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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
Brookshire Healthcare Center is a leading facility in Huntsville, Alabama, offering a comprehensive range of services that cater to seniors’ needs, while respecting their independence. As a recognized leader in post-acute care, this center provides nursing home care, including short-term rehab, long-term skilled nursing care, memory care, respite stays, and restorative care.
Residents can rest assured that their well-being is upheld by a team of highly trained caregivers and professionals who adhere to the highest nursing home rules and regulations. The home prides itself on delivering high-quality lifestyles for individuals seeking support, ensuring that every aspect of seniors’ needs is meticulously attended to. With a dedicated hospice team and board-certified physicians and treatment specialists, residents receive personalized care that addresses both their physical and emotional well-being.
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 25th out of 118 homes in Alabama.| Staff type | Hours / day | 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.
| 47m per day | ▲ 24% 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.
| 40m per day | ▼ 15% 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 50m per day | ▲ 13% State avg: 2h 30m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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 31m per day | ▲ 7% 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.
| 4m per day | ▲ 100% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 33m per day | ▲ 50% State avg: 22m per day · National avg: 29m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
29% of new residents, usually for short-term rehab.
55% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #85 / 117Payroll — state benchmarkedThis home is ranked 85th out of 117 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Similar to the Alabama average: 80.8%Brookshire Healthcare Center is administrated by Brenda Cody.
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.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Alabama average: 1 complaint visit
Alabama average: 1 inspection
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Alabama average: 17 deficiencies
This facility’s inspection record is mixed, showing repeated care planning and infection control issues over several years. The most recent inspection on March 17, 2022, cited five deficiencies related to delayed ombudsman notifications, incomplete baseline and comprehensive care plans, and inadequate monitoring of psychotropic medication effects. Earlier complaints in May 2019 substantiated late reporting of verbal abuse and poor hand hygiene, indicating ongoing challenges in resident care and safety practices.
Alabama average 2.9
Last Health inspection on Mar 2022
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 8 citations resulted from standard inspections.
100% better than Alabama averageAlabama average: 0.7
0
100% better than Alabama averageAlabama average: 0.2
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 17, 2022
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 17, 2022
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 17, 2022
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 17, 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.
Brookshire Healthcare Center is located in Huntsville, Alabama.
Here are the financial assistance programs available to residents in Alabama.
2.7 miles from city center
Estimated distance in miles from Huntsville's city center to Brookshire Healthcare Center's address, calculated via Google Maps.
— 0.72 miles to nearest hospital (Cancer Imaging Center)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
14% better than Alabama averageAlabama average ratio: 1.57:1
0% compared with Alabama averageAlabama average: 7.9 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Total hours from contractors
0 contractor hours this quarter
No contractor roles were reported this quarter.
| Certified Nursing Assistant | 92 | 0 | 92 | 25,128 | 91 | 100% | 7.8 |
| Licensed Practical Nurse | 17 | 0 | 17 | 5,540 | 91 | 100% | 8.3 |
| Clinical Nurse Specialist | 13 | 0 | 13 | 5,004 | 91 | 100% | 7.8 |
| Medication Aide/Technician | 13 | 0 | 13 | 4,456 | 91 | 100% | 8.6 |
| Registered Nurse | 13 | 0 | 13 | 3,411 | 91 | 100% | 9.3 |
| RN Director of Nursing | 2 | 0 | 2 | 1,051 | 68 | 75% | 8.1 |
| Respiratory Therapist | 5 | 0 | 5 | 973 | 65 | 71% | 5.8 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 758 | 74 | 81% | 6 |
| Therapeutic Recreation Specialist | 5 | 0 | 5 | 691 | 68 | 75% | 6.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 610 | 67 | 74% | 8.1 |
| Qualified Social Worker | 5 | 0 | 5 | 526 | 66 | 73% | 4.8 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 494 | 59 | 65% | 8.4 |
| Dental Services Staff | 1 | 0 | 1 | 483 | 62 | 68% | 7.8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 481 | 67 | 74% | 7.2 |
| Nurse Aide in Training | 1 | 0 | 1 | 7 | 1 | 1% | 7.3 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
102Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
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.
11.4
28% worse than Alabama averageAlabama average: 8.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.4
41% 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
24.7%
78% worse than Alabama averageAlabama average: 13.9%
Percent of long-stay residents whose ability to move independently worsened
20.2%
25% worse than Alabama averageAlabama average: 16.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.5%
21% worse than Alabama averageAlabama average: 13.6%
Percent of long-stay residents experiencing one or more falls with major injury
5.7%
69% worse than Alabama averageAlabama average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
4.0%
32% better than Alabama averageAlabama average: 5.9%
Percent of long-stay residents with a urinary tract infection
2.2%
19% better than Alabama averageAlabama average: 2.7%
Percent of long-stay residents who lose too much weight
2.2%
59% better than Alabama averageAlabama average: 5.4%
Percent of long-stay residents who have depressive symptoms
4.7%
280% worse than Alabama averageAlabama average: 1.2%
Percent of long-stay residents who received an antipsychotic medication
26.6%
29% worse than Alabama averageAlabama average: 20.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.6%
10% worse than Alabama averageAlabama average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
83.8%
12% worse than Alabama averageAlabama average: 94.8%
Number of hospitalizations per 1,000 long-stay resident days.
2.63
32% worse than Alabama averageAlabama average: 2.00
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.08
16% 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
45.6%
46% worse than Alabama averageAlabama average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
35% better than Alabama averageAlabama average: 2.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
68.5%
15% worse than Alabama averageAlabama average: 80.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.8%
19% better than Alabama averageAlabama average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.7%
71% worse than Alabama averageAlabama average: 11.5%
Percentage of SNF residents who experience falls with major injury during their stay.
2.2%
181% worse than Alabama averageAlabama average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
26.3%
51% worse than Alabama averageAlabama average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
47.8%
5% 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.
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
| Huntsville Health and Rehabilitation, LLC |
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). | Huntsville (Chris Drive Southwest) | 105 | 95.9% | +19% | 4.67 | +22% | +7% | 0 | 6 | 2.0 | 0 | 95 | 31 | Huntsville Health Realty, Llc | $10.3M | $5.0M | 49% | 15440 | ||||
| Brookshire Healthcare Center |
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.
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). | Huntsville | 129 | 82.0% | +2% | 4.78 | -26% | +9% | 0 | 8 | 2.7 | 0 | 117 | 36 | Aop Snf Operations Holdings Llc | $11.2M | $3.6M | 32.2% | 15127 | ||||
| Millennium Nursing and Rehab 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). | Huntsville (Rideout Village) | 91 | 86.2% | +7% | 3.93 | +60% | -10% | 1 | 20 | 6.7 | 3 | 81 | 8 | Ahp Orchards Llc | $12.9M | $4.3M | 33% | 15458 | ||||
| Floyd E. “Tut” Fann State Veterans 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). | Huntsville (Colonial Hills) | 150 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | 32 | - | - | - | - | - |
| Rocket City 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. | Huntsville | 159 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - |
Historical financial and operational data for Brookshire Healthcare Center based on CMS SNF Cost Reports.
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