Show Inspection Reports
Total health inspections
2
Alabama average 2.9
Last Health inspection on Nov 2018
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Brown Nursing Home
Nursing Home in Alabama
CMS overall rating
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 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.
Brown Nursing Home
Nursing Home in Alabama
CMS overall rating
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 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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Brown Nursing Home accepts Medicare, Medicaid, and private pay.
Quality ratings
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.
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.
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.
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 64th out of 118 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.
This home is ranked 64th out of 118 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 18m per day
Rank #64 / 118Nurse hours — state benchmarkedThis home is ranked 64th out of 118 homes in Alabama.Shows adjusted nurse hours per resident per day benchmarked to the Alabama average, with a ranking across 118 Alabama SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Alabama avg
-2%
Standout metric
LPN / LVN is +43% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 40m per day | ▲ 5% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 7m per day | ▲ 43% State avg: 47m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 11m per day | ▼ 13% State avg: 2h 30m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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 25m per day | ▲ 4% State avg: 3h 17m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 13m per day | ▼ 41% State avg: 22m per day · National avg: 28m per day |
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
94.1%
Rank #14 / 118Occupancy rate — state benchmarkedThis home is ranked 14th out of 118 homes in Alabama.Shows this facility's occupancy rate versus the Alabama average, with its statewide rank out of 118. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
255 days
Occupancy rate
94.1%
Rank #14 / 118Occupancy rate — state benchmarkedThis home is ranked 14th out of 118 homes in Alabama.Shows this facility's occupancy rate versus the Alabama average, with its statewide rank out of 118. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
255 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
24% of new residents, usually for short-term rehab.
Typical stay
20 days
Private pay
65% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
11% of new residents, often for long-term daily care.
Typical stay
5 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$7.9M
Profit
$515.5K
Privately-owned community
Operated by a business corporation.
Home revenue
$7.9M Rank #96 / 117Revenue — state benchmarkedThis home is ranked 96th out of 117 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 %.
Profit
$515.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #104 / 117Payroll — state benchmarkedThis home is ranked 104th out of 117 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.
$3.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #104 / 117Payroll — state benchmarkedThis home is ranked 104th out of 117 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.4M
68-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Facility TypeNursing Home
StatusRegular
CountyTallapoosa
CMS Certification Number015191
Brown Nursing Home is administrated by William D. Beagle.
Profit StatusLimited Liability Company
Inspection History
In Alabama, the Department of Public Health, Bureau of Health Provider Standards conducts unannounced surveys to ensure facilities meet state licensing and federal certification safety standards.
4 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Alabama average: 1 complaint visit
Alabama average: 1 inspection
Latest inspection
Date
August 29, 2023
Other7 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Alabama average: 17 deficiencies
Inspection Report Summary for Brown Nursing Home
Brown Nursing Home’s inspection record is mostly clean, with no deficiencies found in the most recent surveys on August 29, 2023, and February 5, 2020. Earlier inspections cited several deficiencies related to care planning, resident dignity, and food safety, including four issues on November 15, 2018, and three on February 8, 2018. The facility’s record shows improvement, moving from multiple care and safety concerns to clean surveys with no substantiated complaints.
Health Inspection History
Inspections
Total health citations
7
Rank #36 / 118Health citations — state benchmarkedThis home is ranked 36th out of 118 homes in Alabama.Shows this facility's total health deficiency citations benchmarked to the Alabama state average, with a ranking across all 118 AL SNFs. Lower citation counts earn a better rank.
Alabama average 10.4
Citations per inspection
3.5
Rank #66 / 118Citations per inspection — state benchmarkedThis home is ranked 66th out of 118 homes in Alabama.Shows average deficiency citations per CMS inspection for this facility versus the Alabama mean across 118 SNFs with citation data. Lower is better.
Alabama average 3.46
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 7 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
100% better than Alabama averageAlabama average: 0.7
Serious Health citations
0
0
100% better than Alabama averageAlabama average: 0.2
0 critical citations
0 serious citations
6 moderate citations
1 minor citation
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 15, 2018
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 15, 2018
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 15, 2018
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 15, 2018
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 15, 2018
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 15, 2018
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Nov 15, 2018
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Nov 15, 2018
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Financial Assistance for
Nursing Home in Alabama
Brown Nursing Home is located in Alexander City, Alabama.
Here are the financial assistance programs available to residents in Alabama.
Places of interest near Brown Nursing Home
70.1 miles from city center
Estimated distance in miles from Alexander City's city center to Brown Nursing Home's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
101
Employees
88
Contractors
13
Staff to resident ratio
1.58:1
0% compared with Alabama averageAlabama average ratio: 1.57:1
Avg staff/day
38
Average shift
7.6 hours
0% compared with Alabama averageAlabama average: 7.9 hours
Total staff hours (quarter)
26,344
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
54
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
3.8%
1,004 contractor hours this quarter
Qualified Social Worker: 3
Speech Language Pathologist: 3
Physical Therapy Aide: 2
Respiratory Therapy Technician: 1
Physical Therapy Assistant: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 54 | 0 | 54 | 14,232 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 13 | 0 | 13 | 4,205 | 91 | 100% | 8.5 |
| Registered Nurse | 11 | 0 | 11 | 2,917 | 90 | 99% | 8.8 |
| RN Director of Nursing | 2 | 0 | 2 | 1,044 | 67 | 74% | 8.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 939 | 66 | 73% | 7.9 |
| Dental Services Staff | 1 | 0 | 1 | 533 | 62 | 68% | 8.6 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 64 | 70% | 7.5 |
| Administrator | 1 | 0 | 1 | 465 | 62 | 68% | 7.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 452 | 57 | 63% | 7.9 |
| Qualified Social Worker | 0 | 3 | 3 | 320 | 61 | 67% | 4.6 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 198 | 57 | 63% | 3.5 |
| Physical Therapy Assistant | 0 | 1 | 1 | 191 | 30 | 33% | 6.4 |
| Physical Therapy Aide | 0 | 2 | 2 | 126 | 39 | 43% | 3.2 |
| Medical Director | 0 | 1 | 1 | 104 | 13 | 14% | 8 |
| Medication Aide/Technician | 2 | 0 | 2 | 74 | 10 | 11% | 6.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Speech Language Pathologist | 0 | 3 | 3 | 18 | 5 | 5% | 3.5 |
54 Certified Nursing Assistant
% of Days
100%
13 Licensed Practical Nurse
% of Days
100%
11 Registered Nurse
% of Days
99%
2 RN Director of Nursing
% of Days
74%
2 Clinical Nurse Specialist
% of Days
73%
1 Dental Services Staff
% of Days
68%
1 Nurse Practitioner
% of Days
70%
1 Administrator
% of Days
68%
1 Other Dietary Services Staff
% of Days
63%
3 Qualified Social Worker
% of Days
67%
1 Respiratory Therapy Technician
% of Days
63%
1 Physical Therapy Assistant
% of Days
33%
2 Physical Therapy Aide
% of Days
43%
1 Medical Director
% of Days
14%
2 Medication Aide/Technician
% of Days
11%
1 Occupational Therapy Assistant
% of Days
3%
1 Occupational Therapy Aide
% of Days
3%
3 Speech Language Pathologist
% of Days
5%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
64
Medicare
3
4.7% of residents
Medicaid
53
82.8% of residents
Private pay or other
8
12.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.8
21% worse than Alabama averageAlabama average: 8.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.3
In line with Alabama averageAlabama average: 14.5
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
11.9%
Percent of long-stay residents whose need for help with daily activities has increased
11.9%
14% better than Alabama averageAlabama average: 13.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
21.3%
Percent of long-stay residents whose ability to move independently worsened
21.3%
32% worse than Alabama averageAlabama average: 16.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
9.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
9.7%
29% better than Alabama averageAlabama average: 13.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
8.1%
Percent of long-stay residents experiencing one or more falls with major injury
8.1%
138% worse than Alabama averageAlabama average: 3.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.1%
Percent of long-stay high risk residents with pressure ulcers
9.1%
52% worse than Alabama averageAlabama average: 5.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
8.6%
Percent of long-stay residents with a urinary tract infection
8.6%
217% worse than Alabama averageAlabama average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.7%
Percent of long-stay residents who lose too much weight
3.7%
31% better than Alabama averageAlabama average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Alabama averageAlabama average: 1.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.8%
Percent of long-stay residents who received an antipsychotic medication
18.8%
9% better than Alabama averageAlabama average: 20.7%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
8% better than Alabama averageAlabama average: 91.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Alabama averageAlabama average: 94.8%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.77
Number of hospitalizations per 1,000 long-stay resident days.
1.77
12% better than Alabama averageAlabama average: 2.00
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.42
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.42
147% worse than Alabama averageAlabama average: 1.79
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.9%
In line with Alabama averageAlabama average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
7.1%
Percent of short-stay residents who newly received an antipsychotic medication
7.1%
238% worse than Alabama averageAlabama average: 2.1%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.6%
15% better than Alabama averageAlabama average: 80.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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| Altoona Health & Rehab |
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Financial Trends
Historical financial and operational data for Brown Nursing Home based on CMS SNF Cost Reports.
Occupancy Rate
94.1%
↓ 1.0pp vs 2023
Net Income
$515.5K
↑ ~$172.9K vs 2023
Total Payroll
$3.8M
↑ ~$74.0K vs 2023
Profit Margin
7.1%
↑ 2.3pp vs 2023
Loading trend charts...
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