Nursing Home

Altoona Health & Rehab

Overview of Altoona Health & Rehab
Altoona Health & Rehab is a skilled nursing and rehabilitation center located in Altoona, Iowa. It provides a range of medically supervised services including skilled nursing care, infusion therapy, physical therapy, occupational therapy, and speech therapy. The facility is dedicated to meeting the personal and healthcare needs of its residents.
(205) 589-6394

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
2/5
Alabama average: 2.9/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Alabama average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
Alabama average: 3.6/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5
Alabama average: 3.0/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
4h 20m per day

This home provides 1% less nursing time per resident than the Alabama average.

Alabama average: 4h 23m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 50

This home is often near full

That suggests steady demand, but availability may be limited.

Higher demand than most homes in Alabama
Occupancy rate 96%
Residents per day (avg) 46
Occupancy rate
96%
Residents per day (avg)
46

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

11% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

40% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

49% of new residents, often for long-term daily care.

Typical stay 1 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$5.1M
Operating loss
-$193.8K
Privately-owned community Operated by a business corporation.
Home revenue
$5,120,644.00
Operating loss
$-193,768.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.0M
59.3% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.3M
Total costs $5.3M
Bed community size
50-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
21 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

About this community

License details

Facility type
Nursing Home
Status Regular
County: Etowah

Additional licensing details

CMS Certification Number: 015101

Ownership & operating entity

Altoona Health & Rehab is administrated by Linda Bigelow, Adm..

Profit status: Corporation

Staffing

Key information about the people who lead and staff this community.

Leadership

Contact: Linda Bigelow

Care Services

Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

Programs & Activities

Specific Programs
Skilled Nursing Care, Infusion Therapy, Physical Therapy, Occupational Therapy, Speech Therapy
Operating Hours
24/7
Contact Altoona Health & Rehab

Health Inspection History

Inspections
Total health inspections 3

Alabama average 2.9


Last Health inspection on Jun 2023

Total health citations 7
Citations per inspection
2.33

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

5 of 7 citations resulted from standard inspections; and 2 of 7 resulted from complaint investigations.

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 0
100% better than Alabama average

Alabama average: 0.2

0 critical citations More info Alabama average: 0.7

0 serious citations More info Alabama average: 0.2

7 moderate citations More info Alabama average: 9.1

0 minor citations More info Alabama average: 0.4
Citations history (last 3 years)
Abuse/Neglect moderate citation Jun 08, 2023
Corrected

Abuse/Neglect moderate citation Jun 08, 2023
Corrected

Infection Control moderate citation Jun 13, 2022
Corrected

Nutrition moderate citation Jun 13, 2022
Corrected

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The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.
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Albertville Nursing Home
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Nursing Home 24/7 care needed

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AL 35951
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Andalusia Manor
SNF

Nursing Home 24/7 care needed

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AL 36420
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MAYS, TREECE
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Altoona Health & Rehab
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

AL 35952
50
LONG, BRADLEY
96.0%
$5,086,458.00
$3,037,649.00
59.7%
45.60
2/5
4.3258
2/5
4/5
3/5
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+3%
-1%
+19%

Places of interest near Altoona Health & Rehab

Address 0.0 miles from city center

Address Altoona, AL 35952

Calculate Travel Distance to Altoona Health & Rehab

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

71
Total Staff
57
Employees
14
Contractors
19,701
Total Hours (Quarter)
27
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse79.4 No
Licensed Practical Nurse69.3 No
Certified Nursing Assistant318.1 No
Staff by Category
Administration
2 staff
8.1hs shift avg
Nursing Staff
47 staff
8.4hs shift avg
Physicians & Practitioners
5 staff
7.8hs shift avg
Therapy Services
9 staff
5.7hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
4 staff
3.3hs shift avg
Dietary Services
2 staff
7.6hs shift avg
Other Services
2 staff
8hs shift avg
Contractor Analysis
6.3%
of total hours from contractors
1,246 contractor hours this quarter
Speech Language Pathologist: 1 Feeding Assistant: 1 Physical Therapy Aide: 1 Respiratory Therapy Technician: 1 Medical Director: 1 Physical Therapy Assistant: 1 Occupational Therapy Aide: 1 Mental Health Service Worker: 1 Occupational Therapy Assistant: 1 Qualified Social Worker: 4 Other Physician: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant310319,91991100%8.1
Licensed Practical Nurse6062,51891100%9.3
Registered Nurse7072,08291100%9.4
Clinical Nurse Specialist3038646268%7.7
Other Dietary Services Staff2027026875%7.6
Medication Aide/Technician2026366774%8.3
Administrator1015076369%8.1
Dental Services Staff1015026369%8
Nurse Practitioner1014725864%8.1
Physical Therapy Aide0114546167%7.4
Speech Language Pathologist0113966167%6.5
Physical Therapist3032542932%8.7
Feeding Assistant0111192123%5.7
Qualified Social Worker044882730%3.3
Occupational Therapy Aide0115078%7.1
Physical Therapy Assistant011392932%1.3
Medical Director0112933%9.7
Respiratory Therapy Technician011242730%0.9
Occupational Therapy Assistant0112233%7.3
Other Physician0111744%4.3
Mental Health Service Worker011811%7.5

Facility Characteristics

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

Total census
43 residents
Residents by payment source
Medicaid
41 residents (95.3%)
Private pay or other
2 residents (4.7%)
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.

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. 6.9
23% 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. 12.1
17% 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 11.3%
19% better than Alabama average

Alabama average: 13.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 11.0%
32% 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 14.0%
In line with Alabama average

Alabama average: 13.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.8%
18% 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 5.9%
In line with Alabama average

Alabama average: 5.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.7%
38% 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%
38% better than Alabama average

Alabama average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Alabama average

Alabama average: 1.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.2%
12% better than Alabama average

Alabama average: 20.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
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 66.7%
20% worse than Alabama average

Alabama average: 83.7%

Guides for Better Senior Living

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Financial Aid for Alabama Seniors

Get financial aid guidance

Elderly and Disabled Waiver

Alabama Medicaid E&D Waiver

Age 65+ or disabled, Alabama resident, Medicaid-eligible, requires nursing home-level care but can live in community with support.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple) (excludes home, car).

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

Alabama Respite for Caregivers Program

Alabama Respite (via NFCSP)

Caregiver of someone 60+ (or with dementia), Alabama resident.

No strict limit; prioritizes low-income.

Not applicable.

Focus on rural caregivers; limited funding.

SenioRx Prescription Assistance Program

AL SenioRx

Age 55+, Alabama resident, chronic illness requiring daily medication, not fully covered by other drug plans.

~$3,000/month (individual, varies by AAA).

Not strictly enforced; income-focused.

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

Weatherization Assistance Program (WAP)

AL WAP

Age 60+ priority, Alabama resident, own or rent home, low-income status.

~$2,510/month (200% of poverty level, individual).

Not applicable; income-driven.

Prioritizes seniors and disabled; limited annual funding.

Section 202 Supportive Housing for the Elderly

AL Section 202

Age 62+, Alabama resident, very low income, able to live independently with support.

~$1,500/month (50% of area median income, individual, varies by county).

$10,000 (individual, excludes home if owned).

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

Alabama CARES Program

AL CARES

Caregivers of Alabama residents aged 60+ needing assistance with 3+ daily activities; no age limit for caregivers.

No strict limit; cost-sharing based on recipient’s income (e.g., ~$2,500/month threshold).

Not applicable; focus on need.

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

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