Orchard Rehabilitation & Healthcare Center
629 State Highway 21 South, Hayneville, AL 36040 · Lowndes County · 72 certified beds · avg 60 residents/day · certified since Sep 20, 2000
Part of chain: BALL HEALTHCARE SERVICES (9 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Mar 16, 2018 · F-0578
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Why it matters: Ignoring these rights means residents may receive treatments they refused, or miss having their end-of-life wishes respected.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 9, 2018 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Mar 16, 2018 · F-0678
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 9, 2018 (Deficient, Provider has date of correction)
All citations in the current public record (4)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 31, 2019 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Mar 16, 2018 | ▲ J · Immediate jeopardy, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Mar 16, 2018 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Mar 16, 2018 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 3 | 2 | J ▲ |
| 2019 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Alabama avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.53 | 4.43 | 3.95 | bottom 10% in Alabama; bottom 38% in the U.S. |
| Registered Nurse hours | 0.75 | 0.74 | 0.69 | top 44% in Alabama; top 32% in the U.S. |
| Weekend total nurse staffing | 3.00 | 3.73 | 3.50 | bottom 9% in Alabama; bottom 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.36 | 0.48 | top 49% in Alabama; bottom 38% in the U.S. |
| Total nursing staff turnover (%) | 31.3 | 46.9 | 45.8 | top 9% in Alabama; top 17% in the U.S. |
| RN turnover (%) | 18.2 | 39.5 | 42.9 | top 14% in Alabama; top 12% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.03, RN 0.64, weekend 2.58. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ball, Clarence | Individual | 5% or Greater Direct Ownership Interest | 100% | 01/22/1993 |
| Ball Healthcare - Lowndes, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/1999 |
| Ball Healthcare Service, INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| Ball, Clarence | Individual | Corporate Director | NOT APPLICABLE | 01/22/1993 |
| Cash, Cassandra | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/07/2023 |
| Cash, Cassandra | Individual | ADP of the SNF | NOT APPLICABLE | 04/12/2012 |
| Greene, Jacquelyn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/29/2000 |
| Greene, Jacquelyn | Individual | ADP of the SNF | NOT APPLICABLE | 07/29/2000 |
| Hall, Matthew | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2014 |
| Hall, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2014 |
| Holt, Thomas | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2021 |
| Holt, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Father Purcell Memorial Exceptional Children's Ctr | 18.1 mi | Montgomery, AL | ★☆☆☆☆ | 1/5 | |
| John Knox Manor INC I I | 19.2 mi | Montgomery, AL | ★★☆☆☆ | 3/5 |
Compare this facility with the 2 closest →
All facilities in Hayneville →
Facility data as of CMS processing date 2026-08-01. CCN 015442.