Huntsville Health & Rehabilitation, LLC

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.

41.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 51 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 22 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.25 therapist hours per resident per day in 2026Q1 — more than 35% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 21% 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 105 beds and averages 100.3 residents a day — about 96% occupied, or roughly 5 beds typically open. It runs essentially full — expect a waiting list. 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 3.92 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.54 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.72 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 3.16 hrs/resident/day on weekends vs 4.23 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.65 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 63% is well above 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 more than at the previous inspection — worsening. 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.

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.

19 citations, most serious first. The 14 most serious are shown; the remaining 5 are one tap away and print in full.

• Immediate jeopardy · K2026-05-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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, record review, review of Facility Reported Incidents (FRIs), review of the facility's investigative file, review of facility's policies titled Elopement and Wandering Residents, Supervised Smoker & Other Tobacco Products, Supervised Smokers, and Incidents & Accidents the facility failed to ensure Resident Identifiers (RI) #106 and RI #121 received supervision in a manner to ensure their whereabouts were known to the facility and the residents were in an environment free of accident hazards.The facility further failed to ensure RI #33 and RI #109 complied with established smoking safety policies and procedures. The facility failed to monitor and enforce safe smoking practices, which resulted in unsafe smoking behaviors. Specifically: 1) On 04/14/2026 around 4:30 AM the facility's staff identified that RI #106, a resident at risk for elopement, was not in his/her room. The staff failed to take action to determine RI #106's whereabouts. When facility staff delivered breakfast to RI #106's it…

  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
• Immediate jeopardy · K2026-05-21 · tag F0740 — failed to provide behavioral / mental-health care — pattern
  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  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, resident record review, and review of a facility policy titled Behavioral Health Care Services, The facility failed to ensure a behavior management process was implemented to ensure staff identified, evaluated, and implemented interventions to manage and address known resident behaviors that affected residents' safety. The facility failed to manage unsafe behaviors related to noncompliance with the facility's Smoking Policy and failed to manage unsafe wandering behaviors related to noncompliance with the facility elopement and wandering policy. The facility failed to recognize the need for adequate supervision and monitoring of residents with unsafe behaviors creating the risk for harming themselves and others in the facility. The facility further failed to provide the necessary behavioral health services to manage RI #116's behavioral symptoms and prevent physical aggression toward other residents. This failure placed residents at risk for physical harm. 1) Resident Identifier (RI) #33…

  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
• Immediate jeopardy · J2026-05-21 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  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, record review, the facility investigation, and a policy titled titled Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation the facility failed to ensure Resident Identifier (RI) #48 was free from physical restraint when staff forcibly restrained him/her after he/she refused care. The facility further failed to ensure staff utilized non-forceful, resident centered approaches during care interactions. Specifically On 08/04/2025 RI #48 refused care on multiple occasions. Despite the refusal Registered Nurse (RN) #63 and Certified Nursing Assistant (CNA) #64 proceeded to forcibly hold RI #48 down and provide incontinent care. RI #48 said that RN #63 and CNA #64 came in the room held him/her down, grabbed his/her arms, ripped his/her clothes off, and washed him/her with a cold rag. A clinical assessment revealed bilateral bruising and redness to the wrist area, discoloration to both hands, soreness to touch, emotional distress and…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Immediate jeopardy · J2026-05-21 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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, review of residents' medical records, and review of the facility policy titled Pressure Injury , the facility failed to provide ongoing skin assessments to ensure pressure injuries or pressure ulcers were identified at an early stage which resulted in pressure injuries being identified at advanced stages of unstageable wounds. Specifically:1. On [DATE], Resident Identifier (RI) #108 was noted to have excoriation and redness to his/her buttocks/sacral area. The facility did not perform a detailed assessment of the area such as measurements, drainage, or odor. An order was obtained on [DATE] to clean and cover the area three times a week. The facility failed to reassess the area or make any treatment alterations for the excoriation until the area was assessed as an unstageable wound on [DATE]. On [DATE] the area to RI #108's right buttocks measured 5 centimeters (cm) x 4.5 cm with a depth of 1 cm, had seropurulent drainage with a foul odor, and necrotic tissue. RI #108 expired on [DATE].2. On…

  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 · F2026-05-21 · tag F0803 — failed to meet residents' dietary needs — widespread
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, the Resident Council Minutes, the Grievance Log, the facility's Beef Stroganoff recipe, the facility's Spring/Summer 2026 Week 3 Menu and Diet Guides, the facility's chart of Scoop Sizes, and the facility's policies for Cycle Menus, Food Preparation Guidelines, and Puree Foods; the facility failed to ensure the portion sizes specified on the facility's menu for Wednesday, 04/22/2026 were provided for Puree Beef Stroganoff and Sliced Strawberries. In addition, Puree Noodles (Bow Tie Pasta) were not part of the Puree Beef Stroganoff entree as included in the facility's Beef Stroganoff recipe. This affected residents receiving Puree Beef Stroganoff and those receiving Sliced Strawberries. This had the potential to affect four of four Puree Diets and 75 of 75 Regular Texture diets. This deficiency was cited as a result of complaint/report #2973530. Findings include: The facility's policy for Cycle Menus, dated 10/01/2005, included the following: . PURPOSE:To meet the nutritional needs of resident/guest(s), in accordance with the recommended dietary…

  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 · E2026-05-21 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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, review of resident medical records, review of a facility policy titled Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation, review of Facility Reported Incidents (FRIs) received by the State Agency, and review of the facility's investigative files, the facility failed to protect the rights of residents to be free from physical abuse perpetrated by Resident Identifier (RI) #116, a resident with unmanaged behaviors who had pattern of abusing residents when their wheelchairs bumped together. The facility failed to implement appropriate interventions and supervision of RI #116 to prevent further physical abuse of residents. On 12/24/2024 during an activity in the dining room, RI #115 was at the soda vending machine and accidentally bumped his/her wheelchair into RI #116's wheelchair. RI #116 responded by yelling and cursing at RI #115. RI #116 and RI #115 began physically abusing each other, hitting each other in the face resulting in…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-21 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, a test tray, interviews, the Resident Council Minutes, the Grievance Log, and the facility's policies for Food Preparation Guidelines and Food Cooking and Serving Temperatures; the facility failed to ensure hot food was served hot at Lunch on Wednesday, 04/22/2026. This affected Puree Beef Stroganoff and Puree [NAME] Beans on the test tray and had the potential to affect four of four Puree Diets. This deficiency was cited as a result of complaint/report #2621001.Findings include: The facility's policy for Food Cooking and Serving Temperatures, dated 08/23/2017, included the following: . STANDARD: . food . should be served attractively at proper temperatures. The facility's policy for Food Preparation Guidelines, dated 08/10/2018, included the following: . PURPOSE: . Food should be palatable, attractive, and at the proper temperature, as determined by the type of food, to ensure resident/ guest(s) satisfaction. The facility's Resident Council Minutes included the following:October 2025 - . Food . Still cold on the halls, .March 19, 2026 - . food cold . Also…

  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 · E2026-05-21 · tag F0837 — pattern
  Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to ensure policies and procedures were developed and implemented regarding residents independently signing themselves out of the facility and leaving without supervision. This failure had the potential to affect all residents who leave the facility independently by limiting the facility's ability to assess resident safety, supervision needs, and risk prior to departure. Findings Include: Cross Reference F689 During an interview conducted on 05/19/2026 at 5:45 PM with the Corporate Compliance Officer/ Quality Assurance Director she was questioned regarding residents who independently sign themselves out without supervision. She explained a nurse would ask about their expected return time, confirm that the resident was not a risk by consulting the elopement book, and administer or send medication if necessary. She further stated that if the resident failed to return, the nurse would follow up with a call to ascertain their return time. When asked about a policy for assessing residents' ability to sign themselves out…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-21 · tag F0867 — failed to act on quality-improvement findings — pattern
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, record review, and a review of the facility policy titled, Quality Assurance/ Performance Improvement, the Quality Assurance Performance Improvement (QAPI) committee failed to identify all causal factors related to two elopements for Resident Identifiers (RI) #106 and RI #121 and for smoking non compliance for RI #33 and RI #109. The facility also failed to determine what corrective actions needed to be taken to prevent any further resident safety concerns. This deficient practice affected RI #106, RI #121, RI #33 and RI #109These deficient practices were cited as a result of the investigations of facility reported incident/complaint/report numbers 447450, 2983895 and 2621001.Findings Include: Cross-Reference F689 A review of a facility policy titled, Quality Assurance/Quality Assurance Performance Improvement, updated 10/15/2022 revealed: Policy Our purpose is to provide excellent quality resident/guest services. Quality is defined as meeting or exceeding the needs, expectations and requirements of the resident/guest cost effectively while maintaining good…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-21 · tag F0578 — failed to honor advance directives / code status — isolated
  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

  Based on observations, interviews, record review, a facility policy titled Resident Rights, and a Facility Reported Incident (FRI) received by the State Agency, the facility failed to protect Resident Identifier (RI) #105's right to refuse care and treatment on 02/12/2023 when Certified Nursing Assistant (CNA) #75 and CNA #76 held RI #105 on his/her side to provide care. RI #105 was combative and told the CNAs not to touch him/her, as they continue to hold RI #105 on his/her side and provide care. This affected RI #105 one of three residents reviewed for Activities of Daily Living (ADL) and was cited as a result of the investigation of Complaint/FRI report number 447447.Findings Include: A review of a policy titled Resident Rights documented: .(c) Planning and implementing care. The resident has the right to be informed of, and participate in, his or her treatment including: . (c)(6) The right to . refuse .treatment, . RI#105 was admitted to the facility 01/12/2023 with Diagnosis of Systolic Congestive Heart Failure and Essential Hypertension. RI#105's admission Minimum Data Set…

  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
• Potential for harm · D2026-05-21 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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, interviews, review of a facility policy titled Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Uknown Source, Exploitation and review of a Facility Reported Incident (FRI), the facility failed to ensure Resident Identifier (RI) #114 was protected from RI #19 when RI #19 was placed back in the room with RI #114 without 15-minute checks or supervision upon returning from the hospital's psychiatric unit on 08/22/2025. RI #19 was sent to the hospital's psychiatric unit on 08/21/2025 after he/she became agitated and began yelling, cursing, and slamming doors in the room shared by RI #19 and RI #114. RI #114 stated the actions of RI #19 scared him/her. This deficient practice affected RI #114, one of 24 residents reviewed for alleged abuse. This deficiency was cited as a result of the investigation by complaint/report/FRI #2610724. Findings Include:A facility policy titled Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-21 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 resident record review, interview, review of Facility Reported Incident (FRI), review of the facility's investigative file and review of a facility policy titled Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation, the facility failed to ensure an allegation of verbal abuse involving Resident Identifier (RI) #19 and RI #114 was reported to the Administrator (ADM) immediately. This deficient practice affected RI #19 and RI #114, two of 24 residents reviewed for alleged abuse. This deficiency was cited as a result of the investigation of complaint/report/FRI #2610724.Findings Include:A facility policy titled Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation dated 05/15/2023 documented: PURPOSE:This Policy (the Policy) is concerned with all incidents and accidents involving resident/guest(s) . Section IV. Identification of Resident/Guest(s) Incidents and Accidents: .d). Each employee…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-21 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  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, record review, review of a facility policy titled, Pain Management and Assessment , review of a Facility Reported Incident (FRI) received by the State Agency and review of the facility's investigative file, the facility nurses failed to provide pain management for Resident Identifier (RI) #120. On 04/02/2026 around 3:35 AM RI #120 was admitted to the facility and was assessed as having a pain level of 7 on a scale of 1-10. The pain medication ordered, Oxycodone 5 milligrams (mg), was not in the facility for administration. On 04/02/2026 at 12:44 AM the pain medication was delivered to the facility, but it was not until 04/03/2026 at approximately 8 AM, when RI #120's pain level was between 8-9, that RI #120 was medicated for his/her pain. RI #120 called 911 to be taken to the hospital due to his/her pain. Further, a facility nurse failed to administer RI #120 the correct number of pain tablets for his/her pain level of 8-9 on 04/03/2026. RI #120's pain medication not being available 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.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · D2026-05-21 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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, record review, review of a Facility Reported Incident (FRI) received by the State Agency, review of the facility's investigative file and review of a facility policy titled, Pharmacy Services Provider Pharmacy Requirements, the facility failed to ensure Resident Identifier (RI) #120's medication orders were faxed to the pharmacy in a timely manner to ensure RI #120's pain medication, Oxycodone 5 mg, was readily available for administration. This deficient practice affected RI #120, one of five residents reviewed for pain management. This deficiency was cited as a result of the investigation of complaint/report/FRI #2977469.Findings Include: On 04/06/2026 at 2:52 PM, the State Agency received by way of the Online Incident Reporting System an allegation of neglect indicating RI #120 left a Google review stating he/she did not receive medication for 38 hours. Review of a facility policy titled, Pharmacy Services Provider Pharmacy Requirements, with a reviewed date of 04/2020 revealed 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.

  Pharmacy Service Deficiencies · Past Non-Compliance

“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.

Part of a chain

This home belongs to NHS MANAGEMENT — 43 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 20 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

8 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

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.

This home reported $6.1M paid to related parties — landlords or management companies under common ownership — equal to about 57% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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