Total health inspections
2
Alabama average 2.9
Last Health inspection on Jun 2021
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Adams Rehabilitation and Healthcare Center
Nursing Home in Alabama
CMS overall rating
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.
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.
Adams Rehabilitation and Healthcare Center
Nursing Home in Alabama
CMS overall rating
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.
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.
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 55th out of 129 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 55th out of 129 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 32m per day
vs Alabama avg
+3%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
75
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
62.7%
Avg. Length of Stay
211 days
Occupancy rate
62.7%
Avg. Length of Stay
211 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
29% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
40% of new residents, often for short stays.
Typical stay
3 months
Medicaid
31% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Privately-owned community
Home revenue
$4.3M
Operating loss
-$877.8K
Privately-owned community
Home revenue
$4.3M
Operating loss
-$877.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.2M
75-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 Number015386
Adams Rehabilitation and Healthcare Center is administrated by Debbie Barker Stalnaker.
Profit StatusLimited Liability Partnership
Health Inspection History
Inspections
Total health citations
4
Alabama average 10.4
Citations per inspection
2
Alabama average 3.46
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 4 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
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
4 moderate citations
0 minor citations
Citations history (last 3 years)
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jun 03, 2021
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jun 03, 2021
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 08, 2018
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 08, 2018
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 08, 2018
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 08, 2018
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 08, 2018
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 08, 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.
Compare Nursing Homes around Alabama The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.
Filter by care type
| Adams Rehabilitation and Healthcare Center |
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. | Alexander City | 75 | 62.7% | -22% | 4.53 | +13% | +4% | 0 | 4 | 2.0 | 0 | 64 | - | - | Stalnaker, Deborah | $4.2M | $2.2M | 51.3% | 15386 | ||||
| Aliceville Manor Nursing Home |
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. | Aliceville | 100 | 92.2% | +14% | 4.70 | -11% | +8% | 0 | 8 | 2.7 | 0 | 83 | - | - | - | $10.1M | $5.6M | 55.2% | 15137 | ||||
| Albertville Nursing Home |
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. | Albertville | 159 | 97.4% | +21% | 5.06 | -15% | +16% | 0 | 9 | 3.0 | 0 | 154 | - | - | Brown, Terri | $17.7M | $8.9M | 50.4% | 15163 | ||||
| Andalusia Manor |
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. | Andalusia | 154 | 59.1% | -27% | 4.82 | +8% | +10% | 0 | 11 | 3.7 | 0 | 95 | - | - | Mays, Treece | $7.9M | $4.6M | 58.2% | 15416 | ||||
| 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. | Altoona | 50 | 96.0% | +19% | 4.33 | +3% | -1% | 0 | 7 | 2.3 | 0 | 46 | - | - | Long, Bradley | $5.1M | $3.0M | 59.7% | 15101 |
Financial Assistance for
Nursing Home in Alabama
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Places of interest near Adams Rehabilitation and Healthcare Center
70.1 miles from city center
Estimated distance in miles from Alexander City's city center to Adams Rehabilitation and Healthcare Center'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
111
Employees
95
Contractors
16
Staff to resident ratio
2.27:1
44% better than Alabama averageAlabama average ratio: 1.57:1
Avg staff/day
35
Average shift
8.3 hours
5% better than Alabama averageAlabama average: 7.9 hours
Total staff hours (quarter)
26,495
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
58
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
2.5%
656 contractor hours this quarter
Licensed Practical Nurse: 9
Registered Nurse: 7
Staff by category
| Certified Nursing Assistant | 58 | 0 | 58 | 14,530 | 91 | 100% | 8 |
| Licensed Practical Nurse | 10 | 9 | 19 | 3,274 | 91 | 100% | 10 |
| Registered Nurse | 5 | 7 | 12 | 2,463 | 91 | 100% | 10.1 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,240 | 70 | 77% | 8 |
| Dietitian | 1 | 0 | 1 | 587 | 64 | 70% | 9.2 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Physical Therapy Assistant | 1 | 0 | 1 | 455 | 61 | 67% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 446 | 59 | 65% | 7.6 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 443 | 62 | 68% | 7.1 |
| RN Director of Nursing | 1 | 0 | 1 | 384 | 48 | 53% | 8 |
| Qualified Social Worker | 3 | 0 | 3 | 284 | 47 | 52% | 5.9 |
| Qualified Activities Professional | 2 | 0 | 2 | 225 | 27 | 30% | 7.5 |
| Medication Aide/Technician | 2 | 0 | 2 | 76 | 12 | 13% | 6.3 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 71 | 48 | 53% | 1.5 |
| Respiratory Therapist | 1 | 0 | 1 | 67 | 11 | 12% | 6.1 |
58 Certified Nursing Assistant
% of Days
100%
19 Licensed Practical Nurse
% of Days
100%
12 Registered Nurse
% of Days
100%
5 Clinical Nurse Specialist
% of Days
77%
1 Dietitian
% of Days
70%
1 Administrator
% of Days
69%
1 Physical Therapy Assistant
% of Days
67%
1 Nurse Practitioner
% of Days
62%
1 Mental Health Service Worker
% of Days
65%
2 Therapeutic Recreation Specialist
% of Days
68%
1 RN Director of Nursing
% of Days
53%
3 Qualified Social Worker
% of Days
52%
2 Qualified Activities Professional
% of Days
30%
2 Medication Aide/Technician
% of Days
13%
1 Respiratory Therapy Technician
% of Days
53%
1 Respiratory Therapist
% of Days
12%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
49
Medicare
1
2% of residents
Medicaid
36
73.5% of residents
Private pay or other
12
24.5% 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.
11.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.7
31% 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.
18.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.9
30% worse than Alabama averageAlabama average: 14.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.6%
Percent of long-stay residents whose need for help with daily activities has increased
17.6%
26% worse than Alabama averageAlabama average: 13.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.0%
Percent of long-stay residents whose ability to move independently worsened
18.0%
11% 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
21.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.1%
55% worse than Alabama averageAlabama average: 13.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.5%
Percent of long-stay residents experiencing one or more falls with major injury
6.5%
92% worse than Alabama averageAlabama average: 3.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.9%
Percent of long-stay high risk residents with pressure ulcers
9.9%
66% worse than Alabama averageAlabama average: 5.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.3%
Percent of long-stay residents with a urinary tract infection
2.3%
17% better than Alabama averageAlabama average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.6%
Percent of long-stay residents who lose too much weight
6.6%
22% worse 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
18.5%
Percent of long-stay residents who received an antipsychotic medication
18.5%
11% better than Alabama averageAlabama average: 20.7%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Alabama averageAlabama average: 91.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
In line with Alabama averageAlabama average: 94.8%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
19% better than Alabama averageAlabama average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
41% worse than Alabama averageAlabama average: 2.1%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.0%
18% 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.
Financial Trends
Historical financial and operational data for Adams Rehabilitation and Healthcare Center based on CMS SNF Cost Reports.
Occupancy Rate
55.1%
↓ 5.7pp vs 2022
Net Income
-$1.2M
↓ ~$1.2M vs 2022
Total Payroll
$2.5M
↓ ~$815.1K vs 2022
Profit Margin
-48.4%
↓ 48.1pp vs 2022
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