Show Inspection Reports
Total health inspections
3
Alabama average 2.9
Last Health inspection on Jun 2023
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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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.
Altoona Health & Rehab
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.
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.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
Occupancy rate
96%
Residents per day (avg)
46
Occupancy rate
96%
Residents per day (avg)
46
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
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
$5.1M
Operating loss
-$193.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.0M
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.
$2.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.3M
50-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
21 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Facility TypeNursing Home
StatusRegular
CountyEtowah
CMS Certification Number015101
Altoona Health & Rehab is administrated by Linda Bigelow, Adm.
Profit StatusCorporation
Staffing
Key information about the people who lead and staff this community.
ContactLinda Bigelow
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Specific ProgramsSkilled Nursing Care, Infusion Therapy, Physical Therapy, Occupational Therapy, Speech Therapy
Operating Hours24/7
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.
Alabama average: 1 complaint visit
Alabama average: 1 inspection
Health Inspection History
Inspections
Total health citations
7
Alabama average 10.4
Citations per inspection
2.33
Alabama average 3.46
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
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
7 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 08, 2023
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 08, 2023
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 08, 2023
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 08, 2023
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 13, 2022
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 13, 2022
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 13, 2022
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 13, 2022
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 |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
71
Employees
57
Contractors
14
Staff to resident ratio
1.65:1
5% better than Alabama averageAlabama average ratio: 1.57:1
Avg staff/day
27
Average shift
8 hours
0% compared with Alabama averageAlabama average: 7.9 hours
Total staff hours (quarter)
19,701
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
31
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
6.3%
1,246 contractor hours this quarter
Qualified Social Worker: 4
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
Other Physician: 1
Staff by category
| Certified Nursing Assistant | 31 | 0 | 31 | 9,919 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 6 | 0 | 6 | 2,518 | 91 | 100% | 9.3 |
| Registered Nurse | 7 | 0 | 7 | 2,082 | 91 | 100% | 9.4 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 864 | 62 | 68% | 7.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 702 | 68 | 75% | 7.6 |
| Medication Aide/Technician | 2 | 0 | 2 | 636 | 67 | 74% | 8.3 |
| Administrator | 1 | 0 | 1 | 507 | 63 | 69% | 8.1 |
| Dental Services Staff | 1 | 0 | 1 | 502 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 58 | 64% | 8.1 |
| Physical Therapy Aide | 0 | 1 | 1 | 454 | 61 | 67% | 7.4 |
| Speech Language Pathologist | 0 | 1 | 1 | 396 | 61 | 67% | 6.5 |
| Physical Therapist | 3 | 0 | 3 | 254 | 29 | 32% | 8.7 |
| Feeding Assistant | 0 | 1 | 1 | 119 | 21 | 23% | 5.7 |
| Qualified Social Worker | 0 | 4 | 4 | 88 | 27 | 30% | 3.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 50 | 7 | 8% | 7.1 |
| Physical Therapy Assistant | 0 | 1 | 1 | 39 | 29 | 32% | 1.3 |
| Medical Director | 0 | 1 | 1 | 29 | 3 | 3% | 9.7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 24 | 27 | 30% | 0.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 22 | 3 | 3% | 7.3 |
| Other Physician | 0 | 1 | 1 | 17 | 4 | 4% | 4.3 |
| Mental Health Service Worker | 0 | 1 | 1 | 8 | 1 | 1% | 7.5 |
31 Certified Nursing Assistant
% of Days
100%
6 Licensed Practical Nurse
% of Days
100%
7 Registered Nurse
% of Days
100%
3 Clinical Nurse Specialist
% of Days
68%
2 Other Dietary Services Staff
% of Days
75%
2 Medication Aide/Technician
% of Days
74%
1 Administrator
% of Days
69%
1 Dental Services Staff
% of Days
69%
1 Nurse Practitioner
% of Days
64%
1 Physical Therapy Aide
% of Days
67%
1 Speech Language Pathologist
% of Days
67%
3 Physical Therapist
% of Days
32%
1 Feeding Assistant
% of Days
23%
4 Qualified Social Worker
% of Days
30%
1 Occupational Therapy Aide
% of Days
8%
1 Physical Therapy Assistant
% of Days
32%
1 Medical Director
% of Days
3%
1 Respiratory Therapy Technician
% of Days
30%
1 Occupational Therapy Assistant
% of Days
3%
1 Other Physician
% of Days
4%
1 Mental Health Service Worker
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
43
Medicaid
41
95.3% of residents
Private pay or other
2
4.7% 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.
6.9
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 averageAlabama average: 8.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.1
17% better 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
11.3%
Percent of long-stay residents whose need for help with daily activities has increased
11.3%
19% better than Alabama averageAlabama average: 13.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.0%
Percent of long-stay residents whose ability to move independently worsened
11.0%
32% better 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
14.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.0%
In line with Alabama averageAlabama average: 13.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
18% better than Alabama averageAlabama average: 3.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.9%
Percent of long-stay high risk residents with pressure ulcers
5.9%
In line with Alabama averageAlabama average: 5.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.7%
Percent of long-stay residents with a urinary tract infection
1.7%
38% better than Alabama averageAlabama average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.4%
Percent of long-stay residents who lose too much weight
3.4%
38% 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
18.2%
Percent of long-stay residents who received an antipsychotic medication
18.2%
12% better than Alabama averageAlabama average: 20.7%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
9% 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%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
66.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
66.7%
20% worse than Alabama averageAlabama average: 83.7%
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 Altoona Health & Rehab based on CMS SNF Cost Reports.
Occupancy Rate
96.0%
↑ 0.4pp vs 2023
Net Income
-$193.8K
↓ ~$251.3K vs 2023
Total Payroll
$3.6M
↑ ~$175.9K vs 2023
Profit Margin
-3.8%
↓ 5.1pp vs 2023
Loading trend charts...
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