Occupancy rate
85%
In line with Alabama averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Nursing Home
Cottage of the Shoals
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
103
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
85.2%
Residents per day (avg)
86
Occupancy rate
85.2%
Residents per day (avg)
86
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
31% of new residents, usually for short-term rehab.
Typical stay
23 days
Private pay
56% of new residents, often for short stays.
Typical stay
27 days
Medicaid
13% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$12.3M
Profit
$654.7K
Privately-owned community
Operated by a business corporation.
Home revenue
$12,330,352.00
Profit
$654,683.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
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.
$7.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.7M
103-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with Alabama averageOccupied beds
88 / 103
Average residents
97 per day
License details
Facility type
Nursing Home
Status
Regular
County:
Colbert
Additional licensing details
CMS Certification Number:
015067
Ownership & operating entity
Cottage of the Shoals is administrated by David Grimes.
Profit status:
Corporation
Health Inspection History
Inspections
Total health inspections
3
Alabama average 2.9
Last Health inspection on Aug 2021
Total health citations
5
Citations per inspection
1.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 5 citations resulted from standard inspections.
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
5 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Aug 05, 2021
Corrected
Care Planning moderate citation
Aug 05, 2021
Corrected
Resident Rights moderate citation
Aug 05, 2021
Corrected
Infection Control moderate citation
May 14, 2019
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.
Adams Rehabilitation and Healthcare Center
+13%
+4%
-22%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AL 35010
75
STALNAKER, DEBORAH
62.7%
$4,222,043.00
$2,165,079.00
51.3%
64.00
4.5297
4
+13%+4%-22%
Aliceville Manor Nursing Home
-11%
+8%
+14%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AL 35442
100
-
92.2%
$10,132,599.00
$5,588,302.00
55.2%
83
4.7042
8
-11%+8%+14%
Albertville Nursing Home
-15%
+16%
+21%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AL 35951
159
BROWN, TERRI
97.4%
$17,716,965.00
$8,937,954.00
50.4%
154
5.0559
9
-15%+16%+21%
Cottage of the Shoals
+72%
-39%
+5%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AL 35674
103
GRIMES, DAVID
85.2%
$12,002,533.00
$3,786,123.00
31.5%
86
2.6445
5
+72%-39%+5%
Altoona Health & Rehab
+3%
-1%
+19%
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
4.3258
7
+3%-1%+19%
Adams Rehabilitation and Healthcare Center
Type of care:
SNF
AL
Community:
AL 35010
Bed Count:
75
Operator:
STALNAKER, DEBORAH
CCN:
15386
Occupancy:
62.7%
Home Revenue:
$4,222,043.00
Payroll Costs:
$2,165,079.00
Payroll %:
51.3%
Avg Residents/Day:
64.00
Overall Rating:
Adj Nurse Hours:
4.5297
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+13%
+13%
Staffing vs State Avg:
+4%
+4%
Occupancy vs State Avg:
-22%
-22%
Aliceville Manor Nursing Home
Type of care:
SNF
AL
Community:
AL 35442
Bed Count:
100
CCN:
15137
Occupancy:
92.2%
Home Revenue:
$10,132,599.00
Payroll Costs:
$5,588,302.00
Payroll %:
55.2%
Avg Residents/Day:
83
Overall Rating:
Adj Nurse Hours:
4.7042
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
8
RN share vs State Avg:
-11%
-11%
Staffing vs State Avg:
+8%
+8%
Occupancy vs State Avg:
+14%
+14%
Albertville Nursing Home
Type of care:
SNF
AL
Community:
AL 35951
Bed Count:
159
Operator:
BROWN, TERRI
CCN:
15163
Occupancy:
97.4%
Home Revenue:
$17,716,965.00
Payroll Costs:
$8,937,954.00
Payroll %:
50.4%
Avg Residents/Day:
154
Overall Rating:
Adj Nurse Hours:
5.0559
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-15%
-15%
Staffing vs State Avg:
+16%
+16%
Occupancy vs State Avg:
+21%
+21%
Cottage of the Shoals
Type of care:
SNF
AL
Community:
AL 35674
Bed Count:
103
Operator:
GRIMES, DAVID
CCN:
15067
Occupancy:
85.2%
Home Revenue:
$12,002,533.00
Payroll Costs:
$3,786,123.00
Payroll %:
31.5%
Avg Residents/Day:
86
Overall Rating:
Adj Nurse Hours:
2.6445
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
5
RN share vs State Avg:
+72%
+72%
Staffing vs State Avg:
-39%
-39%
Occupancy vs State Avg:
+5%
+5%
Altoona Health & Rehab
Type of care:
SNF
AL
Community:
AL 35952
Bed Count:
50
Operator:
LONG, BRADLEY
CCN:
15101
Occupancy:
96.0%
Home Revenue:
$5,086,458.00
Payroll Costs:
$3,037,649.00
Payroll %:
59.7%
Avg Residents/Day:
45.60
Overall Rating:
Adj Nurse Hours:
4.3258
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
7
RN share vs State Avg:
+3%
+3%
Staffing vs State Avg:
-1%
-1%
Occupancy vs State Avg:
+19%
+19%Places of interest near Cottage of the Shoals
0.0 miles from city center
Tuscumbia, AL 35674
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
109
Total Staff
91
Employees
18
Contractors
28,862
Total Hours (Quarter)
38
Avg Staff/Day
8.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 18 | 9.5 | No |
| Licensed Practical Nurse | 20 | 9.2 | Yes |
| Certified Nursing Assistant | 34 | 9.2 | Yes |
Staff by Category
Administration ⓘ
2 staff
6.4hs shift avg
Nursing Staff ⓘ
78 staff
9.2hs shift avg
Physicians & Practitioners ⓘ
3 staff
7.9hs shift avg
Therapy Services ⓘ
14 staff
6.1hs shift avg
Activities & Recreation ⓘ
6 staff
6.3hs shift avg
Social Services ⓘ
3 staff
7.4hs shift avg
Dietary Services ⓘ
2 staff
7hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
7.9%
of total hours from contractors
2,278 contractor hours this quarter
Certified Nursing Assistant: 2
Licensed Practical Nurse: 11
Medical Director: 1
Occupational Therapy Aide: 2
Occupational Therapy Assistant: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 32 | 2 | 34 | 12,065 | 91 | 100% | 9.2 |
| Registered Nurse | 18 | 0 | 18 | 4,524 | 91 | 100% | 9.5 |
| Licensed Practical Nurse | 9 | 11 | 20 | 4,384 | 91 | 100% | 9.2 |
| Speech Language Pathologist | 3 | 0 | 3 | 1,150 | 72 | 79% | 7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 948 | 65 | 71% | 7.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 871 | 77 | 85% | 7 |
| Physical Therapy Aide | 3 | 0 | 3 | 870 | 70 | 77% | 7.3 |
| Other Social Services Staff | 1 | 0 | 1 | 557 | 75 | 82% | 7.4 |
| Medication Aide/Technician | 2 | 0 | 2 | 552 | 66 | 73% | 7.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 481 | 66 | 73% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 59 | 65% | 7.9 |
| Qualified Activities Professional | 6 | 0 | 6 | 233 | 37 | 41% | 6.3 |
| Physical Therapy Assistant | 2 | 0 | 2 | 217 | 63 | 69% | 3.5 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 216 | 53 | 58% | 4.1 |
| Occupational Therapy Aide | 0 | 2 | 2 | 187 | 26 | 29% | 7.2 |
| Nurse Aide in Training | 4 | 0 | 4 | 55 | 6 | 7% | 6.1 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 49 | 16 | 18% | 3 |
| Medical Director | 0 | 1 | 1 | 48 | 23 | 25% | 2.1 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
66 residents
Residents by payment source
Medicare
9 residents (13.6%)
Medicaid
50 residents (75.8%)
Private pay or other
7 residents (10.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
6.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.4
28% 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.
9.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.4
35% 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
6.4%
Percent of long-stay residents whose need for help with daily activities has increased
6.4%
54% better than Alabama averageAlabama average: 13.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
8.6%
Percent of long-stay residents whose ability to move independently worsened
8.6%
47% 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
13.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.1%
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
3.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
11% worse than Alabama averageAlabama average: 3.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.1%
Percent of long-stay high risk residents with pressure ulcers
5.1%
15% better than Alabama averageAlabama average: 5.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.5%
Percent of long-stay residents with a urinary tract infection
2.5%
9% better than Alabama averageAlabama average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.1%
Percent of long-stay residents who lose too much weight
8.1%
49% worse than Alabama averageAlabama average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.7%
Percent of long-stay residents who have depressive symptoms
6.7%
450% worse than Alabama averageAlabama average: 1.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.4%
Percent of long-stay residents who received an antipsychotic medication
6.4%
69% better than Alabama averageAlabama average: 20.7%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
9% better than Alabama averageAlabama average: 91.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
In line with Alabama averageAlabama average: 94.8%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.1%
17% better than Alabama averageAlabama average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
65% better than Alabama averageAlabama average: 2.1%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
20% better than Alabama averageAlabama average: 80.3%
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 Cottage of the Shoals based on CMS SNF Cost Reports.
Occupancy Rate
85.2%
↑ 2.3pp vs 2023
Net Income
$654,683
↓ ~$472K vs 2023
Total Payroll
$5,891,770
↑ ~$108K vs 2023
Profit Margin
5.5%
↓ 4.6pp vs 2023
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