We arrange tours, appointments, and even moving support so you don’t have to
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
This home is ranked 57th out of 130 homes in Alabama for nurse hours. 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.
| Staff type | Hours / Day / Resident | 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.
| 57m per day | ▲ 50% 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.
| 38m per day | ▼ 19% 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 40m per day | ▲ 6% State avg: 2h 30m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 34m per day | ▲ 9% 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.
| 5m per day | ▲ 147% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
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.
| 26m per day | ▲ 17% State avg: 22m per day · National avg: 28m per day |
Lower than the Alabama average: 80.8%Adams Rehabilitation and Healthcare Center is administrated by Debbie Barker Stalnaker.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Alabama state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | AL Average | vs. AL Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 5 | 17 | This facility has 71% fewer total deficiencies than a typical Alabama nursing home (5 vs. AL avg 17).↓ 71% better |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 0.6 | 2.1 | This facility has 71% fewer deficiencies per year than a typical Alabama nursing home (0.6 vs. AL avg 2.1).↓ 71% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Alabama average 2.9
Last Health inspection on Jun 2021
Alabama average 10.4
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.
100% better than Alabama averageAlabama average: 0.7
100% better than Alabama averageAlabama average: 0.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
70% more staff per resident than Alabama average
5% better than Alabama average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
25 total: 6 full-time employees and 19 contractors.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursAssists with medical care and medications.
29 total: 14 full-time employees and 15 contractors.
29
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursHelps with daily care and mobility.
All 50 CNA Staff are full-time employees. No contractors work on this role.
50
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,340 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 50 | 0 | 50 | 15,797 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 14 | 15 | 29 | 3,345 | 92 | 100% | 9.6 |
| Registered Nurse | 6 | 19 | 25 | 2,901 | 91 | 99% | 10.4 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,421 | 71 | 77% | 7.9 |
| Physical Therapy Assistant | 2 | 0 | 2 | 563 | 67 | 73% | 7.6 |
| RN Director of Nursing | 1 | 0 | 1 | 541 | 64 | 70% | 8.5 |
| Dietitian | 1 | 0 | 1 | 537 | 63 | 68% | 8.5 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 503 | 57 | 62% | 5.5 |
| Medication Aide/Technician | 1 | 0 | 1 | 500 | 77 | 84% | 6.5 |
| Qualified Social Worker | 3 | 0 | 3 | 496 | 68 | 74% | 6.5 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Qualified Activities Professional | 1 | 0 | 1 | 463 | 61 | 66% | 7.6 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 445 | 60 | 65% | 7.4 |
| Respiratory Therapist | 4 | 0 | 4 | 430 | 56 | 61% | 7.2 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 40 | 8 | 9% | 5 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.6%
26% worse than Alabama averageAlabama average: 13.9%
Percent of long-stay residents whose ability to move independently worsened
18.0%
11% worse than Alabama averageAlabama average: 16.1%
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%
Percent of long-stay residents experiencing one or more falls with major injury
6.5%
92% worse than Alabama averageAlabama average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
9.9%
66% worse than Alabama averageAlabama average: 5.9%
Percent of long-stay residents with a urinary tract infection
2.3%
17% better than Alabama averageAlabama average: 2.7%
Percent of long-stay residents who lose too much weight
6.6%
22% worse than Alabama averageAlabama average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Alabama averageAlabama average: 1.2%
Percent of long-stay residents who received an antipsychotic medication
18.5%
11% better than Alabama averageAlabama average: 20.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Alabama averageAlabama average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
In line with Alabama averageAlabama average: 94.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.66
17% better than Alabama averageAlabama average: 2.00
Number of outpatient emergency department visits per 1,000 long-stay resident days.
5.36
199% worse than Alabama averageAlabama average: 1.79
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
19% better than Alabama averageAlabama average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
41% worse than Alabama averageAlabama average: 2.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.0%
18% better than Alabama averageAlabama average: 80.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.2%
19% worse than Alabama averageAlabama average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.7%
24% better than Alabama averageAlabama average: 11.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Alabama averageAlabama average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
38.7%
23% worse than Alabama averageAlabama average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
29% of new residents, usually for short-term rehab.
40% of new residents, often for short stays.
31% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
49Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for Adams Rehabilitation and Healthcare Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #125 / 129Payroll — State benchmarkedThis home is ranked 125th 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
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.
Add your location
Adams Rehabilitation and Healthcare Center is located in Alexander City, Alabama.
Here are the financial assistance programs available to residents in Alabama.
The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.
| 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
Facility
75
AL AVG
90
Rank
#136 / 245 |
62.7%
Facility
62.7%
AL AVG
80.8%
Rank
#111 / 132 | -22% | 4.53
Facility
4.53
AL AVG
4.37
Rank
#57 / 130 | +88% | +4% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 131 | 4
Facility
4
AL AVG
10.4
Rank
#14 / 130 | 2.0
Facility
2.0
AL AVG
3.5
Rank
#14 / 130 | - | 67 |
63
Facility
63
AL AVG
36
Rank
#45 / 418 | Deborah Stalnaker | $2.5M
Facility
$2.5M
AL AVG
$11.1M
Rank
#129 / 129 | $2.5M
Facility
$2.5M
AL AVG
$4.7M
Rank
#125 / 129 | 96.5%
Facility
96.5%
AL AVG
45%
Rank
#3 / 127 | 15386 | ||||
| Westminster Village – Spanish Fort |
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. | Spanish Fort (Bridgehead) | 60
Facility
60
AL AVG
90
Rank
#156 / 245 | - | - | 4.91
Facility
4.91
AL AVG
4.37
Rank
#27 / 130 | +69% | +12% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 131 | 10
Facility
10
AL AVG
10.4
Rank
#65 / 130 | 3.3
Facility
3.3
AL AVG
3.5
Rank
#64 / 130 | - | 10 |
27
Facility
27
AL AVG
36
Rank
#261 / 418 | Acts Retirement Services, Inc | $18.1M
Facility
$18.1M
AL AVG
$11.1M
Rank
#19 / 129 | $8.3M
Facility
$8.3M
AL AVG
$4.7M
Rank
#23 / 129 | 45.8%
Facility
45.8%
AL AVG
45%
Rank
#83 / 127 | 15381 | ||||
| Redstone Village |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Huntsville (Redstone Village) | 56
Facility
56
AL AVG
90
Rank
#169 / 245 |
41.1%
Facility
41.1%
AL AVG
80.8%
Rank
#124 / 132 | -49% | 5.19
Facility
5.19
AL AVG
4.37
Rank
#12 / 130 | -34% | +19% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 131 | 3
Facility
3
AL AVG
10.4
Rank
#5 / 130 | 1.5
Facility
1.5
AL AVG
3.5
Rank
#11 / 130 | - | 23 |
17
Facility
17
AL AVG
36
Rank
#313 / 418 | Redstone Military Retirement Residence Association Inc | $23.8M
Facility
$23.8M
AL AVG
$11.1M
Rank
#4 / 129 | $10.6M
Facility
$10.6M
AL AVG
$4.7M
Rank
#6 / 129 | 44.4%
Facility
44.4%
AL AVG
45%
Rank
#89 / 127 | 15454 | ||||
| Plantation Manor Retirement Community |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Mccalla | 103
Facility
103
AL AVG
90
Rank
#81 / 245 | - | - | 4.26
Facility
4.26
AL AVG
4.37
Rank
#72 / 130 | -31% | -2% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 131 | 13
Facility
13
AL AVG
10.4
Rank
#95 / 130 | 3.3
Facility
3.3
AL AVG
3.5
Rank
#64 / 130 | - | 98 |
7
Facility
7
AL AVG
36
Rank
#355 / 418 | Cassie Ball | $7.8M
Facility
$7.8M
AL AVG
$11.1M
Rank
#102 / 129 | $4.1M
Facility
$4.1M
AL AVG
$4.7M
Rank
#94 / 129 | 53%
Facility
53%
AL AVG
45%
Rank
#52 / 127 | 15015 | ||||
| Regency Retirement Village of Huntsville |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Huntsville (Greenhill) | 104
Facility
104
AL AVG
90
Rank
#80 / 245 | - | - | 4.48
Facility
4.48
AL AVG
4.37
Rank
#57 / 130 | -13% | +2% | $16.8k
Facility
$16.8k
AL AVG
$59.8k
Rank
#110 / 131 | 20
Facility
20
AL AVG
10.4
Rank
#119 / 130 | 5.0
Facility
5.0
AL AVG
3.5
Rank
#106 / 130 | 3 | 85 |
44
Facility
44
AL AVG
36
Rank
#170 / 418 | Huntsville Senior Services LLC | $21.1M
Facility
$21.1M
AL AVG
$11.1M
Rank
#8 / 129 | $10.3M
Facility
$10.3M
AL AVG
$4.7M
Rank
#9 / 129 | 49%
Facility
49%
AL AVG
45%
Rank
#71 / 127 | 15372 |
Adams Rehabilitation and Healthcare Center has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Adams Rehabilitation and Healthcare Center's occupancy is 63%.
Debbie Barker Stalnaker is the administrator of Adams Rehabilitation and Healthcare Center.
Adams Rehabilitation and Healthcare Center has 75 beds.
Yes — there are 5 photos of Adams Rehabilitation and Healthcare Center in the photo gallery on this page.
Adams Rehabilitation and Healthcare Center is located at 1555 Hillabee Street.
(256) 329-0847 will put you in contact with the team at Adams Rehabilitation and Healthcare Center.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
