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 Robertsdale Rehabilitation & Healthcare Ctr during CMS and state inspections, most recent first.
The facility failed to notify the Ombudsman of hospital transfers for three residents, as required by policy. The deficiency was identified through record reviews and interviews, revealing that the facility had not been sending notifications since the COVID pandemic. The residents were transferred due to medical emergencies, but no evidence of Ombudsman notification was found.
The facility failed to offer pneumococcal and influenza vaccines to several residents, as per CDC guidelines. A resident with chronic respiratory issues did not receive a follow-up pneumococcal vaccine, and there was no documentation of consent or risk explanation for another resident's vaccination. Additionally, two residents were not offered the necessary vaccines, and the Director of Nursing could not explain these oversights.
The facility failed to protect residents from abuse, with multiple incidents of physical and verbal altercations between residents and staff. In one case, a resident with cognitive impairment was accidentally hit, leading to a retaliatory response. Another incident involved a resident slapping another, resulting in redness. A nurse verbally abused a resident, telling him to shut up. These events demonstrate inadequate supervision and intervention in preventing abuse.
A resident with abnormal posture and muscle weakness was observed in a reclined chair during meals, making it difficult to reach her food. Despite attempts to address the issue, she continued to struggle without proper positioning aids, as confirmed by an LPN and SLP.
A resident with a history of UTIs and paraplegia did not receive catheter care every shift as ordered, leading to a deficiency in care. CNAs were unclear about their responsibilities, only emptying the drainage bag and not performing catheter care. During an observation, CNAs improperly managed the catheter tubing, causing tension, and initially placed the drainage bag incorrectly, which was corrected by Staff Development. The resident was alert but unsure of the catheter's purpose.
The facility failed to prevent ceiling vent condensation from dripping onto the tray line and improperly stored scoops in the kitchen, potentially affecting 100 residents. Condensation was observed dripping onto the shelf where meals were prepared, and scoops were found inside food containers or uncovered with food particles. The Dietary Manager confirmed these issues, acknowledging the need for staff reminders on proper storage practices.
The facility failed to assist two residents with shaving, impacting their personal hygiene. One resident with paraplegia and a history of stroke remained unshaven despite requiring extensive assistance. Staff interviews revealed confusion about responsibility for shaving. Another resident with reduced mobility also remained unshaven, expressing delays in receiving assistance. The DON confirmed CNAs should shave residents regularly, but the facility lacked a specific ADL policy.
Failure to Notify Ombudsman of Resident Transfers
Penalty
Summary
The facility failed to notify the Ombudsman in writing of hospital transfers for three residents, which is a requirement to ensure residents have added protection and are informed of their rights and options. The facility's policy on Transfer and Discharge of a Resident did not include information about notifying the Ombudsman, leading to this oversight. The deficiency was identified through a review of records and interviews, revealing that the facility had not been sending notifications to the Ombudsman since the COVID pandemic. For Resident 16, the medical record showed that the resident was transferred to the hospital due to low oxygen saturation and disorientation, but there was no evidence of Ombudsman notification. Similarly, Resident 38 was transferred twice to the hospital for unresponsiveness and respiratory failure, with no Ombudsman notification documented. Resident 93 was also transferred twice due to labored breathing, and again, no notification was sent to the Ombudsman. The facility administrator confirmed the lack of notifications during an interview.
Failure to Administer and Document Vaccinations
Penalty
Summary
The facility failed to ensure that four out of six residents reviewed for pneumococcal vaccines were either offered the vaccines or provided additional doses as per CDC guidelines. Specifically, residents identified as R15, R83, R93, and R94 were not properly managed in terms of pneumococcal vaccination. R15, who had chronic respiratory failure and COPD, received a Prevnar 13 vaccine but there was no evidence of consent or explanation of risks and benefits to the responsible party. Additionally, R15 did not receive a follow-up dose of PCV20 or PPSV23 as recommended by CDC guidelines. For R83, the facility's records indicated that a pneumococcal vaccine was administered, but there was no documentation of the date or type of vaccine given. Furthermore, there was no evidence that consent was obtained or that the risks and benefits were communicated to the responsible party. R93's records showed no evidence of being offered either the influenza or pneumococcal vaccine, and R94 was not offered a pneumococcal vaccine at all. Interviews with the Assistant Director of Nursing/Infection Preventionist and the Director of Nursing confirmed these findings. The Director of Nursing was unable to provide an explanation for why these residents were not offered the necessary vaccines. This lack of adherence to vaccination protocols increased the risk of residents contracting pneumonia and influenza.
Failure to Protect Residents from Abuse in LTC Facility
Penalty
Summary
The facility failed to protect residents from abuse, as evidenced by multiple incidents involving physical altercations between residents. In one instance, a resident with severe cognitive impairment was accidentally hit by another resident, leading to a retaliatory response. The incident was witnessed by a CNA, who reported that the initial contact was unintentional due to the resident's visual impairment. Another incident involved a resident slapping another, believing her to be a family member, which resulted in redness to the skin. This incident was substantiated as abuse by the facility. Further incidents included a resident slapping her roommate, leading to a retaliatory slap and a skin tear. Both residents were cognitively impaired, and the incident was witnessed by staff. The facility's investigation confirmed the abuse, and the residents were separated. In another case, a nurse verbally abused a resident by telling him to shut up and go to his room. This was reported by a CNA, and the facility substantiated the verbal abuse. Additional incidents involved residents with severe cognitive impairments engaging in physical altercations. One resident was struck on the shoulder by another after a verbal altercation. The facility's investigation confirmed the incident as abuse. These events highlight the facility's failure to protect residents from abuse, as required by their policy, and demonstrate a pattern of inadequate supervision and intervention in preventing resident-to-resident altercations.
Resident's Improper Dining Positioning
Penalty
Summary
The facility failed to ensure that a resident, identified as R83, was positioned properly during meal times to access her food comfortably and safely. R83, who was readmitted to the facility with diagnoses of abnormal posture and muscle weakness, was observed in a reclined chair during meal service, requiring her to lean forward and reach above her head to access her food and beverages. This positioning was not in accordance with the facility's dining services policy, which mandates that residents be positioned to consume food in the safest, most efficient, and comfortable manner possible. Despite attempts by an LPN to address the issue by suggesting a move to a lower table, R83 insisted on sitting with her friends at her current table. The LPN provided a temporary solution by placing a pillow behind R83's back, which improved her ability to reach her food. However, during a subsequent observation, R83 was again found in the same reclined position without any assistive devices, struggling to reach her food. A Speech Language Pathologist confirmed the resident's difficulty and acknowledged the need for adaptive devices to improve her dining experience while allowing her to remain at her chosen table.
Deficiency in Catheter Care for Resident
Penalty
Summary
The facility failed to provide appropriate and timely urinary catheter care for a resident, leading to a deficiency in care. The resident, who was admitted with diagnoses including paraplegia and a history of urinary tract infections, required catheter care every shift as per physician's orders. However, the review of the Personal Hygiene Roster indicated that catheter care was not provided every shift as ordered, with care documented only on specific dates. Interviews with CNAs revealed a lack of clarity regarding their responsibilities for catheter care, with CNAs stating they only emptied the drainage bag and did not perform catheter care, which was assumed to be the nurses' responsibility. During an observation of catheter care, it was noted that the CNAs did not properly manage the catheter tubing, causing tension and pulling, and initially placed the drainage bag above the bladder, which was corrected by the Staff Development personnel present. The Staff Development personnel acknowledged that the CNAs needed more training on catheter care. The resident was alert and able to answer questions but was unsure of the reason for having the catheter, indicating a possible lack of communication regarding his care plan.
Improper Food Storage and Condensation Issues in Kitchen
Penalty
Summary
The facility failed to ensure that ceiling vents did not drip condensation onto the tray line and that scoops were stored appropriately, potentially affecting 100 of 113 residents who received meals prepared in the facility's kitchen. During an observation of the tray line, two ceiling vents above the steam table were noted to drip condensation onto the shelf where meals were being prepared. Although no condensation was observed to drip directly into the food, the Dietary Manager and three Dietary Aides confirmed the dripping. The Registered Dietitian, who inspected the kitchen monthly, was unaware of the condensation issue until it was confirmed by the Dietary Manager, Registered Dietitian, and Maintenance Director. Additionally, during a kitchen tour, scoops were improperly stored: one was found inside the flour container, another inside the cornmeal container, and an uncovered scoop was on top of the sugar container with food particles present. These observations were confirmed by the Dietary Manager, who acknowledged the improper storage and stated that staff needed to be reminded to store scoops in the bags as expected. The facility's policy on storage of canned and dry food requires that scoops be stored in covered containers and not in the storage bin unless hanging on a hook and out of the food product.
Failure to Assist Residents with Shaving
Penalty
Summary
The facility failed to provide adequate assistance with shaving for two residents, impacting their personal hygiene and potentially affecting their quality of life and self-esteem. Resident 5, who has diagnoses including paraplegia and a history of stroke, required extensive assistance with personal hygiene. Despite this, observations over several days showed that he remained unshaven, and interviews with staff revealed confusion about who was responsible for shaving residents. The Director of Nursing confirmed that CNAs should have been shaving residents every other day and as needed. Similarly, Resident 37, with a history of stroke and reduced mobility, required substantial assistance with personal hygiene. Observations indicated that he was unshaven over several days, and he expressed that it took a week to receive shaving assistance after requesting it. The Director of Nursing stated that residents should be shaved on shower days and upon request. The facility lacked a specific policy on ADLs, and the Administrator provided an outdated job description that included grooming as a duty.
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 31 citations issued within 25 miles in the last 12 months — 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 Robertsdale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Diversicare Of Foley | 10.4 mi | ★★★★★ | 0 | 0 |
| Altera Health And Rehabilitation Center | 16 mi | ★★★★★ | 0 | 0 |
| Fairhope Health & Rehab | 16.6 mi | ★★★★★ | 0 | 0 |
| Eastern Shore Rehabilitation And Health Center | 16.7 mi | ★★★★★ | 0 | 0 |
| Willowbrooke Ct Skilled Care Ctr Westminster Vlg | 18.3 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Robertsdale Rehabilitation & Healthcare Ctr.
100% money-back within 48 hours.
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.