Merry Wood Lodge

280 Mt Hebron Road · Elmore, AL · 36025 · 3345678484

124 certified beds For profit - Limited Liability company Chain: Genesis Healthcare

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (5 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $182,968 in fines in the last 24 months.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

5 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

4 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$182,968 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 0
Serious harm & abuse 20% 0
Staffing 20% 64
Federal penalties 15% 36
Trend 10% 18
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.203.48 min · 4.1 strong
RN hours / resident-day0.850.55–0.75
Weekend hours / resident-day2.85≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)1 · $182,968

Inspection citations (17 in the current record)

  • Actual harm · G October 17, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J September 1, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J September 1, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected September 26, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J September 1, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected September 26, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · L September 1, 2024 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected September 26, 2024 · Administration

  • Immediate jeopardy · L September 1, 2024 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected September 26, 2024 · Administration

  • Potential for harm · F September 1, 2024 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected September 26, 2024 · Nutrition and Dietary

  • Potential for harm · F September 1, 2024 · found via complaint

    Dispose of garbage and refuse properly.

    Corrected September 26, 2024 · Nutrition and Dietary

  • No harm found · C September 1, 2024 · found via complaint

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected September 26, 2024 · Administration

  • Potential for harm · D March 3, 2020

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected April 1, 2020 · Resident Rights

  • Potential for harm · D March 3, 2020

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected April 1, 2020 · Pharmacy Service

  • Potential for harm · D March 3, 2020

    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.

    Corrected April 1, 2020 · Pharmacy Service

  • Potential for harm · F March 3, 2020

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 1, 2020 · Nutrition and Dietary

  • Potential for harm · D March 3, 2020

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected April 1, 2020 · Resident Assessment and Care Planning

  • No harm found · C March 3, 2020

    Post nurse staffing information every day.

    Corrected April 1, 2020 · Nursing and Physician Services

  • Potential for harm · D December 13, 2018

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 17, 2019 · Resident Assessment and Care Planning

  • Potential for harm · E December 13, 2018

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 17, 2019 · Quality of Life and Care

Federal penalties

DateTypeAmount / length
September 1, 2024Fine$182,968
September 1, 2024Payment Denial42 days

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 015019 · certified since January 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.