Altoona Health & Rehab
Nursing Home, Assisted Living & Memory Care · Altoona, AL
CMS overall rating Info 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.

Altoona Health & Rehab

Nursing Home, Assisted Living & Memory Care · Altoona, AL
CMS overall rating Info 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.
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Altoona Health & Rehab accepts Medicare, Medicaid, and private pay.

Overview of Altoona Health & Rehab

Bradley Long operates Altoona Health & Rehab, a smaller 50-bed nursing community located on Walnut Grove Road in Altoona, Alabama. The facility has been in business for 21 years and keeps a high 92 percent occupancy level. Residents stay here for an average of 225 days, a longer timeframe that means daily routines focus mostly on long-term residential stays, though the team also handles short-term therapy turnarounds.

The floor schedule relies on a 24-hour nursing team that logs an average of 4 hours and 20 minutes of direct, hands-on attention per resident daily. Registered nurses, practical nurses, and assistants split this care time to manage daily clinical monitoring and an on-site infusion therapy program that lets individuals receive IV treatments directly in the building. For visitors, the surrounding neighborhood is rural and has a walk score of 13, meaning you will need a car for any trips or errands outside the property.

Past surveys have pointed out compliance problems here tied to basic medication practices, clinical documentation accuracy, and staff accountability oversight. Reviewing these older health department records with the management team can help you see exactly how the facility currently runs its daily safety monitoring and tracking systems.

Interested individuals can reach out to the admissions office to check on open rooms or go over the standard move-in paperwork. The business office handles funding setups through traditional Medicare, state Medicaid, or standard private out-of-pocket pay.

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.
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.
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.
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.

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 state averages

Total nursing care / resident Info 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 20m per day
Rank #75 / 136Nurse hours — State benchmarkedThis home is ranked 75th out of 136 homes in Alabama. Shows adjusted nurse hours per resident per day benchmarked to the Alabama average, with a ranking across 136 Alabama facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

3 of 6 metrics below state avg

Standout metric Weekend RN is +17% above state avg
Staff typeHours / Day / Residentvs 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. 41m per day ▲ 8% 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. 40m per day ▼ 14% 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 16m per day ▼ 10% State avg: 2h 30m per day · National avg: 2h 20m per day
Weekend Total Nursing 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 14m per day ■ Avg 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. 0m per day ▼ 85% State avg: 2m per day · National avg: 4m per day
Weekend RN 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. 26m per day ▲ 17% State avg: 22m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
225 days
Bed community size
50-bed community Rank #183 / 245Bed count — State benchmarkedThis home is ranked 183rd out of 245 homes in Alabama. Shows this facility's certified or reported bed count compared to other Alabama facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.
Walk Score
Walk Score: 13 / 100 Rank #330 / 418Walk Score — State benchmarkedThis home is ranked 330th out of 418 homes in Alabama. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Alabama facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
92%
Rank #23 / 138Occupancy rate — State benchmarkedThis home is ranked 23rd out of 138 homes in Alabama. Shows this facility's occupancy rate versus the Alabama average, with its Statewide rank out of 138. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Alabama average: 80.8%
Occupied beds
46 / 50
Average occupied beds in Alabama homes 97 beds

License Details

Facility TypeNursing Home
StatusRegular
CountyEtowah
CMS Certification Number015101

Ownership & Operating Entity

Altoona Health & Rehab is administered by Adm Linda Bigelow.

Profit StatusFor-profit

Staffing

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

Leadership

ContactMs. Linda Bigelow, Administrator

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Specific ProgramsInfusion Therapy
Operating Hours24/7

Contact Altoona Health & Rehab

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.

Since 2019 · 7 years of data 9 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2019 vs. Alabama state average
Overall vs. AL average 0 Worse No metrics in this bucket. 2 Better Metrics better than Alabama average:
• Total deficiencies (47% below)
• Deficiencies per year (46% below)
Latest Inspection June 8, 2023 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityAL Averagevs. AL Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 917 This facility has 47% fewer total deficiencies than a typical Alabama assisted living residence (9 vs. AL avg 17).↓ 47% better
Deficiencies per year Info Average deficiencies per year since 2019. 1.32.4 This facility has 46% fewer deficiencies per year than a typical Alabama assisted living residence (1.3 vs. AL avg 2.4).↓ 46% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • June 8, 2023 complaint investigation substantiated physical abuse by a Licensed Practical Nurse and failure of two Registered Nurses to report the abuse as required by facility policy.
  • June 13, 2022 routine inspection found four deficiencies including a 14.81% medication error rate, incomplete anticoagulant care plan, food temperature lapses, and missing COVID-19 staff testing.
  • February 6, 2019 survey found no health deficiencies during the regulatory inspection.

Health Inspection History

Inspections since 2020
Total health inspections 3

State average N/A


Last Health inspection on Jun 2023

Total health citations
7 Rank #41 / 136Health citations — State benchmarkedThis home is ranked 41st out of 136 homes in Alabama. Shows this facility's total health deficiency citations benchmarked to the Alabama State average, with a ranking across all 136 AL facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
2.33 Rank #28 / 136Citations per inspection — State benchmarkedThis home is ranked 28th out of 136 homes in Alabama. Shows average deficiency citations per CMS inspection for this facility versus the Alabama mean across 136 facilities with citation data. Lower is better.Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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 6 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

7 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 6 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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 71
Employees 57
Contractors 14
Staff to resident ratio 1.65 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 25
Average shift 7.8 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 18,044

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 9 total: 7 full-time employees and 2 contractors. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 31 CNA Staff are full-time employees. No contractors work on this role. 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

6.2%

1,118 contractor hours this quarter

Licensed Practical Nurse: 2 Physical Therapy Aide: 2 Speech Language Pathologist: 1 Qualified Social Worker: 1 Physical Therapy Assistant: 1 Feeding Assistant: 1 Respiratory Therapy Technician: 1 Other Physician: 1 Mental Health Service Worker: 1 Occupational Therapy Assistant: 1 Medical Director: 1 Occupational Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant310319,71092100%8.1
Licensed Practical Nurse7292,51092100%9.2
Registered Nurse8082,0719199%9.2
Administrator1016166368%9.8
Clinical Nurse Specialist2025426065%8.1
RN Director of Nursing1014435358%8.4
Dental Services Staff1014246166%7
Nurse Practitioner1013914751%8.3
Speech Language Pathologist0113536267%5.7
Physical Therapy Aide0223456571%5
Medication Aide/Technician2021952527%7.5
Qualified Social Worker0111154043%2.9
Feeding Assistant0111102123%5.2
Physical Therapist3035078%7.1
Occupational Therapy Aide011481415%3.4
Physical Therapy Assistant011343134%1.1
Other Physician0112567%4.2
Respiratory Therapy Technician011212628%0.8
Occupational Therapy Assistant0112033%6.7
Medical Director0111522%7.5
Mental Health Service Worker011711%7
31 Certified Nursing Assistant
% of Days 100%
9 Licensed Practical Nurse
% of Days 100%
8 Registered Nurse
% of Days 99%
1 Administrator
% of Days 68%
2 Clinical Nurse Specialist
% of Days 65%
1 RN Director of Nursing
% of Days 58%
1 Dental Services Staff
% of Days 66%
1 Nurse Practitioner
% of Days 51%
1 Speech Language Pathologist
% of Days 67%
2 Physical Therapy Aide
% of Days 71%
2 Medication Aide/Technician
% of Days 27%
1 Qualified Social Worker
% of Days 43%
1 Feeding Assistant
% of Days 23%
3 Physical Therapist
% of Days 8%
1 Occupational Therapy Aide
% of Days 15%
1 Physical Therapy Assistant
% of Days 34%
1 Other Physician
% of Days 7%
1 Respiratory Therapy Technician
% of Days 28%
1 Occupational Therapy Assistant
% of Days 3%
1 Medical Director
% of Days 2%
1 Mental Health Service Worker
% of Days 1%

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 State average

State 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 State average

State average: 14.5

Long-stay resident measures
Above average State 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 11.3%
19% better than State average

State average: 13.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 11.0%
32% better than State average

State 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 State average

State 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 State average

State 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 State average

State average: 5.9%

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

State average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.4%
38% better than State average

State average: 5.4%

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

State average: 1.2%

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

State average: 20.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
9% better than State average

State average: 91.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than State average

State 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 State average

State average: 83.7%

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

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$209.5K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.6M Rank #124 / 135Revenue — State benchmarkedThis home is ranked 124th out of 135 homes in Alabama. Shows this facility's annual revenue compared to the Alabama average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$209.5K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$34.2K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #117 / 135Payroll — State benchmarkedThis home is ranked 117th out of 135 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.Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.6M 63.9% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #11 / 133Payroll % — State benchmarkedThis home is ranked 11th out of 133 homes in Alabama. Shows payroll as a percentage of revenue versus the Alabama average. Well-run Alabama facilities typically land around 54–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.8M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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

New residents most often arrive under Medicaid (49% of admissions), and a typical Medicaid stay runs around 1 years.

Admissions
72 total

Coverage residents most often arrive under.

Medicare 11%
Private pay 40%
Medicaid 49%
Discharges
78 total

Coverage residents most often leave under.

Medicare 4%
Private pay 21%
Medicaid 75%

Places of interest near Altoona Health & Rehab

Address 0.0 miles from city center Info Estimated distance in miles from Altoona's city center to Altoona Health & Rehab's address, calculated via Google Maps.

Calculate Travel Distance to Altoona Health & Rehab

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Address

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Frequently Asked Questions about Altoona Health & Rehab

Is Altoona Health & Rehab in a walkable area?

Altoona Health & Rehab has a walk score of 13. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Altoona Health & Rehab?

Altoona Health & Rehab's occupancy is 92%.

Does Altoona Health & Rehab operate as a for-profit or non-profit?

Altoona Health & Rehab is registered as a for-profit in AL.

Who is the administrator of Altoona Health & Rehab?

Adm. Linda Bigelow is the administrator of Altoona Health & Rehab.

How many beds does Altoona Health & Rehab have?

Altoona Health & Rehab has 50 beds.

Are there photos of Altoona Health & Rehab?

Yes — there is 1 photo of Altoona Health & Rehab in the photo gallery on this page.

What is the address of Altoona Health & Rehab?

Altoona Health & Rehab is located at 6532 Walnut Grove Road, Altoona, AL 35952.

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