • WHITMAN, ARNOLD

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Individual

  • BERG, MICHAEL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/02/2015

    Individual

  • BERG, MICHAEL

    CORPORATE OFFICER

    Since since 03/02/2015

    Individual

  • BRIDGEFORD, LAURA

    CORPORATE OFFICER

    Since since 06/01/2024

    Individual

  • MENDELSON, AVI

    CORPORATE OFFICER

    Since since 06/01/2024

    Individual

  • BOLEN, JOEL

    CONTRACTED MANAGING EMPLOYEE

    Since since 03/01/2024

    Individual

  • HUFFMAN, LARRY

    W-2 MANAGING EMPLOYEE

    Since since 03/01/2024

    Individual