Regional One Health Extended Care Hospital

When those deficiencies happened

2 deficiencies in 1 month of the last 36. Last cited Apr 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

• 17.6% of its patients returned home or to the community: no different than the national rate, as CMS compares it (Oct 1, 2023 to Sep 30, 2025).
• Compared by CMS: potentially preventable readmissions within 30 days after discharge, no different than the national rate (21.69%); catheter urinary tract infections (CAUTI), no different than the national benchmark (standardized infection ratio 0.4); central line bloodstream infections (CLABSI), no comparison (standardized infection ratio 0); C. diff infections, no comparison (standardized infection ratio 0).
• As CMS gives them: patients with one or more falls with major injury, 0%; patients with new or worsened pressure ulcers or injuries, 4.44%; patients successfully weaned from a ventilator, 68.63%; patients at or above an expected ability to care for themselves and move around at discharge, 44.85%; Medicare spending per patient (1 is the national median), 1.05.

• Medicare-certified long-term care hospital since Feb 3, 2014.
• Ownership: non-profit.
• It is not accredited by a private organisation, so the state carries out its routine inspections for Medicare.
• No condition-level: what this means deficiency on record in the last three years.
• Non-profit.

• CMS doesn’t publish fines or other penalties for these facilities.
• None of the deficiencies cited in the last three years came from an inspection that included a complaint investigation.

• CMS doesn’t publish staffing levels for these facilities.
• 100% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).

• Shelby County Health Care Corporation owns 100% directly since Nov 1, 2013.
• 6 owners or officers are people: Phillip Underwood (corporate officer, 0%); Phillip Underwood (managing employee (on the payroll), 0%); Thomas Eubank (corporate director); Linda F Hughlett (corporate director); Muthiah P Muthiah (corporate director, 0%); Leticia Towns (corporate director, 0%).
• CMS’s Provider of Services file records no change of ownership.
• No private-equity firm among the owners CMS lists.
• No real-estate investment trust among the owners CMS lists.

• Of the 3 long-term care hospitals CMS lists in Shelby County, 3 have CMS’s comparison of their discharges to the community with the national rate: 3 no different than the national rate.
• CMS rates this one no different than the national rate for returning patients to the community.

• CMS doesn’t publish fines or other penalties for inpatient rehabilitation facilities or long-term care hospitals, so none are shown.
• Only complaints that led to a citation appear; complaints that didn’t aren’t published.
• Many of these facilities are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
• QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
• CMS doesn’t publish staffing levels for these facilities.

• Centers for Medicare & Medicaid Services, Long-Term Care Hospital - General Information (azum-44iv).

  Released Sep 23, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Long-Term Care Hospital - Provider Data (fp6g-2gsn).

  Released Sep 23, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).

  Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).

  Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).

  Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).

  Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

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