Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bellway Health And Rehabilitation Center during CMS and state inspections, most recent first.
A resident in a LTC facility was subjected to mental and physical abuse by staff, which was recorded and posted on social media, violating the resident's privacy. Additionally, several residents experienced physical abuse from other residents. The facility's policies on social media use and abuse prevention were not followed, leading to these deficiencies.
The facility failed to adhere to menu specifications and portion control, affecting residents on pureed, regular, and mechanical soft diets. Incorrect serving utensils were used, and the Registered Dietitian was not consulted for menu changes, risking inadequate nutrition.
A resident reported missing money and a pouch, which were later found in another resident's drawer. The resident was cognitively intact, and the incident was reported as misappropriation of property. The facility's administrator investigated and confirmed the misappropriation, replacing the missing funds.
The facility failed to resolve grievances filed by two residents regarding missing or damaged personal items in a timely manner. Despite the facility's policy requiring prompt resolution and communication, no actions were documented, and residents were not informed of progress. The Social Worker admitted that grievances should be resolved within five days, but those filed in May remained unresolved by July.
A resident with cerebral palsy and unspecified convulsions was observed with a seat belt restraint intact during meal times on multiple occasions, contrary to the facility's policy and the resident's care plan. Interviews with staff revealed a lack of awareness and adherence to the requirement to release the restraint during meals, resulting in the resident being unnecessarily restrained.
The facility failed to maintain cleanliness in two shower rooms on the South unit, with soap buildup and dark stains observed, affecting a resident who complained about the conditions. Additionally, a resident's wheelchair armrest was torn and not repaired over several days, as confirmed by the Administrator. These deficiencies were identified during a complaint investigation.
A resident with Multiple Sclerosis was not provided with a prescribed splinting device for their left hand, as observed on multiple occasions. Despite physician orders and a care plan, the splint was not applied due to the absence of the responsible restorative aide, and no alternative staff performed the task. The resident reported the splint was not applied, and it was found on the bedside table during observations.
Abuse and Privacy Violations in LTC Facility
Penalty
Summary
The facility failed to protect a resident from mental and physical abuse by staff members. A CNA recorded another CNA physically and mentally abusing a resident by forcibly pulling up the resident's pants and slapping the resident's hand. The video was posted on social media, showing the resident's face, which violated the resident's privacy and confidentiality. The incident was reported to the facility's administration after the video was anonymously sent to the Social Worker/Director of Social Service. Additionally, the facility failed to protect several residents from physical abuse by other residents. In one instance, a resident hit another resident after an altercation in the hallway. In another case, a resident was hit in the face by another resident during a confrontation in the dining room. These incidents were reported as resident-to-resident physical abuse, but they did not rise to the level of immediate jeopardy. The facility's policies on social media use, personal cell phones, and resident photographs were not adhered to, leading to the abuse and privacy violations. The facility's policy on abuse, neglect, and exploitation was also not effectively implemented, as evidenced by the multiple incidents of abuse involving both staff and residents. These deficiencies affected several residents and were identified through interviews, record reviews, and facility-reported incidents.
Removal Plan
- Corrective action was initiated.
- Upon review and verification of the information provided in the facility's corrective action plan, in-service/education records, the facility's investigation, as well as staff interviews, the survey team determined the facility implemented corrective actions, with on-going monitoring implemented.
Deficiency in Menu Adherence and Portion Control
Penalty
Summary
The facility failed to provide pureed food items in the portions specified on the menu for supper on Tuesday and for lunch on Thursday. Additionally, the facility did not include cheese in the pureed entree as specified on the menu for supper on Tuesday and did not receive approval from the Registered Dietitian (RD) for this change. The facility also failed to provide the specified portion of coleslaw on the regular texture diets at supper on Tuesday for trays on the [NAME] Wing cart and did not provide the specified portion of ground bratwurst for the mechanical soft texture diets at lunch on Thursday. These deficiencies had the potential to affect several residents on pureed, regular, and mechanical soft texture diets. The facility's policies for menu planning and requirements, menu diet spreadsheets/portion serving communication tool, use of production sheets, and menu substitutions or changes and approval were not followed. The production sheets used during food preparation did not list the correct amounts to be prepared for all general food items and modified diets. The serving utensils used were incorrect for the portions listed on the menu, and there was no disher/scoop/dipper conversion chart available in the kitchen to guide staff on portion sizes. The Dietary Manager acknowledged the absence of a conversion chart and the incorrect use of serving utensils. The Registered Dietitian (RD) was not informed of the decision to leave cheese out of the pureed hamburger patty and bun mixture, and no approval was given for this menu change. The RD highlighted the potential risk of not meeting residents' nutritional needs if incorrect portions were consistently served. The facility's failure to adhere to its policies and procedures for menu planning and portion control resulted in the potential for inadequate nutrition for residents on specific diets.
Misappropriation of Resident Funds
Penalty
Summary
The facility failed to protect a resident, identified as RI #51, from the misappropriation of personal funds. RI #51 reported missing a money pouch and money, which was later found in another resident's, RI #123's, bedside drawer. RI #51 was cognitively intact, as indicated by a BIMS score of 14 out of 15. The incident was reported to the Alabama Department of Public Health as an abuse-misappropriation of resident property. During an interview, RI #123 did not recall anything about the pouch of money, while RI #51 confirmed the incident and noted that some of the money was missing. The facility's policy on Abuse, Neglect, and Exploitation defines misappropriation of resident property as the wrongful use of a resident's belongings without consent. The facility's administrator conducted an investigation upon learning about the missing money. Another resident informed the administrator that RI #123 had the missing pouch, which was confirmed when the administrator found the pouch in RI #123's drawer. Although some of the money had been spent, the facility replaced the entire amount for RI #51.
Removal Plan
- RI #51's money was replaced.
- RI #51 was given a lock box with a key to keep in his/her room.
- RI #123 was counseled that he/she could not take other residents' money.
- All residents known to withdraw large amounts of money from the business office were offered a lockbox and a key. Residents were encouraged not to keep large amounts of money in their room but if they wanted, they could request a lock box.
- All staff were educated on Misappropriation.
- Staff to monitor the residents for excess money in room and notify charge nurse or administrator so their money can be protected with a lock box 3 times a week x 2 weeks; then 2 times a week x 2 weeks; then 1 x a week x 4 weeks. Ongoing.
Failure to Resolve Resident Grievances Promptly
Penalty
Summary
The facility failed to ensure timely resolution of grievances filed by two residents, identified as RI #40 and RI #116, in May 2024. The grievances involved missing or damaged personal items, and the facility did not document any actions or efforts taken to resolve these issues. The facility's policy on grievances requires prompt efforts to resolve complaints and to keep residents informed of progress, but these steps were not followed. RI #116, who had intact cognition, reported not being informed about the progress of their grievance regarding damaged personal items, while RI #40's responsible party filed a grievance about missing clothing items, which also remained unresolved. During a resident council meeting in July 2024, residents expressed concerns about the facility's lack of prompt action in addressing grievances. The facility's Social Worker, who serves as the Grievance Official, acknowledged that grievances should be resolved within five days and admitted that the grievances filed in May had not been addressed in a timely manner. The Social Worker also confirmed that the efforts to resolve the grievances should have been documented, but this was not done, leading to the deficiency in handling resident grievances.
Failure to Release Restraint During Meal Times
Penalty
Summary
The facility failed to ensure that a resident, identified as RI #73, was free from the use of physical restraints during meal times, as required by the facility's policy titled 'Restraint Free Environment.' The resident, who has diagnoses including Unspecified Convulsions and Cerebral Palsy, was observed on multiple occasions with a seat belt restraint intact while feeding themselves during meal times. This occurred on three separate days during the survey period, specifically on 07/09/2024, 07/12/2024, and 07/15/2024. Interviews with facility staff, including a Certified Nursing Assistant (CNA), a Registered Nurse (RN), and a Licensed Practical Nurse/Minimum Data Set Coordinator (LPN/MDSC), revealed a lack of awareness and adherence to the care plan, which specified that the seat belt should be released during meal times to allow the resident free time from the restraint. The CNA was unaware of the requirement to release the seat belt during meals, while the RN and LPN/MDSC acknowledged the care plan's directive but failed to ensure its implementation. This oversight resulted in the resident being unnecessarily restrained during meal times, contrary to the facility's policy and the resident's care plan.
Deficiencies in Shower Room Cleanliness and Wheelchair Maintenance
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment in two of the six shower rooms on the South unit, as observed during a survey. The survey revealed soap buildup on the walls and dark coloring on the floors of these shower rooms, which affected a resident who was cognitively intact and had complained about the cleanliness. The facility's Administrator and Maintenance Director confirmed the presence of dried soap and dark stains during their observation, acknowledging that the conditions were not homelike and that the shower rooms required better cleaning. Additionally, the facility did not ensure that a resident's wheelchair was in good repair, as the left armrest was torn and missing a piece. This condition persisted over several days, as noted in multiple observations. The Administrator acknowledged that the armrest was torn and worn, and agreed that it was not in good repair. These deficiencies were identified during the investigation of a complaint, highlighting the facility's failure to adhere to its policy of providing a safe and homelike environment.
Failure to Apply Splinting Device for Resident
Penalty
Summary
The facility failed to ensure that a splinting device was applied to a resident's left hand as prescribed to prevent decreased range of motion. The resident, who was admitted with a diagnosis of Multiple Sclerosis and had intact cognition, was observed multiple times without the splint on their left hand, despite physician orders and a care plan indicating the necessity of wearing the splint for 6-8 hours daily. The resident reported that staff did not apply the splint, and it was found on the bedside table during observations. Interviews with facility staff revealed that the responsibility for applying the splint fell to the restorative staff, specifically a restorative aide who was absent on the days the deficiency was noted. The restorative aide confirmed that no one performed her duties in her absence, and the Restorative Nurse acknowledged that the splint should have been applied daily to prevent further contractures. This oversight led to the resident not receiving the necessary care to maintain their range of motion.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the citations issued around you in the last 12 months — including the immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Selma
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lighthouse Rehabilitation & Healthcare Center | 2.2 mi | ★★★★★ | 0 | 0 |
| Park Place | 2.5 mi | ★★★★★ | 0 | 0 |
| Southland Nursing Home | 20 mi | ★★★★★ | 0 | 0 |
| Diversicare Of Marion | 20.8 mi | ★★★★★ | 0 | 0 |
| The Pine Of Camden, Llc | 31.2 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.