Coosa Valley Health And Rehab

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.33 therapist hours per resident per day in 2026Q1 — more than 54% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 124 beds and averages 75.3 residents a day — about 61% occupied, or roughly 49 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.05 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.58 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.63 hrs/resident/day on weekends vs 4.22 on weekdays — 14% thinner on weekends. RN hours go from 0.61 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 4 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · D2022-04-29 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, interviews, and review of a facility policy titled Perineal Care, the facility failed to provide incontinence care to RI (Resident Identifier) #43 in a timely manner. This deficient practice had the potential to affect RI #43, one of one resident sampled for incontinence care. Findings included: A review of the facility's policy titled Perineal Care, last revised in February of 2018, indicated Purpose The purposes of this procedure are to provide cleanliness and comfort to the resident, to prevent infections and skin irritation, and to observe the resident's skin condition. RI #43 was admitted to the facility on [DATE] and had diagnoses which included Autistic Disorder and need for assistance with personal care. A review of a quarterly Minimum Data Set (MDS), dated [DATE], indicated RI #43 had severely impaired cognitive function. Per the MDS, the resident required extensive assistance of one person for dressing and toileting, Further review of the MDS indicated RI #43 was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-04-29 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews, the facility failed to ensure Resident Identifier (RI) #31, had documented medical justification for the use of an indwelling urinary catheter. This deficient practice affected RI #31; one of seven residents reviewed for catheter use. Findings included: A review of RI #31's Face Sheet revealed no diagnoses related to the use of an indwelling urinary catheter. A review of a Physician's Orders Form revealed a read-back verbal order was received on 04/06/2022 to place an indwelling urinary catheter. The order lacked information regarding the catheter size to be used or any diagnoses related to the use of the catheter. Review of RI #31's record revealed no documented valid medical justification for the indwelling urinary catheter placement and no indications for its continued use. On 04/26/2022 at 12:44 PM, a urinary drainage collection bag containing urine that was orange in color was observed to be hanging on the side of RI #31's bed. The tubing contained a great deal of sediment. On 04/27/2022 at 12:19 PM, the urinary drainage…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2019-06-13 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and review of the Food Code United States Public Health Service facility failed to ensure: 1) ice cream cups in the walk-in freezer were frozen solid, 2) opened items in the walk-in freezer were properly resealed, 3) walk-in freezer was maintained at a temperature to ensure food items were frozen solid, and 4) a dietary aide did not continue to serve trays after dropping the handle of the thermometer into the gravy. This deficient practice had the potential to affect 86 residents receiving meals from the kitchen. Findings Include: The Food Code U.S. Public Health Service 2017 indicates the following: . Temperature and Time Control 3-501.11 Frozen Food. Stored froze Foods shall be maintained frozen. . 3-202.15 Package Integrity. Food packages shall . protect the integrity of the contents so that the food is not exposed to ADULTERATION or potential contaminates. . Temperature and Time Control 3-501.11 Frozen Food. Stored froze Foods shall be maintained frozen. . 3-302.11 . (A) Food shall be protected from cross contamination . On 06/11/2019 at 11:08 AM,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2019-06-13 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and review of a facility policy titled, Resident Rights and a facility document titled, Maintenance Supervisor Job Description, the facility failed to ensure Room Locators (RL)'s #1-63 were free of chipped paint on walls and doors, missing tiles on floors, missing curtains on closets, equipment in disrepair and worn furniture. This was observed three of three days of the survey and affected 63 of 66 rooms on four of four halls of the facility. Findings Include: A review of a facility policy titled, Resident Rights, no date, page 5, revealed: . 9. Safe environment. The resident has a right to a safe, clean, comfortable and homelike environment, . A review of a facility document titled, Maintenance Supervisor Job Description, no date, revealed: . Ensure the building(s), equipment and utilities are maintained in good working order . are properly maintained in accordance with Company and facility policies and State and Federal Regulations . Essential Job Functions * Perform minor repairs and supervise the day-to-day repair, improvement and preventive…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2019-06-13 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, medical record review and review of Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, the facility failed to ensure Resident Identifier (RI) #65's Minimum Data Set (MDS) assessments did not have Gabapentin, an anticonvulsant medication, coded as an antipsychotic, which resulted in the assessments being inaccurate for use of antipsychotic medication. This deficient practice affected RI #65, one of 24 sampled residents whose MDS assessments were reviewed. Findings Include: A review of CMS's RAI Version 3.0 Manual, Chapter 3: MDS Items (N), Page N-6, documented: . Coding Tips and Special Populations * Code medications in Item N0410 according to the medication's therapeutic category and/or pharmacological classification, not how it is used. Resident #65 was admitted to the facility on [DATE]. RI #65 diagnoses included, Unspecified Dementia with Behavioral Disturbance. A review of RI #65's medical record revealed no Physician Orders for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2019-06-13 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and medical record review, the facility failed to ensure Resident Identifier (RI) #87's care plan regarding code status was revised to reflect RI# 87's DNR (Do Not Resuscitate) decision. This affected RI # 87, one of twenty-four residents whose care plans were reviewed for code status. Findings Include: RI# 87 was admitted to the facility on [DATE] with diagnoses including, Cirrhosis of Liver, Ascites and Vascular Dementia. On 06/13/19 at 01:30 PM, a review of RI #87's medical record revealed a DNR order was written on 05/28/2019, along with an Advance Directive depicting the family's wishes of DNR. Further review revealed a Full Code Care Plan initiated on 04/22/2019 and reviewed by the facility on 05/27/2019, RI #87's Facesheet also depicted Full Code and did not reflect RI #87's decision for DNR. On 06/13/19 at 03:28 PM, an Interview was conducted with Employee Identifier (EI) #3, Licensed Practical Nurse (LPN) / Minimum Data Set (MDS) Coordinator. EI #3 was asked what did the Care Plan for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2019-06-13 · tag F0693 — failed to provide proper feeding-tube care — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, interviews, and review of a facility polity titled Enteral Nutrition, the facility failed to ensure Resident Identifier (RI) #9's tube feeding was infusing at 60 ml (milliters) /(an) hr (hour) and tube feeding water flush was infusing at 25 ml (milliliters) /(an) hr( hour) as ordered by the physician. This was observed on 6/12/2019 and affected one of six resident sampled to receive tube feeding and feeding tube water flush. Findings Include: A review of a facility policy titled, Enteral Nutrition, with a revised date of 11/2018, revealed, .Policy Interpretation and Implementation . 11. The nurse confirms .orders for . e. Volume and rate of administration; . RI # 9 was readmitted to the facility on [DATE]. The resident's diagnoses included Alzheimer's disease, Unspecified, Encounter for Attention to Gastrostomy, and Mild Protein-Calorie Malnutrition. A review of RI #9's Quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 3/20/2019 revealed RI…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2019-06-13 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, medical record review and review of [NAME] and [NAME] Fundamentals of Nursing Ninth Edition, Chapter 23 Legal Implications in Nursing Practice, the facility failed to ensure a physician's order was accurately transcribed for Resident Identifier (RI) #87's code status. This affected RI #87, one of 24 sampled residents for whom medical records were reviewed. Findings Include: Review of [NAME] and [NAME] Fundamentals of Nursing Ninth Edition, Chapter 23 Legal Implications in Nursing Practice, copyright 2017, page 311, revealed the following: . Health Care Providers' Orders . Make sure that all health care provider orders are in writing . and transcribed correctly . RI #87 was admitted to the facility on [DATE]. The resident's diagnoses included Cirrhosis of Liver, Ascites and Vascular Dementia. A review of RI #87's medical record revealed a Do Not Resuscitate (DNR) order on 05/28/19. Further review of the medical record revealed RI #87's face sheet and care plan documented full code, making the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2019-06-13 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and review of facility policies titled, Standard Precautions and Instillation of Eye Drops, the facility failed to ensure: 1. a Licensed Practical Nurse (LPN) did not place inhaler mouthpieces on an unclean surface prior to putting them on RI #28's inhalers before storing them in the medication cart, and 2. an LPN did not wear the same gloves she wore while administering RI #1's crushed medication with an ice cream spoon and then administer RI #1's eye drops. These deficient practices affected RI #1 and RI #28, two of four residents and two of four nurses observed during medication pass observations. Findings Include: A review of a facility policy titled, Standard Precautions, Revised October 2018, documented: Standard precautions include the following practices: . 5. Resident-Care Equipment soiled . are handled in a manner that prevents . transfer of microorganisms to other residents and environments. 1.) RI #28 was readmitted to the facility on [DATE]. A review of RI #28's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2018-07-26 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure residents were provided with knowledge of what an Advance Directive was and provide proof of whether they wanted to formulate one or not. This deficient practice affected Resident Identifiers (RI) #'s 11, 22,33, 36, 41, 45, 46, 50, 55, 57, 60, 62, 67, 68, 73, 76, 77 and 83, 18 of 22 sampled residents reviewed for implementation of Advance Directives. Findings include: The facility's policy regarding, Advance Directives revised December 2016 was provided to the surveyors. The policy interpretation and implementation included, . 7. Information about whether or not the resident has executed an advance directive shall be displaced prominently in the medical record. 8. If the resident indicates that he or she has not established advance directives, the facility staff will offer assistance in establishing advance directives. RI #22 was admitted to the facility on [DATE]. RI #33 was admitted to the facility on [DATE]. RI #36 was admitted to the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 80% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $372K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AL