How many deficiencies did Southern Springs Healthcare Facility get at its last inspection?

0 health deficiencies at the standard inspection on August 25, 2022. The Alabama average is 4.

Has Southern Springs Healthcare Facility been fined?

CMS lists no fines in the last three years.

Does Southern Springs Healthcare Facility 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 Southern Springs Healthcare Facility?

CMS lists 16 owners and managers. Legal business name: MAIN AND ASSOCIATES INC.

Southern Springs Healthcare Facility: Inspections & Ratings

The record in brief

At its most recent standard inspection, on August 25, 2022, inspectors cited 0 health deficiencies (the Alabama average is 4, the national average 9.2).

None of its 6 health citations since May 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 4.09 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.

22.4% 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.

405/18

204/19

008/22

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 6 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

August 25, 2022Standard inspection · 0 citations

April 25, 2019Standard inspection · 2 citations

D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2019

Inspectors wroteBased on record review and interview the facility failed to ensure the anticoagulation medication for Resident Identifier (RI) #31 was coded on the Quarterly Minimal Data Set (MDS) dated [DATE]. RI #31 was admitted to the facility 8/2/18 and readmitted [DATE] with a diagnosis of Acute embolism and thrombosis deep veins of right lower extremity. A review of RI #31's February 2019 Physician Orders revealed: . 9/14/18 .APIXABAN (Eliquis) 5 MG (milligrams) tablet give one tablet PO (by mouth) BID (two times a day) This medication was indicated for acute deep vein thrombosis of the right lower extremity. A review of RI #31's April 2019 Physician Orders revealed: . 9/14/18 .APIXIABAN tablet 5 MG give one tablet PO BID . A review of RI #31's Quarterly MDS, with an Assessment Reference Date of 2/3/19, revealed under Section N . Medications Received Anticoagulant . [...]
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) May 30, 2019

Inspectors wroteBased on observation, record review, interview and review of facility policies titled, Medication Administration Oral Medications and Medication Administration NG/G Tube, the facility failed to ensure : 1. Licensed staff did not handle the scoop inside the Questran Powder medication with her bare hand then return the scoop inside the container when preparing the medication for Resident Identifier (RI) #45; 2. Licensed staff did not touch the inside of the crush medication bag with his bare hand during medication pass for RI #99, and 3. Licensed staff did not place RI #55's eye drop medication on the glove box in the bathroom without a barrier, while he washed his hands and then place the top of the eye drop container on the resident bedside table while he administered the medication without a barrier, then returned the top to the eye drop container. [...]

May 24, 2018Standard inspection · 4 citations

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) June 28, 2018

Inspectors wroteBased on observations, interviews and a review of facility policies titled, Cleaning Instructions: Food Preparation Appliances, and Handwashing Guidelines-Dietary Employees, the facility failed to ensure: 1) crumbs were not in the bottom of the mixer bowl; 2) the bottom of the Robo Coupe blender was free of water; and 3) a dietary staff member washed her hands when entering the kitchen. This had the potential to affect 95 of 105 residents who received meals from the kitchen. Findings Include: 1) A review of a facility policy titled, Cleaning Instructions: Food Preparation Appliances, with no date revealed: Policy: It is the policy of this facility to handle small food preparation appliances, such as blenders, food processors, and mixers, will be cleaned and sanitized following each use . [...]
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2018

Inspectors wroteBased on interview, record review and review of a facility policy titled, Conducting an Accurate Resident Assessment, the facility failed to ensure Resident Identifier (RI) #59's admission Minimum Data Set (MDS) assessment, dated 02/13/18, was coded for the diagnosis of Depression and RI #59's use of the antidepressant medication Prozac. This affected RI #59, one of 22 residents whose MDS assessments were reviewed. Findings Include: A review of a facility policy titled, Conducting an Accurate Resident Assessment, with a revised date of 11/17 revealed: Policy: The purpose of this policy is to assure that all residents receive an accurate assessment, reflective of the resident's status at the time of the assessment, . RI #59 was admitted to the facility on [DATE], with a diagnosis to include Dementia in other Diseases without Behavioral Disturbances. [...]
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2018

Inspectors wroteBased on record review and interview, the facility failed to ensure Resident Identifier (RI) #63's Skin Breakdown care plan was revised after RI #63 was identified to have redness around his/her sacral area. This deficient practice affected RI #63, one of 22 sampled residents whose plans of care were reviewed. Findings Include: RI #63 was admitted to the facility on [DATE], and readmitted on [DATE], with a diagnosis of Hemiplegia Following Cerebral Infarct Affecting The Left Nondominant Side. RI #63's Physician's Order dated 03/30/18, documented: . 2) Clean reddened area around sacral area c (with) wound cleanser, apply TAO (Triple Antibiotic Ointment) & (and) cover c gauze pads & Duoderm qd (every day) . On 05/23/18 at 2:15 p.m., the surveyor reviewed RI #63's care plans. [...]
C

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) June 28, 2018

Inspectors wroteOn 05/24/18 at 12:25 p.m., an interview was conducted with Employee Identifier (EI) #1, the Staffing Coordinator. The surveyor asked EI #1 what was the resident census for the evening shift on 05/22/18. EI #1 said there was no census documented. When asked if the nurse staff posting for the evening shift on 05/22/18 was complete, EI #1 said no. EI #1 also acknowledged there was no census on the nurse staffing form for 05/23/18. The surveyor asked EI #1 why was it important that the staffing form be complete. EI #1 said because it showed there were sufficient amount of staff to take care of the residents. When asked who was responsible for completing the daily nurse staffing form, EI #1 said she was for the first shift, and the supervisors were for the evening and night shifts. [...]

Fire safety inspections

11 fire safety citations on file: 6 on August 25, 2022, 2 on April 25, 2019, 3 on May 24, 2018.

Every fire safety citation11 citations

F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · August 25, 2022 · Corrected (the home has a date of correction)
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · August 25, 2022 · Corrected (the home has a date of correction)
E
Install smoke barrier doors that can resist smoke for at least 20 minutes.

K 374 · August 25, 2022 · Corrected (the home has a date of correction)
D
Have properly located and lighted "Exit" signs.

K 293 · August 25, 2022 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · August 25, 2022 · Corrected (the home has a date of correction)
D
Install corridor and hallway doors that block smoke.

K 363 · August 25, 2022 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · April 25, 2019 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · April 25, 2019 · Corrected (the home has a date of correction)
D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · May 24, 2018 · Corrected (the home has a date of correction)
D
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · May 24, 2018 · Corrected (the home has a date of correction)
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · May 24, 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.

Measure	This home	Alabama	United States
All nursing staff (RN, LPN and aides)	4.09	3.88	3.86
Registered nurses	0.41	0.65	0.69
All nursing staff on weekends	3.51	3.26	3.42
Nurse aides	2.82
Licensed practical nurses	0.85
Nursing staff turnover (share who left in a year)	22.4%	46.9%	45.8%
Registered nurse turnover	0.0%	39.5%	42.9%
Administrators who left	0

CMS expects 3.34 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 4.32 on weekdays and 3.51 on weekends, 19% 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 4.18 in April to June 2025 to 4.09 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	4.09	0.41	4.32	3.51	0.0%	0 of 90	101
Oct to Dec 2025	4.47	0.43	4.76	3.74	0.0%	0 of 92	94
Jul to Sep 2025	4.60	0.40	4.95	3.73	0.0%	1 of 92	94
Apr to Jun 2025	4.18	0.38	4.48	3.46	0.0%	2 of 91	99
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Alabama, Jan to Mar 2026	3.88	0.63	4.13	3.27	0.9%	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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Alabama

Job	Median	Middle half	Employed
Alabama, all employers
CNAs (nursing assistants)	$16.41	$14.45 to $17.49	25,250
LPNs and LVNs	$27.42	$23.15 to $29.71	11,580
Registered nurses	$37.06	$30.53 to $40.09	54,340
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

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

Measure	This home	Alabama	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	12.2	12.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	3.3	0.9	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	2.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	4.0	3.3	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.3	2.0	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	7.5	12.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	9.8	5.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	28.4	21.2	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	20.8	24.8	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	0.0	11.3	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	3.2	2.0	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.5	1.7	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Southern Springs Healthcare Facility's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (42.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

42.9% this home

No different from the national rate

US median of homes 51.5% · Alabama: 41 better, 10 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 26 eligible stays.

Potentially preventable readmissions

10.8% this home

No different from the national rate

US median of homes 10.7% · Alabama: 1 better, 3 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 51 eligible stays.

Infections that led to a hospital stay

7.2% this home

No different from the national rate

US median of homes 7.1% · Alabama: 0 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 41 eligible stays.

Self-care and mobility at discharge

59.4% this home

Median of homes: Alabama50.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 32 residents counted.

Falls with major injury

3.1% this home

Median of homes: Alabama0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 32 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Alabama2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 32 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Alabama100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 7 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: MAIN AND ASSOCIATES INC.

Name	Role	Type	Share	Since
Emfinger, Brenda	5% or greater direct ownership interest	Individual	32%	10/17/1994
Main, Benjamin	5% or greater direct ownership interest	Individual	34%	10/17/1994
McGregor, Patricia	Direct ownership interest	Individual		06/01/2024
Tahir Siddiq	Operational/managerial control	Organization		10/01/2020
Armstead, Scotty	Operational/managerial control	Individual		05/01/2017
Finney, Ruby	Operational/managerial control	Individual		10/09/1994
Scott, Kathy	Operational/managerial control	Individual		11/01/2013
Siddiq, Tahir	Operational/managerial control	Individual		10/01/2020
Tanner, Kristy	Operational/managerial control	Individual		09/26/2005
Armstead Pharmacy Provider Services LLC	Adp of the SNF	Organization		01/01/2018
Tahir Siddiq	Adp of the SNF	Organization		04/14/2025
Armstead, Scotty	Adp of the SNF	Individual		05/01/2017
Finney, Ruby	Adp of the SNF	Individual		10/27/1994
Scott, Kathy	Adp of the SNF	Individual		11/01/2013
Siddiq, Tahir	Adp of the SNF	Individual		10/01/2020
Tanner, Kristy	Adp of the SNF	Individual		09/26/2005

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.

When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on April 25, 2019: "Ensure each resident receives an accurate assessment."
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 April 25, 2019: "Provide and implement an infection prevention and control program."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on May 24, 2018: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on May 24, 2018: "Post nurse staffing information every day."

Other nursing homes nearby

Magnolia Haven Health and Rehabilitation Center
Tuskegee, 20.2 mi · 1 of 5 stars · 30 citations

Alabama contacts for a concern about a nursing home

These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Alabama Department of Public Health, Bureau of Health Provider Standards, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Alabama Office of the State Long-Term Care Ombudsman Program, 334-242-5753. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Alabama Health Care Facilities Deficiencies, where Alabama publishes its own records on licensed homes.

Common questions

What is Southern Springs Healthcare Facility's Medicare star rating?: CMS rates Southern Springs Healthcare Facility 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Southern Springs Healthcare Facility get at its last inspection?: 0 health deficiencies at the standard inspection on August 25, 2022. The Alabama average is 4.
Has Southern Springs Healthcare Facility been fined?: CMS lists no fines in the last three years.
Does Southern Springs Healthcare Facility 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 Southern Springs Healthcare Facility?: CMS lists 16 owners and managers. Legal business name: MAIN AND ASSOCIATES INC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.