Cottage of the Shoals

Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Tuscumbia, AL

CMS overall rating

500 John Aldridge Drive, Tuscumbia, AL 35674 View map

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Cottage of the Shoals accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Cottage of the Shoals accepts Medicare, Medicaid, and private pay.

Overview of Cottage of the Shoals

David Grimes owns Cottage of the Shoals, a 103-bed nursing home located at 500 John Aldridge Drive in Tuscumbia, Alabama. The building runs at an 85 percent occupancy rate, and residents stay for an average of 96 days. A single-level floor plan enables residents to navigate between their private rooms and the shared dining spaces without climbing stairs.

Daily care routines cover skilled nursing assistance, post-acute rehabilitation, and medical supervision. The clinical team provides 24-hour care, averaging 2 hours and 39 minutes of daily nursing support per resident, which includes 47 minutes from registered nurses alongside assistance from licensed practical nurses and nurse aides. State inspection logs note a few regulatory deficiencies focused on infection control procedures, medical records management, and incident reporting protocols.

The surrounding neighborhood carries a walkability score of 65 out of 100, letting visitors and staff handle some nearby errands on foot. Interested individuals can reach out to the facility director to discuss open beds and admission requirements.

Facility Direct Line (256) 383-4541

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

2h 39m per day

vs avg

3 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +23% above state avg

Staff type	Hours / Day / Resident	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	▲ 23% 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.	43m per day	▼ 8% 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.	1h 50m per day	▼ 26% State avg: 2h 30m per day · National avg: 2h 20m per day
Weekend Total Nursing 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.	2h 49m per day	▼ 14% 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.	2m per day	■ Avg State avg: 2m per day · National avg: 4m per day
Weekend RN 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.	25m per day	▲ 13% State avg: 22m per day · National avg: 28m per day

Capacity and availability

96 days

103-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 65 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

85%

Higher than the Alabama average: 80.8%

Occupied beds

88 / 103

Average occupied beds in Alabama homes 97 beds

Facility TypeNursing Home

StatusRegular

CountyColbert

CMS Certification Number015067

Cottage of the Shoals is administered by David Grimes.

Profit StatusFor-profit

Since 2018 · 8 years of data 5 deficiencies

Inspection Scorecard 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

Latest Inspection August 5, 2021 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	AL Average	vs. AL Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	5	17	This facility has 71% fewer total deficiencies than a typical Alabama assisted living residence (5 vs. AL avg 17).↓ 71% better
Deficiencies per year Average deficiencies per year since 2018.	0.6	2.1	This facility has 71% fewer deficiencies per year than a typical Alabama assisted living residence (0.6 vs. AL avg 2.1).↓ 71% better

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

August 5, 2021 complaint investigation found three deficiencies including failure to provide complete medical records and improper infection control during medication administration.
August 2, 2018 complaint investigation substantiated failure to report suspected physical abuse within the required two-hour timeframe to the State Agency.
May 14, 2019 routine inspection found one deficiency for improper hand hygiene technique during medication administration, posing a potential infection risk.

Show Inspection Reports

Inspections since 2018

Total health inspections 3

State average N/A

Last Health inspection on Aug 2021

Total health citations

State average N/A

Citations per inspection

1.67

State average N/A

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 8 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

5 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 8 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

Total staff 113

Employees 99

Contractors 14

Staff to resident ratio 1.71 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 39

Average shift 8.6 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 30,935

Nursing staff breakdown

8.8 hours

9.4 hours

9.7 hours

Contractor staffing

1,636 contractor hours this quarter

Licensed Practical Nurse: 7 Occupational Therapy Aide: 2 Occupational Therapy Assistant: 2 Certified Nursing Assistant: 1 Registered Nurse: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	38	1	39	13,886	92	100%	9.7
Licensed Practical Nurse	12	7	19	5,137	92	100%	9.4
Registered Nurse	17	1	18	4,173	92	100%	8.8
Clinical Nurse Specialist	3	0	3	1,368	66	72%	8
Speech Language Pathologist	3	0	3	1,222	75	82%	7.3
Physical Therapy Aide	3	0	3	884	71	77%	7.5
Other Dietary Services Staff	6	0	6	545	79	86%	6.1
Nurse Practitioner	1	0	1	504	63	68%	8
Mental Health Service Worker	1	0	1	480	60	65%	8
Administrator	1	0	1	472	59	64%	8
RN Director of Nursing	1	0	1	464	58	63%	8
Qualified Social Worker	2	0	2	460	67	73%	6.9
Respiratory Therapy Technician	2	0	2	261	55	60%	4.7
Medication Aide/Technician	3	0	3	254	46	50%	5.2
Occupational Therapy Aide	0	2	2	238	39	42%	5.9
Physical Therapy Assistant	3	0	3	222	61	66%	3.6
Other Social Services Staff	1	0	1	185	26	28%	7.1
Nurse Aide in Training	2	0	2	85	10	11%	8.5
Occupational Therapy Assistant	0	2	2	49	14	15%	3.5
Medical Director	0	1	1	48	23	25%	2.1

39 Certified Nursing Assistant

% of Days 100%

19 Licensed Practical Nurse

% of Days 100%

18 Registered Nurse

% of Days 100%

3 Clinical Nurse Specialist

% of Days 72%

3 Speech Language Pathologist

% of Days 82%

3 Physical Therapy Aide

% of Days 77%

6 Other Dietary Services Staff

% of Days 86%

1 Nurse Practitioner

% of Days 68%

1 Mental Health Service Worker

% of Days 65%

1 Administrator

% of Days 64%

1 RN Director of Nursing

% of Days 63%

2 Qualified Social Worker

% of Days 73%

2 Respiratory Therapy Technician

% of Days 60%

3 Medication Aide/Technician

% of Days 50%

2 Occupational Therapy Aide

% of Days 42%

3 Physical Therapy Assistant

% of Days 66%

1 Other Social Services Staff

% of Days 28%

2 Nurse Aide in Training

% of Days 11%

2 Occupational Therapy Assistant

% of Days 15%

1 Medical Director

% of Days 25%

View All Staffing Data

No penalties in the past 3 years

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

High-risk clinical events score 6.4

28% better than State average

State average: 8.9

Functional decline score 9.4

35% better than State average

State average: 14.5

Long-stay resident measures

Significantly above average State avg: 3.3

Need for Help with Daily Activities Increased 6.4%

54% better than State average

State average: 13.9%

Walking Ability Worsened 8.6%

47% better than State average

State average: 16.1%

Low Risk Residents with Bowel/Bladder Incontinence 13.1%

In line with State average

State average: 13.6%

Falls with Major Injury 3.7%

11% worse than State average

State average: 3.4%

High Risk Residents with Pressure Ulcers 5.1%

15% better than State average

State average: 5.9%

Urinary Tract Infection 2.5%

9% better than State average

State average: 2.7%

Lost Too Much Weight 8.1%

49% worse than State average

State average: 5.4%

Depressive Symptoms 6.7%

450% worse than State average

State average: 1.2%

Antipsychotic Use 6.4%

69% better than State average

State average: 20.7%

Pneumococcal Vaccine 99.3%

9% better than State average

State average: 91.5%

Influenza Vaccine 98.8%

In line with State average

State average: 94.8%

Hospitalizations per 1,000 days 1.18

41% better than State average

State average: 2.00

ED visits per 1,000 days 2.03

13% worse than State average

State average: 1.79

Short-stay resident measures

Below average State avg: 2.1

Pneumococcal Vaccine 98.1%

17% better than State average

State average: 83.7%

Antipsychotic medication increase 0.7%

65% better than State average

State average: 2.1%

Influenza Vaccine 96.4%

20% better than State average

State average: 80.3%

Re-hospitalized after SNF stay 18.6%

24% better than State average

State average: 24.5%

Emergency department visits 17.2%

50% worse than State average

State average: 11.5%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 43.4%

19% worse than State average

State average: 53.7%

Successful return to home or community 48.1%

5% worse than State average

State average: 50.6%

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

Total residents 66

Medicare

13.6% of residents

Medicaid

75.8% of residents

Private pay or other

10.6% of residents

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.

Financial Trends

Historical financial and operational data for Cottage of the Shoals from 2011–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 06/2024.

Occupancy Rate 85.2% ↑ 2.3pp vs 2023

Net Patient Income $326.9K ↓ ~$619.8K vs 2023

Payroll Costs $4.3M ↑ ~$868.4K vs 2023

Operating Margin 3.3% ↓ 6.3pp vs 2023

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	92.0%	92.1%	89.0%	90.4%	90.3%	88.5%	89.0%	88.2%	88.1%	81.8%	70.6%	78.4%	82.9%	85.2%
Beds	103	103	103	103	103	103	103	103	103	103	103	103	103	103
Net Income	$602,501	$534,287	-$334,158	-$441,402	$11,388	-$250,467	-$432,809	-$549,516	-$512,237	$328,167	-$873,721	$516,384	$1,126,716	$654,683
Gross Revenue	$9,259,473	$10,491,666	$10,444,287	$11,379,293	$5,776,938	$11,710,876	$11,234,277	$11,199,969	$11,684,816	$10,489,705	$9,053,791	$10,329,950	$11,266,330	$12,002,533
Operating Expenses	$7,403,579	$7,839,051	$8,394,803	$9,151,616	$4,626,737	$9,273,405	$8,854,626	$8,869,069	$9,469,075	$8,201,179	$8,322,282	$9,141,263	$8,930,693	$9,679,943
Net Patient Income	$572,902	$507,939	-$334,158	-$441,405	$11,388	-$250,467	-$792,504	-$956,976	-$926,244	-$188,343	-$823,867	-$106,704	$946,665	$326,864
Net Patient Revenue	$7,976,481	$8,346,990	$8,060,645	$8,710,211	$4,638,125	$9,022,938	$8,062,122	$7,912,093	$8,542,831	$8,012,836	$7,498,415	$9,034,559	$9,877,358	$10,006,807
Payroll Costs	$3,210,466	$3,097,649	$3,383,970	$3,606,639	$1,705,772	$3,417,609	$3,451,119	$3,045,216	$3,102,236	$3,208,248	$2,889,126	$2,780,522	$3,390,773	$4,259,205
Operating Margin %	7.2%	6.1%	-4.2%	-5.1%	0.3%	-2.8%	-9.8%	-12.1%	-10.8%	-2.4%	-11.0%	-1.2%	9.6%	3.3%
Medicare %	22.3%	25.7%	24.4%	27.2%	29.6%	27.4%	22.4%	19.8%	22.0%	17.1%	12.6%	15.5%	11.9%	7.3%
Medicaid %	73.4%	59.6%	68.2%	63.1%	57.8%	57.3%	61.0%	67.2%	65.0%	66.7%	69.9%	69.1%	72.2%	77.0%
Private %	4.3%	14.7%	7.4%	9.7%	12.6%	15.3%	16.6%	13.0%	13.0%	16.2%	17.4%	15.5%	15.9%	15.7%
Net Patient Revenue/Day	$231	$240	$241	$256	$276	$270	$241	$239	$258	$260	$283	$307	$317	$312
Cost/Day	$214	$226	$251	$269	$275	$278	$265	$267	$286	$266	$314	$310	$287	$301
Avg Length of Stay	113.4 days	84.3 days	72.9 days	67.1 days	69.6 days	69.9 days	68.7 days	80.7 days	80.2 days	90.2 days	104.0 days	79.5 days	82.6 days	96.1 days

Finances and operations

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

Net patient revenue

$10.0M

Net patient income

$326.9K

For-profit Corporation

Net patient revenue

$10.0M

Net patient income

$326.9K

Other income

$327.8K

Payroll costs

$4.3M 42.6% of net patient revenue

Other operating costs

$5.4M

Total costs

$9.7M

TYPE OF STAY

Mix 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.

Most new residents arrive under private pay (56% of admissions), and a typical private pay stay runs around 27 days.

Coverage residents most often arrive under.

Medicare 31%

Private pay 56%

Medicaid 13%

Coverage residents most often leave under.

Medicare 26%

Private pay 51%

Medicaid 23%

0.0 miles from city center Estimated distance in miles from Tuscumbia's city center to Cottage of the Shoals's address, calculated via Google Maps.

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The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.


Westminster Village – Spanish Fort	NH AL HC HOS IL MC PC SNF	Spanish Fort (Bridgehead)	-	60	-	27	Studio / 1 Bed / 2 Bed
Palm Gardens Health and Rehabilitation, LLC	NH PC SNF	Mobile (South Crichton)	-	100	A+	46	-
Crowne Health Care of Springhill	NH RC SNF	Mobile (College Park)	-	46	-	49	-
Washington County Nursing Home	NH ADC RC SNF	Chatom	-	88	-	37	-
Cottage of the Shoals	NH HOS PC RC SNF	Tuscumbia	-	103	-	65	-

Nursing Home Explorer

Is Cottage of the Shoals in a walkable area?

Cottage of the Shoals has a walk score of 65. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Cottage of the Shoals?

Cottage of the Shoals's occupancy is 85%.

Does Cottage of the Shoals operate as a for-profit or non-profit?

Cottage of the Shoals is registered as a for-profit in AL.

Who is the administrator of Cottage of the Shoals?

David Grimes is the administrator of Cottage of the Shoals.

How many beds does Cottage of the Shoals have?

Cottage of the Shoals has 103 beds.

Are there photos of Cottage of the Shoals?

Yes — there are 6 photos of Cottage of the Shoals in the photo gallery on this page.

What is the address of Cottage of the Shoals?

Cottage of the Shoals is located at 500 John Aldridge Drive, Tuscumbia, AL 35674.

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Cottage of the Shoals

Overview of Cottage of the Shoals

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Contact Cottage of the Shoals

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

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

Health Inspection History

Inspections since 2018

Breakdown of citation severity (last 8 years)

Citations history (last 8 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

39 Certified Nursing Assistant

19 Licensed Practical Nurse

18 Registered Nurse

3 Clinical Nurse Specialist

3 Speech Language Pathologist

3 Physical Therapy Aide

6 Other Dietary Services Staff

1 Nurse Practitioner

1 Mental Health Service Worker

1 Administrator

1 RN Director of Nursing

2 Qualified Social Worker

2 Respiratory Therapy Technician

3 Medication Aide/Technician

2 Occupational Therapy Aide

3 Physical Therapy Assistant

1 Other Social Services Staff

2 Nurse Aide in Training

2 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Family Member Group

Active Family Council

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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