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Eamc Lanier Nursing Home

4800 48th Street, Valley, AL 36854 · Chambers County · (334) 756-1401

103 certified beds, about 92 residents a day · Non profit - Corporation · Medicare and Medicaid since 1977

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 015045 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 19, 2021, inspectors cited 1 health deficiency (the Alabama average is 4, the national average 9.2).

None of its 9 health citations since March 2018 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.79 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.85 of those hours.

32.4% of nursing staff left within the year CMS measured (Alabama average 46.9%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
0E
1F
Potential for minimal harm
0A
0B
1C
August 19, 2021Standard inspection · 1 citation
  1. C
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for minimal harm, widespread · deficient, provider has September 10, 2021
    Inspectors wroteBased on document review, interviews and review of the facility's policy, the facility failed to ensure that the Quality Assessment and Assurance (QAA) committee met at least quarterly. This had the potential to affect the care and services for each of the 65 residents in the facility.
March 21, 2019Standard inspection · 5 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 24, 2019
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a licensed staff member did not write on a dressing that Resident Identifier (RI) #67 was wearing during the wound care observation on 3/21/19. This affected RI #67, one of two sampled residents observed during wound care. Findings Include: RI #67 was admitted to the facility on [DATE], with diagnoses to include Pressure Ulcer of Right Upper Back, Stage 4 and Gastrostomy Status. A review of RI #67's most recent Quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 2/06/19, revealed the resident had a Brief Interview for Mental Status (BIMS) score of 3, which indicated severe cognitive impairment. The MDS also revealed RI #67 had one Stage 2 Pressure Ulcer (PU), one Stage 3 PU and two Stage 4 PU's. [...]
  2. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 24, 2019
    Inspectors wroteBased on observation, interview, record review and a facility policy titled, Privacy/Promoting Dignity, the facility failed to ensure privacy was provided for Resident Identifier (RI) #67 during wound treatment, when other staff entered the resident's room and RI #67's privacy curtain was not pulled. This affected RI #67, one of two sampled residents observed during wound care. Findings Include: A review of a facility policy titled, Privacy/Promoting Dignity with a revised date of 8/17, revealed: .1. EAMC staff will knock on a patient's door prior to entering room, listen for response, and then enter patient's room respectfully .3. Prior to providing any care and/or treatments a staff member will .provide privacy for patient . RI #67 was admitted to the facility on [DATE], with diagnoses to include Pressure Ulcer of Right Upper Back, Stage 4 and Gastrostomy Status. [...]
  3. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 24, 2019
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure wound care was provided for Resident Identifier (RI) # 67, a resident with multiple pressure ulcers, in a manner to prevent infection. Licensed staff failed to wash her hands after picking up tape dropped on the floor, and then proceeded to prepare supplies for the wound treatments, and failed to wash hands during treatment, before applying product to a wound. Further, licensed staff failed to clean the scissors before and during RI #67's treatments. These failures affected RI #67, one of two residents observed for wound care.
  4. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 24, 2019
    Inspectors wroteBased on observation, interview, record review and review of the facility policy titled, Enteral (to deliver nutrition directly to the stomach) Feeding Via (by way of) Gastrostomy Tube, the facility failed to ensure Resident Identifier (RI) #67's head of bed (HOB) was elevated at all times or the tube feeding pump was turned off, while wound care was provided. RI #67's tube feeding pump was running for 27 minutes with the HOB down during wound care on 3/21/19. This affected RI #67, one of two sampled residents who received tube feeding. Findings Include: A review of a facility policy titled, Enteral Feeding Via Gastrostomy Tube with a review date of 8/17, revealed: .Procedure: .3. The head of the bed must be elevated at least 30-45 degrees at all times if tube feeding is continuous . [...]
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 24, 2019
    Inspectors wroteBased on observation, record review, interview and a facility policy titled, Hand Hygiene for Long Term Care, the facility failed to ensure a licensed staff member: a. did not place her bare fingers in a medicine cup prior to administering the medication to Resident Identifier (RI) #6, b. did not place the keys to the medication cart on top of the medication cart after they were dropped on the floor, c. washed her hands after picking up the medication cart keys off of the floor and prior to proceeding to prepare medication for RI #15 and d. did not pull the privacy curtain with her bare hands, then fail to wash her hands before administering medication to RI #15. These deficient practices affected RI #6 and RI #15, two of nine residents observed during medication administration. Findings Include: [...]
March 22, 2018Standard inspection · 3 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 25, 2018
    Inspectors wroteBased on observations, interviews, and review of the 2013 Food Code and the facility document titled: Record of Dishmachine Temperatures, the facility failed to ensure: 1) preparation equipment, dishes and utensils were effectively sanitized to destroy potential food borne organisms; 2) the tea urn spigot was thoroughly cleaned every 24 hours; 3) wiping clothes were stored in a sanitizing solution when not in use; and 4) staff prevented potential cross-contamination by not storing a blue scoop on top of the powder for thickening liquids. These deficient practices had the potential to affect all 88 residents who received meal trays from dining services.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 25, 2018
    Inspectors wroteBased on record review and interviews, the facility failed to ensure individualized care plans were developed with measurable goals and approaches for: 1. RI (Resident Identifier) #95's refusals of care, use of an antipsychotic medication, and behaviors of yelling and combativeness. 2. RI #78's use of an antipsychotic medication related to a diagnosis of Dementia with Agitation. This affected two of 19 sampled residents for whom care plans were reviewed.
  3. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 25, 2018
    Inspectors wroteBased on observation, interview, resident record review, and review of the facility policy Care of Residents with Behavioral and Emotional Problems the Facility failed to ensure RI (Resident Identifier) #95 did not receive antipsychotic medications without first attempting non-pharmacological interventions to address emotional needs and behaviors. This affected one of five residents sampled for receiving antipsychotic medications.

Fire safety inspections

7 fire safety citations on file: 2 on March 21, 2019, 5 on March 22, 2018.

Every fire safety citation7 citations
  1. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 21, 2019 · Corrected (the home has a date of correction)
  2. E
    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
    K 343 · March 21, 2019 · Corrected (the home has a date of correction)
  3. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · March 22, 2018 · Corrected (the home has a date of correction)
  4. E
    Ensure proper usage of power strips and extension cords.
    K 920 · March 22, 2018 · Corrected (the home has a date of correction)
  5. D
    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
    K 343 · March 22, 2018 · Corrected (the home has a date of correction)
  6. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · March 22, 2018 · Corrected (the home has a date of correction)
  7. C
    Develop a communication plan.
    E 29 · March 22, 2018 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeAlabamaUnited States
All nursing staff (RN, LPN and aides)3.793.883.86
Registered nurses0.850.650.69
All nursing staff on weekends3.203.263.42
Nurse aides2.32
Licensed practical nurses0.62
Nursing staff turnover (share who left in a year)32.4%46.9%45.8%
Registered nurse turnover0.0%39.5%42.9%
Administrators who left0

CMS expects 3.24 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.03 on weekdays and 3.20 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.49 in April to June 2025 to 3.79 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.790.854.033.20 0.0%0 of 9092
Oct to Dec 20252.670.612.812.34 0.0%31 of 9287
Jul to Sep 20251.240.291.251.22 0.0%61 of 9289
Apr to Jun 20252.490.552.662.07 0.0%30 of 9186
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Alabama, Jan to Mar 20263.880.634.133.270.9%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeAlabamaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.712.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.30.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
7.92.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.13.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
6.22.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
21.912.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.95.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
30.121.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.424.823.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.511.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.52.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
4.31.71.8

Owners and operators

Legal business name: THE EAST ALABAMA HEALTH CARE AUTHORITY.

NameRoleTypeShareSince
The East Alabama Health Care AuthorityDirect ownership interestOrganization02/01/2014
Abrams, JohnCorporate directorIndividual10/01/2024
Alderman, CharlesCorporate directorIndividual02/01/2014
Dumas, RobertCorporate directorIndividual02/01/2014
Gray, ValerieCorporate directorIndividual10/01/2024
Grubbs, VertrinaCorporate directorIndividual10/01/2024
Johnson, LeeCorporate directorIndividual10/01/2024
Kamath, ArvindCorporate directorIndividual02/01/2014
Lock, JamesCorporate directorIndividual06/01/2018
Smith T, DozierCorporate directorIndividual06/01/2018
Tucker, StanleyCorporate directorIndividual10/01/2021
Welsh, HayleyCorporate directorIndividual10/01/2024
Williams, MichaelCorporate directorIndividual10/01/2024
Grill, LauraCorporate officerIndividual06/01/2018
Price, SamuelCorporate officerIndividual02/01/2014
The East Alabama Health Care AuthorityOperational/managerial controlOrganization02/01/2014
Yarbrough, AlisonOperational/managerial controlIndividual05/03/2018
The East Alabama Health Care AuthorityAdp of the SNFOrganization02/28/2025
Grill, LauraAdp of the SNFIndividual10/01/2018
Kamath, ArvindAdp of the SNFIndividual03/10/2025
Price, SamuelAdp of the SNFIndividual02/01/2014
Yarbrough, AlisonAdp of the SNFIndividual05/03/2018

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on March 21, 2019: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on March 21, 2019: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  3. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on August 19, 2021: "Have the Quality Assessment and Assurance group have the required members and meet at least quarterly"
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on March 21, 2019: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.20 hours per resident per day, below the Alabama average of 3.26.

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Common questions

What is Eamc Lanier Nursing Home's Medicare star rating?
CMS rates Eamc Lanier Nursing Home 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Eamc Lanier Nursing Home get at its last inspection?
1 health deficiency at the standard inspection on August 19, 2021. The Alabama average is 4.
Has Eamc Lanier Nursing Home been fined?
CMS lists no fines in the last three years.
Does Eamc Lanier Nursing Home accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Eamc Lanier Nursing Home?
CMS lists 22 owners and managers. Legal business name: THE EAST ALABAMA HEALTH CARE AUTHORITY.

Sources

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