The Healthcare Center at Buck Creek

Nursing Home in Alabama

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 Healthcare Center at Buck Creek

Nursing Home in Alabama

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 Healthcare Center at Buck Creek accepts Medicare, Medicaid, and private pay.

Overview of The Healthcare Center at Buck Creek

Healthcare Center at Buck Creek is located in Alabaster, Alabama. It provides a range of services including short stay rehabilitation, complex medical care, long term care, memory care, and hospice care. The center is dedicated to enhancing the quality of life for each patient and resident.

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.
3/5 ▲ 0.1 Alabama average: 2.9/5
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.
3/5 ▲ 0.1 Alabama average: 2.9/5
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.
2/5 ▼ 1.6 Alabama average: 3.6/5
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.
2/5 ▼ 1.0 Alabama average: 3.0/5

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 98th 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.
3h 33m per day
Rank #98 / 118Nurse hours — state benchmarkedThis home is ranked 98th 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.
This facility Alabama avg (4h 23m per day)
vs Alabama avg
-19%

5 of 6 metrics below state avg

Standout metric LPN / LVN is +6% above state avg
Staff typeHours / dayvs state avg
Registered Nurse (RN) Info 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. 24m per day ▼ 37% State avg: 38m per day · National avg: 41m per day
LPN / LVN Info 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. 50m per day ▲ 6% State avg: 47m per day · National avg: 52m per day
Nurse Aide Info 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 22m per day ▼ 5% State avg: 2h 30m per day · National avg: 2h 20m per day
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 1m per day ▼ 8% State avg: 3h 17m per day · National avg: 3h 26m per day
Physical Therapist Info 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) Info 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. 16m per day ▼ 27% State avg: 22m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
214 days

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Breakdown by payment type

Medicare

27% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

49% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

25% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$17.2M
Operating loss
-$50.1K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$17.2M Rank #17 / 117Revenue — state benchmarkedThis home is ranked 17th 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 %.
Operating loss
-$50.1K
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 #10 / 117Payroll — state benchmarkedThis home is ranked 10th 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.
$8.2M
47.8% of revenue Rank #29 / 115Payroll % — state benchmarkedThis home is ranked 29th out of 115 homes in Alabama.Shows payroll as a percentage of revenue versus the Alabama average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$9.0M
Total costs $17.2M
Bed community size
198-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
BBB Rating
BBB Rating: C- (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
82%
Rank #62 / 118Occupancy rate — state benchmarkedThis home is ranked 62nd 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.
Similar to the Alabama average: 80.8%
Occupied beds
162 / 198
Average residents 97 per day

License Details

Facility TypeNursing Home
StatusRegular
CountyShelby
CMS Certification Number015144

Ownership & Operating Entity

The Healthcare Center at Buck Creek is administrated by Antonio Alonso.

Profit StatusLimited Liability Company

Therapy & Rehabilitation

1 service
Rehabilitation Services

Amenities & Lifestyle

Specific ProgramsShort Stay Rehabilitation, Complex Medical Care, Long Term Care

Contact The Healthcare Center at Buck Creek

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.

5 visits/inspections Info 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 September 29, 2024
Complaint Investigation

16 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Alabama average: 17 deficiencies

Inspection Report Summary for The Healthcare Center at Buck Creek

This facility’s inspection record is mixed, with repeated substantiated abuse and reporting failures alongside administrative and medication management issues. On September 29, 2024, inspectors cited two deficiencies for failing to protect a resident from physical abuse and for late reporting of abuse investigations. Earlier complaints substantiated verbal and physical abuse by staff, misappropriation of over $16,000 from a resident’s funds, and failures in staff background checks and medication handling, showing ongoing challenges in resident safety and compliance.

Health Inspection History

Inspections
Total health inspections 5

Alabama average 2.9


Last Health inspection on Sep 2024

Total health citations
13 Rank #83 / 118Health citations — state benchmarkedThis home is ranked 83rd 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
2.6 Rank #32 / 118Citations per inspection — state benchmarkedThis home is ranked 32nd 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.

4 of 13 citations resulted from standard inspections; 6 of 13 resulted from complaint investigations; and 3 of 13 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info
0
100% better than Alabama average

Alabama average: 0.7


Serious Health citations More info 2
900% worse than Alabama average

Alabama average: 0.2

0 critical citations More info Alabama average: 0.7

2 serious citations More info Alabama average: 0.2

10 moderate citations More info Alabama average: 9.1

1 minor citation More info Alabama average: 0.4
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Sep 29, 2024
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Sep 29, 2024
Corrected

Abuse/Neglect serious citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. May 03, 2024
Corrected

Abuse/Neglect serious citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. May 03, 2024
Corrected

Financial Assistance for
Nursing Home in Alabama

The Healthcare Center at Buck Creek is located in Alabaster, 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.)

Places of interest near The Healthcare Center at Buck Creek

Address 1.8 miles from city center Info Estimated distance in miles from Alabaster's city center to The Healthcare Center at Buck Creek's address, calculated via Google Maps.

Calculate Travel Distance to The Healthcare Center at Buck Creek

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 233
Employees 195
Contractors 38
Staff to resident ratio 1.44:1
8% worse than Alabama average

Alabama average ratio: 1.57:1

Avg staff/day 83
Average shift 8.5 hours
8% better than Alabama average

Alabama average: 7.9 hours

Total staff hours (quarter) 64,163
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 42
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 100
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

8.3%

5,349 contractor hours this quarter

Occupational Therapy Aide: 6 Speech Language Pathologist: 5 Physical Therapy Assistant: 5 Physical Therapy Aide: 5 Respiratory Therapy Technician: 5 Licensed Practical Nurse: 4 Qualified Social Worker: 3 Feeding Assistant: 2 Medical Director: 1 Clinical Nurse Specialist: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant100010032,86091100%8.3
Licensed Practical Nurse3844210,96591100%9.9
Registered Nurse180184,07691100%9.3
Medication Aide/Technician160163,59691100%9
RN Director of Nursing8082,4427481%8.8
Clinical Nurse Specialist4152,2338593%9.6
Other Dietary Services Staff4041,4688189%8.1
Administrator2021,0406571%8
Qualified Social Worker0338456976%6.7
Physical Therapy Assistant0556956167%7.5
Nurse Practitioner2026637785%8.5
Feeding Assistant0226486571%8
Dental Services Staff1015476470%8.5
Mental Health Service Worker1015046369%8
Physical Therapy Aide0554726470%6.3
Speech Language Pathologist0553686268%5.8
Respiratory Therapy Technician0552767178%3.7
Dietitian1011752224%7.9
Occupational Therapy Aide0661722730%5.9
Medical Director011603033%2
Occupational Therapy Assistant01160910%6.7
100 Certified Nursing Assistant
% of Days 100%
42 Licensed Practical Nurse
% of Days 100%
18 Registered Nurse
% of Days 100%
16 Medication Aide/Technician
% of Days 100%
8 RN Director of Nursing
% of Days 81%
5 Clinical Nurse Specialist
% of Days 93%
4 Other Dietary Services Staff
% of Days 89%
2 Administrator
% of Days 71%
3 Qualified Social Worker
% of Days 76%
5 Physical Therapy Assistant
% of Days 67%
2 Nurse Practitioner
% of Days 85%
2 Feeding Assistant
% of Days 71%
1 Dental Services Staff
% of Days 70%
1 Mental Health Service Worker
% of Days 69%
5 Physical Therapy Aide
% of Days 70%
5 Speech Language Pathologist
% of Days 68%
5 Respiratory Therapy Technician
% of Days 78%
1 Dietitian
% of Days 24%
6 Occupational Therapy Aide
% of Days 30%
1 Medical Director
% of Days 33%
1 Occupational Therapy Assistant
% of Days 10%

Facility Characteristics

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

Total residents 162
Medicare
7
4.3% of residents
Medicaid
113
69.8% of residents
Private pay or other
42
25.9% of residents
Programs & Services
Residents Group

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

Active Resident Council

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

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. 5.8
35% 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. 9.8
32% better than Alabama average

Alabama average: 14.5

Long-stay resident measures
Above average Alabama avg: 3.3 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 5.6%
60% better than Alabama average

Alabama average: 13.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 5.7%
65% 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 18.2%
34% 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 5.4%
60% worse than Alabama average

Alabama average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.5%
27% worse than Alabama average

Alabama average: 5.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.1%
60% better than Alabama average

Alabama average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.8%
11% better than Alabama average

Alabama average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.7%
284% worse than Alabama average

Alabama average: 1.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.6%
29% better than Alabama average

Alabama average: 20.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.3%
5% 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%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.72
14% better than Alabama average

Alabama average: 2.00

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.22
32% better than Alabama average

Alabama average: 1.79

Short-stay resident measures
Significantly below average Alabama avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 82.5%
In line with Alabama average

Alabama average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.3%
55% worse than Alabama average

Alabama average: 2.1%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 86.4%
8% better than Alabama average

Alabama average: 80.3%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 33.7%
38% worse than Alabama average

Alabama average: 24.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.8%
23% better than Alabama average

Alabama average: 11.5%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.4%
86% worse than Alabama average

Alabama average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 61.5%
15% better than Alabama average

Alabama average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 42.3%
16% worse than Alabama average

Alabama average: 50.6%

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 (Data as of Jan 2026)

Total fines amount $17K
74% lower than Alabama average

Alabama average: $65K

Number of fines 2
15% fewer fines than Alabama average

Alabama average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
194% more payment denials than Alabama average

Alabama average: 0.3

Fines amount comparison
Fines amount comparison
This facility $17K
Alabama average $65K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 3, 2024
$8K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 3, 2024
$8K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. May 3, 2024
90 days

Last updated: Jan 2026

Compare Nursing Homes around Alabama The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.

5 facilities compared · CMS & AL Dept. of Health data · Updated Apr 2026

Filter by care type
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AL

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AL

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AL

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The Healthcare Center at Buck Creek
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

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Altoona Health & Rehab
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

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