Brown Nursing Home
Nursing Home & Assisted Living · Alexander City, 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.

Brown Nursing Home

Nursing Home & Assisted Living · Alexander City, 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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Brown Nursing Home accepts Medicaid, Medicare, and private 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 18m 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 LPN / LVN is +48% 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. 38m per day ■ Avg 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. 1h 10m per day ▲ 48% 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 10m per day ▼ 13% 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 18m 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. 2m per day ▼ 20% 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. 12m per day ▼ 45% State avg: 22m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
255 days
Bed community size
68-bed community Rank #147 / 245Bed count — State benchmarkedThis home is ranked 147th 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.
Walk Score
Walk Score: 63 / 100 Rank #45 / 418Walk Score — State benchmarkedThis home is ranked 45th 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.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
94%
Rank #16 / 138Occupancy rate — State benchmarkedThis home is ranked 16th 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
64 / 68
Average occupied beds in Alabama homes 97 beds

Awards

best practices by the Alabama Nursing Home Association

License Details

Facility TypeNursing Home
StatusRegular
CountyTallapoosa
CMS Certification Number015191
State License Typesfederally and state-licensed
CertificationsMedicare, Medicaid
AccreditationsCMS Five-Star

Ownership & Operating Entity

Brown Nursing Home is administered by William D. Beagle.

Profit StatusFor-profit

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Policies & Features

Admission Criteriaaccepts private or self-pay
HousekeepingYes
Utilities IncludedYes

Amenities & Lifestyle

Dining Room
Patio
Transportation
24-Hour Care
Activitiesseasonal activities, live music, religious services, games
Specific ProgramsPhysical therapy, speech therapy, occupational therapy, diet and nutrition counseling
Religious Services

Contact Brown Nursing Home

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 2018 · 8 years of data 7 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 2018 vs. Alabama state average
Overall vs. AL average 0 Worse No metrics in this bucket. 2 Better Metrics better than Alabama average:
• Total deficiencies (59% below)
• Deficiencies per year (57% below)
Latest Inspection August 29, 2023 Other An inspection that falls outside standard annual surveys and formal complaint investigations. May include administrative compliance checks, documentation reviews, focused surveys on specific concerns, or revisit surveys to verify prior corrections.

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. 717 This facility has 59% fewer total deficiencies than a typical Alabama assisted living residence (7 vs. AL avg 17).↓ 59% better
Deficiencies per year Info Average deficiencies per year since 2018. 0.92.1 This facility has 57% fewer deficiencies per year than a typical Alabama assisted living residence (0.9 vs. AL avg 2.1).↓ 57% better

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

  • The August 29, 2023 inspection found no health deficiencies and no complaints were reported.
  • The November 15, 2018 inspection cited four deficiencies including resident dignity breaches, inaccurate MDS assessments, missing medication care plans, and multiple food safety violations.
  • The February 8, 2018 inspection identified three deficiencies involving facility cleanliness, incomplete antipsychotic medication care planning, and dietary staff not wearing hair restraints properly.

Health Inspection History

Inspections since 2018
Total health inspections 2

State average N/A


Last Health inspection on Nov 2018

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
3.5 Rank #80 / 136Citations per inspection — State benchmarkedThis home is ranked 80th 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.

All 7 citations resulted from standard inspections.

Breakdown of citation severity (last 8 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

6 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 8 years)
Nutrition moderate citation Nov 15, 2018
Corrected

Care Planning moderate citation Nov 15, 2018
Corrected

Care Planning moderate citation Nov 15, 2018
Corrected

Resident Rights moderate citation Nov 15, 2018
Corrected

Staffing Data

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

Total staff 101
Employees 88
Contractors 13
Staff to resident ratio 1.58 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 37
Average shift 7.4 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 25,298

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 7 RN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.3 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 17 LPN Staff are full-time employees. No contractors work on this role. 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 54 CNA Staff are full-time employees. No contractors work on this role. 54
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 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

3.2%

820 contractor hours this quarter

Qualified Social Worker: 3 Physical Therapy Assistant: 3 Physical Therapy Aide: 2 Respiratory Therapy Technician: 2 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1 Medical Director: 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 Assistant5405412,60792100%7.3
Licensed Practical Nurse170175,72492100%8.2
Clinical Nurse Specialist4041,8876773%7.8
Registered Nurse7071,2538592%6.3
RN Director of Nursing2021,0066874%8.3
Dental Services Staff1015136065%8.5
Administrator1015126470%8
Nurse Practitioner1015126470%8
Other Dietary Services Staff1014665964%7.9
Physical Therapy Aide0222094448%4.8
Qualified Social Worker0331984650%3.8
Respiratory Therapy Technician0221565560%2.8
Physical Therapy Assistant0331222932%4.2
Medical Director011901213%7.5
Occupational Therapy Assistant0112333%7.5
Occupational Therapy Aide0112333%7.5
54 Certified Nursing Assistant
% of Days 100%
17 Licensed Practical Nurse
% of Days 100%
4 Clinical Nurse Specialist
% of Days 73%
7 Registered Nurse
% of Days 92%
2 RN Director of Nursing
% of Days 74%
1 Dental Services Staff
% of Days 65%
1 Administrator
% of Days 70%
1 Nurse Practitioner
% of Days 70%
1 Other Dietary Services Staff
% of Days 64%
2 Physical Therapy Aide
% of Days 48%
3 Qualified Social Worker
% of Days 50%
2 Respiratory Therapy Technician
% of Days 60%
3 Physical Therapy Assistant
% of Days 32%
1 Medical Director
% of Days 13%
1 Occupational Therapy Assistant
% of Days 3%
1 Occupational Therapy Aide
% of Days 3%

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. 10.8
21% worse 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. 14.3
In line with State average

State average: 14.5

Long-stay resident measures
Significantly below 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 11.9%
14% better than State average

State average: 13.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 21.3%
32% worse 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 9.7%
29% better than State average

State average: 13.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 8.1%
138% worse than State average

State average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 9.1%
52% worse than State average

State average: 5.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 8.6%
217% worse than State average

State average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.7%
31% 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 18.8%
9% better than State average

State average: 20.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
8% 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%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.77
12% better than State average

State average: 2.00

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 4.42
147% worse than State average

State average: 1.79

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.9%
In line with State average

State average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 7.1%
238% worse than State average

State average: 2.1%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 92.6%
15% better than State average

State average: 80.3%

Breakdown by payment type

Medicare

24% of new residents, usually for short-term rehab.

Typical stay 20 days

Private pay

65% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

11% of new residents, often for long-term daily care.

Typical stay 5 years

Facility Characteristics

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

Total residents 64
Medicare
3
4.7% of residents
Medicaid
53
82.8% of residents
Private pay or other
8
12.5% 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."
$6.8M
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."
-$121.1K
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."
$6.8M Rank #102 / 135Revenue — State benchmarkedThis home is ranked 102nd 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."
-$121.1K
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.
$637.0K
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 #110 / 135Payroll — State benchmarkedThis home is ranked 110th 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.
$3.8M 56.3% 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 #75 / 133Payroll % — State benchmarkedThis home is ranked 75th 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).
$3.1M
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).
$7.0M

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (65% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
89 total

Coverage residents most often arrive under.

Medicare 24%
Private pay 65%
Medicaid 11%
Discharges
92 total

Coverage residents most often leave under.

Medicare 7%
Private pay 59%
Medicaid 35%

Places of interest near Brown Nursing Home

Address 0.0 miles from city center Info Estimated distance in miles from Alexander City's city center to Brown Nursing Home's address, calculated via Google Maps.

Calculate Travel Distance to Brown Nursing Home

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Frequently Asked Questions about Brown Nursing Home

Is Brown Nursing Home in a walkable area?

Brown Nursing Home has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Brown Nursing Home?

Brown Nursing Home's occupancy is 94%.

Does Brown Nursing Home operate as a for-profit or non-profit?

Brown Nursing Home is registered as a for-profit in AL.

Who is the administrator of Brown Nursing Home?

William D. Beagle is the administrator of Brown Nursing Home.

How many beds does Brown Nursing Home have?

Brown Nursing Home has 68 beds.

Are there photos of Brown Nursing Home?

Yes — there are 43 photos of Brown Nursing Home in the photo gallery on this page.

What is the address of Brown Nursing Home?

Brown Nursing Home is located at 2334 Washington Street, Po Box 1056, Alexander City, AL 35010.

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