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A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 238 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Baybrooke Village Care and Rehab Center has a middle-range Medicare overall rating. Strengths include exceptional physical therapy and rehab teams. Some reviewers note concerns about delayed medication administration and slow response to call lights (mentioned by 6 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
Families considering Baybrooke Village will find a facility with highly praised physical therapy and specific standout caregivers, particularly Denise and the admissions team. However, there are significant, recurring reports of understaffing, delayed medication administration, and inconsistent hygiene care, especially during weekend shifts.
Quality Themes
Tap a score for detailsStrengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 215 analyzed
The owner uses a small set of repetitive templates to respond to 5-star reviews. While they personalize the responses by including the reviewer's name, they rarely acknowledge the specific details or staff members mentioned in the text.
Personalized based on this facility's data
Key Review Excerpts
“The staff here are so caring, kind, and loving! They are so attentive and assist with every detail. Abeba and the weekend staff were such sweet ladies with so much patience.”
“I spoke with Dwight Blackwood earlier this week and he was extremely friendly and took time to answer all of my questions. I look forward to working with Baybrooke in the near future.”
“DENISE DOES A WONDERFUL JOB. SHE IS KIND, CONSIDERATE, AND LOVING IN MY OPINION TO ALL THAT IS IN HER CARE.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
2
measures
3
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Families have filed complaints triggering 14 of the 40 deficiencies, signaling ongoing concerns about care quality. The facility shows persistent problems in medication management, accident prevention and safety, and infection control that appear repeatedly across surveys from 2022 to 2025. While most issues are eventually corrected, the pattern of recurring deficiencies in critical care areas suggests systemic challenges that families should carefully consider.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Feb 7, 2024
$15,642
South Limestone Hospital District
for profit
PF BAYBROOKE SNF OPS, LLC
ALEXANDRIA MADUKA
Stonegate Senior Living
24 facilities nationwide
Chain avg rating: 2.9/5 · Rank 1 of 13 (Highest rating)
Owners
South Limestone Hospital District
Owner · Organization
Campbell, Scott
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Chance, James
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Fisher, James
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Langdon, Thomas
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Mcgehee, William
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Taylor, John
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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238 reviews from families & visitors
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