The Folsom Center
Nursing Home, Assisted Living, Respite Care & Memory Care · Alabama, AL
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

The Folsom Center

Nursing Home, Assisted Living, Respite Care & Memory Care · Alabama, AL
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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The Folsom Center accepts Medicare, Medicaid, and private pay.

Overview of The Folsom Center

The Folsom Center is a compassionate nursing home in Cullman, AL, that offers long-term care, memory care, rehabilitation, and respite care. With its warm and welcoming environment, the community promises comfort and healing for older adults. 24-hour care, medical and non-medical assistance, and therapy services are offered to help residents recover and live to their potential. Residents can also keep their peace of mind, especially with personalized care plans.

Mind-stimulating activities, light exercises, and plenty of recreational programs are dedicated to enhancing residents’ cognition and promoting an active lifestyle. Private rooms, lively communal spaces, and a state-of-the-art therapy gym ensure residents can rest without hassles. The Cullman Regional Medical Center is also located nearby, providing residents with easy access to their medical needs. This nursing home continuously provides a wide range of care, making it one of the best options for senior living in Alabama.

(256) 739-4409

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 36.0% Above AL avg. ▲ 36.0% Above AL avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 41.1% Above AL avg. ▲ 41.1% Above AL avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 12.9% Above AL avg. ▲ 12.9% Above AL avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 34.3% Above AL avg. ▲ 34.3% Above AL avg.Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Alabama state averages

Total nursing care / resident Info This home is ranked 30th out of 130 homes in Alabama. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 49m per day
Rank #30 / 130Nurse hours — State benchmarkedThis home is ranked 30th out of 130 homes in Alabama. Shows adjusted nurse hours per resident per day benchmarked to the Alabama average, with a ranking across 130 Alabama SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Alabama avg (4h 22m per day)
vs Alabama avg
+10%
Staff type Hours / Day / Resident vs state avg
Total Nursing (Weekend) Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 38m per day

Types of Care at The Folsom Center

Assisted Living Nursing Home Respite Care Memory Care

Capacity and availability

This home usually has limited availability

Occupancy between 85% and 95% suggests balanced demand.

Higher occupancy than the Alabama average: 80.8%
Occupancy rate 85.2% Rank #60 / 129Occupancy rate — State benchmarkedThis home is ranked 60th out of 129 homes in Alabama. Shows this facility's occupancy rate versus the Alabama average, with its Statewide rank out of 129. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay 84 days
Occupancy rate
85.2% Rank #60 / 129Occupancy rate — State benchmarkedThis home is ranked 60th out of 129 homes in Alabama. Shows this facility's occupancy rate versus the Alabama average, with its Statewide rank out of 129. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
84 days
Walk Score
Walk Score: 67 / 100 Rank #9 / 131Walk Score — State benchmarkedThis home is ranked 9th out of 131 homes in Alabama. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Alabama SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

1 service
Memory Support Care

Amenities & Lifestyle

Spacious Therapy Gym
Activities Department
On Site Maintenance
Physician Services
Housekeeping
Laundry Services
Wifi Internet Access
Religious ServicesYes

Contact The Folsom Center

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 177
Employees 175
Contractors 2
Staff to resident ratio 2.06:1
31% better than Alabama average
Alabama average ratio: 1.57:1 Alabama average ratio: 1.57:1See full Alabama ranking
Avg staff/day 60
Average shift 7.9 hours
0% compared with Alabama average
Alabama average: 7.9 hours Alabama average shift: 7.9 hoursSee full Alabama ranking
Total staff hours (quarter) 43,608

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

Total count 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.3 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 83
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

No contractors work on this role.

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.3%

129 contractor hours this quarter

Respiratory Therapy Technician: 1 Qualified Social Worker: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant 83 0 83 19,591 92 100% 7.4
Licensed Practical Nurse 13 0 13 5,671 92 100% 10.3
Medication Aide/Technician 7 0 7 3,324 92 100% 10.3
Clinical Nurse Specialist 9 0 9 3,085 86 93% 8.7
Registered Nurse 8 0 8 2,784 92 100% 8.4
Nurse Aide in Training 19 0 19 2,145 91 99% 7.1
Therapeutic Recreation Specialist 7 0 7 1,079 81 88% 6.1
Other Dietary Services Staff 2 0 2 1,029 77 84% 7.9
RN Director of Nursing 2 0 2 996 66 72% 8.3
Respiratory Therapist 9 0 9 551 72 78% 6.1
Qualified Activities Professional 2 0 2 491 61 66% 8
Dietitian 1 0 1 472 61 66% 7.7
Administrator 1 0 1 456 57 62% 8
Mental Health Service Worker 1 0 1 432 55 60% 7.9
Qualified Social Worker 1 1 2 417 62 67% 6.6
Physical Therapy Assistant 6 0 6 404 65 71% 4.7
Nurse Practitioner 2 0 2 352 44 48% 8
Respiratory Therapy Technician 2 1 3 330 71 77% 3.6
83 Certified Nursing Assistant
% of Days 100%
13 Licensed Practical Nurse
% of Days 100%
7 Medication Aide/Technician
% of Days 100%
9 Clinical Nurse Specialist
% of Days 93%
8 Registered Nurse
% of Days 100%
19 Nurse Aide in Training
% of Days 99%
7 Therapeutic Recreation Specialist
% of Days 88%
2 Other Dietary Services Staff
% of Days 84%
2 RN Director of Nursing
% of Days 72%
9 Respiratory Therapist
% of Days 78%
2 Qualified Activities Professional
% of Days 66%
1 Dietitian
% of Days 66%
1 Administrator
% of Days 62%
1 Mental Health Service Worker
% of Days 60%
2 Qualified Social Worker
% of Days 67%
6 Physical Therapy Assistant
% of Days 71%
2 Nurse Practitioner
% of Days 48%
3 Respiratory Therapy Technician
% of Days 77%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 6.2
30% better than Alabama average

Alabama average: 8.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.3
8% better than Alabama average

Alabama average: 14.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 9.4%
33% better than Alabama average

Alabama average: 13.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.2%
18% better than Alabama average

Alabama average: 16.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 17.3%
27% worse than Alabama average

Alabama average: 13.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.3%
31% better than Alabama average

Alabama average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.7%
55% better than Alabama average

Alabama average: 5.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.1%
23% better than Alabama average

Alabama average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.4%
37% better than Alabama average

Alabama average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.7%
123% worse than Alabama average

Alabama average: 1.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 13.5%
35% better than Alabama average

Alabama average: 20.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
9% better than Alabama average

Alabama average: 91.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than Alabama average

Alabama average: 94.8%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.9%
17% better than Alabama average

Alabama average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.7%
68% better than Alabama average

Alabama average: 2.1%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.3%
21% better than Alabama average

Alabama average: 80.3%

Breakdown by payment type

Medicare

49% of new residents, usually for short-term rehab.

Typical stay 20 days

Private pay

41% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

10% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 86
Medicare
15
17.4% of residents
Medicaid
46
53.5% of residents
Private pay or other
25
29.1% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Privately-owned community
Home revenue
$6.8M
Operating loss
-$167.3K
Privately-owned community
Home revenue
$6.8M Rank #111 / 129Revenue — State benchmarkedThis home is ranked 111th out of 129 homes in Alabama. Shows this facility's annual revenue compared to the Alabama SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$167.3K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #91 / 129Payroll — State benchmarkedThis home is ranked 91st out of 129 homes in Alabama. Shows total annual staff payroll benchmarked to the Alabama average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.2M
62.4% of revenue Rank #20 / 127Payroll % — State benchmarkedThis home is ranked 20th out of 127 homes in Alabama. Shows payroll as a percentage of revenue versus the Alabama average. Well-run Alabama SNFs typically land around 54–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.6M
Total costs $8.8M

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private Rooms

Building type icon
Building type icon

Building Type: Mid-rise

Dining services icon
Dining services icon

Dining Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Places of interest near The Folsom Center

Address 0.7 miles from city center Info Estimated distance in miles from Ne Cullman's city center to The Folsom Center's address, calculated via Google Maps.

Calculate Travel Distance to The Folsom Center

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Address

Financial Assistance for
Nursing Home in Alabama

The Folsom Center is located in NE Cullman, Alabama.
Here are the financial assistance programs available to residents in Alabama.

Get Financial aid guidance

Elderly and Disabled Waiver

Alabama Medicaid E&D Waiver

Age 65+ or disabled
General Alabama resident, Medicaid-eligible, requires nursing home-level care but can live in community with support.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple) (excludes home, car).
AL

Must be assessed by a nurse for nursing home-level care need.

Benefits
In-home personal care (4-6 hours/day, e.g., bathing, dressing) Respite care (up to 240 hours/year) Adult day care (~$50/day avg.) Home-delivered meals Case management

Alabama Respite for Caregivers Program

Alabama Respite (via NFCSP)

Age Caregiver of someone 60+ (or with dementia)
General Alabama resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
AL

Focus on rural caregivers; limited funding.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$50/day) Short-term facility care (up to 5 days)

SenioRx Prescription Assistance Program

AL SenioRx

Age 55+
General Alabama resident, chronic illness requiring daily medication, not fully covered by other drug plans.
Income Limits ~$3,000/month individual, varies by AAA
Asset Limits Not strictly enforced; income-focused.
AL

High ROI; saved $43.5M for 6,825 participants in FY 2022.

Benefits
Prescription cost reduction (avg. $6,300/year savings per participant) Medication management support

Weatherization Assistance Program (WAP)

AL WAP

Age 60+ priority
General Alabama resident, own or rent home, low-income status.
Income Limits (2025) ~$2,510/month 200% of poverty level, individual
Asset Limits Not applicable; income-driven.
AL

Prioritizes seniors and disabled; limited annual funding.

Benefits
Insulation Weather stripping HVAC repairs (avg. $500-$1,000 in annual energy savings)

Section 202 Supportive Housing for the Elderly

AL Section 202

Age 62+
General Alabama resident, very low income, able to live independently with support.
Income Limits (2025) ~$1,500/month 50% of area median income, individual, varies by county
Asset Limits $10,000 individual, excludes home if owned
AL

High demand in urban areas like Birmingham; limited units statewide.

Benefits
Subsidized rent (30% of income, e.g., $300-$500/month) On-site services (housekeeping, transportation, ~$200/month value)

Alabama CARES Program

AL CARES

Age
General Caregivers of Alabama residents aged 60+ needing assistance with 3+ daily activities; no age limit for caregivers.
Income Limits No strict limit; cost-sharing based on recipient’s income e.g., ~$2,500/month threshold
Asset Limits Not applicable; focus on need.
AL

Prioritizes caregivers with greatest economic/social need; complements respite programs like AL Lifespan Respite.

Benefits
Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplemental supplies (e.g., $200/year avg.)

Frequently Asked Questions about The Folsom Center

What neighborhood is The Folsom Center in?

The Folsom Center is in the Arnold Street Northeast neighborhood.

Is The Folsom Center in a walkable area?

The Folsom Center has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

Who is the administrator of The Folsom Center?

field_administrator is the administrator of The Folsom Center.

Are there photos of The Folsom Center?

Yes — there are 9 photos of The Folsom Center in the photo gallery on this page.

What is the address of The Folsom Center?

The Folsom Center is located at 401 Arnold St., NE Cullman, AL 35055.

What is the phone number of The Folsom Center?

(256) 739-4409 will put you in contact with the team at The Folsom Center.

Is The Folsom Center Medicare or Medicaid certified?

Yes — The Folsom Center is a CMS-certified provider of Medicare and Medicaid.

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