Cullman Rehabilitation and Healthcare Center

Nursing Home & Respite Care · Cullman, AL

CMS overall rating

1607 Main Avenue Ne, Cullman, AL 35055 View map

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Cullman Rehabilitation and Healthcare Center accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Cullman Rehabilitation and Healthcare Center accepts Medicare, Medicaid, and private pay.

Overview of Cullman Rehabilitation and Healthcare Center

Alabama SNF Operations Holdings runs Cullman Rehabilitation and Healthcare Center, a 95-bed care facility on Main Avenue Northeast in Cullman, Alabama. The building runs at an 86 percent occupancy level, and stays here average about 140 days. This timeline shows that the daily floor routine splits its time between permanent residential care and short-term post-hospital therapy. For billing, the office processes traditional Medicare, state Medicaid, and standard private funds.

The daily workflow balances short-term therapy routines inside an on-site rehab gym with 24-hour medical oversight. On the floor, the nursing crew averages 4 hours and 27 minutes of direct, hands-on attention per resident every day, with registered nurses handling 56 minutes of that total. For visiting families, the location carries a walk score of zero, meaning you will need a vehicle for all errands and trips to the property.

Interested individuals can check with the front desk to see which room styles are currently open or to find out what paperwork is needed to start the registration process.

Facility Direct Line (256) 734-8745

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Alabama state averages

Total nursing care / resident

4h 27m per day

This facility Alabama avg (4h 22m per day)

vs Alabama avg

+2%

1 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +44% 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.	56m per day	▲ 44% State avg: 39m 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.	48m per day	■ Avg 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 28m per day	■ Avg 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.	3h 25m per day	▲ 3% State avg: 3h 18m per day · National avg: 3h 27m 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.	1m per day	▼ 43% 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.	31m per day	▲ 44% State avg: 22m per day · National avg: 29m per day

Capacity and availability

140 days

95-bed community

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

Walk Score: 0 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

86%

Higher than the Alabama average: 80.8%

Occupied beds

82 / 95

Average occupied beds in Alabama homes 97 beds

Facility TypeNursing Home

StatusRegular

CountyCullman

CMS Certification Number015048

Cullman Rehabilitation and Healthcare Center is administered by Adam Madison (License # 1820).

Profit StatusFor-profit

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Specialized Therapy Gym

Activities Department

On Site Maintenance

Physician Services

Housekeeping

Laundry Services

Wifi Internet Access

Religious Services

Inspections since 2019

Total health inspections 2

Alabama average 2.9

Last Health inspection on Oct 2023

Total health citations

Alabama average 10.4

Citations per inspection

Alabama average 3.46

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 6 citations resulted from standard inspections.

Breakdown of citation severity (last 7 years)

Critical health citations

100% better than Alabama average

Alabama average: 0.7

Serious health citations

100% better than Alabama average

Alabama average: 0.2

0 critical citations Alabama average: 0.7

0 serious citations Alabama average: 0.2

6 moderate citations Alabama average: 9.1

0 minor citations Alabama average: 0.4

Citations history (last 7 years)

Infection Control moderate citation Oct 19, 2023

Corrected

Nutrition moderate citation Oct 19, 2023

Corrected

Pharmacy moderate citation Oct 19, 2023

Corrected

Care Planning moderate citation Oct 19, 2023

Corrected

Total staff 124

Employees 122

Contractors 2

Staff to resident ratio 1.46 : 1

6% fewer staff per resident than Alabama average

Avg staff/day 47

Average shift 9 hours

14% better than Alabama average

Total staff hours (quarter) 39,032

Nursing staff breakdown

8.9 hours

10.6 hours

9.8 hours

Contractor staffing

82 contractor hours this quarter

Qualified Social Worker: 1 Respiratory Therapy Technician: 1

Staff by category


Certified Nursing Assistant	61	0	61	19,514	92	100%	9.8
Licensed Practical Nurse	15	0	15	5,731	92	100%	10.6
Registered Nurse	11	0	11	3,694	92	100%	8.9
Clinical Nurse Specialist	9	0	9	3,562	72	78%	7.9
Therapeutic Recreation Specialist	4	0	4	897	74	80%	6.7
RN Director of Nursing	2	0	2	872	62	67%	8.3
Medication Aide/Technician	3	0	3	833	71	77%	9.4
Qualified Activities Professional	2	0	2	511	64	70%	8
Qualified Social Worker	3	1	4	508	62	67%	6.6
Nurse Practitioner	1	0	1	448	56	61%	8
Dental Services Staff	1	0	1	437	54	59%	8.1
Respiratory Therapist	2	0	2	435	73	79%	5.4
Other Dietary Services Staff	1	0	1	419	56	61%	7.5
Dietitian	1	0	1	407	54	59%	7.5
Physical Therapy Assistant	2	0	2	395	62	67%	6.4
Respiratory Therapy Technician	2	1	3	170	69	75%	2.4
Administrator	1	0	1	104	13	14%	8
Nurse Aide in Training	1	0	1	96	12	13%	8

61 Certified Nursing Assistant

% of Days 100%

15 Licensed Practical Nurse

% of Days 100%

11 Registered Nurse

% of Days 100%

9 Clinical Nurse Specialist

% of Days 78%

4 Therapeutic Recreation Specialist

% of Days 80%

2 RN Director of Nursing

% of Days 67%

3 Medication Aide/Technician

% of Days 77%

2 Qualified Activities Professional

% of Days 70%

4 Qualified Social Worker

% of Days 67%

1 Nurse Practitioner

% of Days 61%

1 Dental Services Staff

% of Days 59%

2 Respiratory Therapist

% of Days 79%

1 Other Dietary Services Staff

% of Days 61%

1 Dietitian

% of Days 59%

2 Physical Therapy Assistant

% of Days 67%

3 Respiratory Therapy Technician

% of Days 75%

1 Administrator

% of Days 14%

1 Nurse Aide in Training

% of Days 13%

View All Staffing Data in Cullman

Total fines amount $27K

58% lower than Alabama average

Alabama average: $65K

Number of fines 1

58% fewer fines than Alabama average

Alabama average: 2.4

Payment Denials 0

100% fewer payment denials than Alabama average

Alabama average: 0.3

Fines amount comparison

This facility $27K

Alabama average $65K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Oct 19, 2023 · $27K

Civil Money Penalty Oct 19, 2023

$27K

Last updated: Jan 2026

High-risk clinical events score 11.6

30% worse than Alabama average

Alabama average: 8.9

Functional decline score 19.7

36% worse than Alabama average

Alabama average: 14.5

Long-stay resident measures

Need for Help with Daily Activities Increased 19.1%

38% worse than Alabama average

Alabama average: 13.9%

Walking Ability Worsened 23.6%

46% worse than Alabama average

Alabama average: 16.1%

Low Risk Residents with Bowel/Bladder Incontinence 16.4%

20% worse than Alabama average

Alabama average: 13.6%

Falls with Major Injury 2.1%

38% better than Alabama average

Alabama average: 3.4%

High Risk Residents with Pressure Ulcers 6.4%

7% worse than Alabama average

Alabama average: 5.9%

Urinary Tract Infection 11.4%

317% worse than Alabama average

Alabama average: 2.7%

Lost Too Much Weight 6.9%

27% worse than Alabama average

Alabama average: 5.4%

Depressive Symptoms 0.3%

73% better than Alabama average

Alabama average: 1.2%

Antipsychotic Use 18.6%

10% better than Alabama average

Alabama average: 20.7%

Pneumococcal Vaccine 99.7%

9% better than Alabama average

Alabama average: 91.5%

Influenza Vaccine 98.9%

In line with Alabama average

Alabama average: 94.8%

Short-stay resident measures

Pneumococcal Vaccine 86.2%

In line with Alabama average

Alabama average: 83.7%

Antipsychotic medication increase 3.1%

48% worse than Alabama average

Alabama average: 2.1%

Influenza Vaccine 81.8%

In line with Alabama average

Alabama average: 80.3%

Breakdown by payment type

Medicare

40% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

32% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

28% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Total residents 85

Medicare

9.4% of residents

Medicaid

75.3% of residents

Private pay or other

15.3% 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.

Financial Trends

Historical financial and operational data for Cullman Rehabilitation and Healthcare Center from 2012–2023, based on CMS SNF Cost Reports.

Occupancy Rate 70.5% ↓ 0.5pp vs 2022

Net Patient Income -$604.6K ↓ ~$209.1K vs 2022

Payroll Costs $3.0M ↓ ~$684.8K vs 2022

Operating Margin -11.3% ↓ 5.7pp vs 2022

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	90.7%	90.4%	92.4%	90.5%	90.1%	95.0%	92.9%	91.8%	89.4%	76.0%	71.0%	70.5%
Beds	95	95	95	95	95	95	95	95	95	95	95	95
Net Income	$150,944	-$94,865	-$203,543	-$99,266	-$9,659	$129,815	-$303,531	$18,819	$128,110	$789,122	$371,252	-$691,828
Gross Revenue	$6,799,253	$6,364,690	$6,695,508	$6,691,866	$7,108,806	$7,861,114	$7,235,502	$7,770,405	$7,426,844	$5,915,967	$5,968,891	$4,329,199
Operating Expenses	$6,653,528	$6,440,884	$6,766,367	$6,829,422	$7,110,660	$7,229,137	$7,404,847	$7,493,838	$7,499,306	$7,217,489	$7,376,799	$5,939,289
Net Patient Income	$130,321	$38,896	-$218,117	-$112,797	-$10,398	$145,603	-$301,484	$100,565	$138,474	-$383,455	-$395,462	-$604,563
Net Patient Revenue	$6,783,849	$6,479,780	$6,548,250	$6,716,625	$7,100,262	$7,374,740	$7,103,363	$7,594,403	$7,637,780	$6,834,034	$6,981,337	$5,334,726
Payroll Costs	$3,151,187	$3,066,795	$3,275,756	$3,243,326	$3,356,368	$3,477,694	$3,690,202	$3,570,263	$3,614,700	$3,621,563	$3,669,949	$2,985,186
Operating Margin %	1.9%	0.6%	-3.3%	-1.7%	-0.2%	2.0%	-4.2%	1.3%	1.8%	-5.6%	-5.7%	-11.3%
Medicare %	10.5%	8.4%	7.5%	8.8%	12.7%	9.5%	7.5%	6.4%	5.5%	2.9%	3.4%	6.4%
Medicaid %	71.8%	76.0%	76.7%	77.6%	71.3%	70.0%	71.2%	76.4%	79.8%	87.9%	84.2%	81.3%
Private %	17.6%	15.6%	15.9%	13.6%	16.0%	20.5%	21.3%	17.2%	14.7%	9.2%	12.4%	12.2%
Net Patient Revenue/Day	$215	$207	$204	$214	$227	$224	$221	$239	$246	$259	$284	$300
Cost/Day	$211	$205	$211	$218	$227	$219	$230	$235	$242	$274	$300	$334
Avg Length of Stay	233.7 days	326.6 days	232.2 days	180.4 days	164.0 days	209.9 days	194.0 days	153.8 days	221.5 days	412.0 days	341.8 days	240.6 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$7.3M

Net patient income

$364.5K

For-profit Corporation

Net patient revenue

$7.3M

Net patient income

$364.5K

Other income

$157.3K

Payroll costs

$3.5M 47.4% of net patient revenue

Other operating costs

$3.5M

Total costs

$7.0M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (40% of admissions), and a typical Medicare stay runs around 26 days.

Coverage residents most often arrive under.

Medicare 40%

Private pay 32%

Medicaid 28%

Coverage residents most often leave under.

Medicare 25%

Private pay 36%

Medicaid 39%

5.7 miles from city center Estimated distance in miles from Cullman's city center to Cullman Rehabilitation and Healthcare Center's address, calculated via Google Maps.

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Elderly and Disabled Waiver

Alabama Medicaid E&D Waiver

Age 65+ or disabled

General Alabama resident, Medicaid-eligible, requires nursing home-level care but can live in community with support.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple) (excludes home, car).

Must be assessed by a nurse for nursing home-level care need.

Benefits

In-home personal care (4-6 hours/day, e.g., bathing, dressing) Respite care (up to 240 hours/year) Adult day care (~$50/day avg.) Home-delivered meals Case management

Alabama Respite for Caregivers Program

Alabama Respite (via NFCSP)

Age Caregiver of someone 60+ (or with dementia)

General Alabama resident.

Income Limits No strict limit; prioritizes low-income.

Asset Limits Not applicable.

Focus on rural caregivers; limited funding.

Benefits

In-home respite (4-6 hours/day) Adult day care (~$50/day) Short-term facility care (up to 5 days)

SenioRx Prescription Assistance Program

AL SenioRx

Age 55+

General Alabama resident, chronic illness requiring daily medication, not fully covered by other drug plans.

Income Limits ~$3,000/month individual, varies by AAA

Asset Limits Not strictly enforced; income-focused.

High ROI; saved $43.5M for 6,825 participants in FY 2022.

Benefits

Prescription cost reduction (avg. $6,300/year savings per participant) Medication management support

Weatherization Assistance Program (WAP)

AL WAP

Age 60+ priority

General Alabama resident, own or rent home, low-income status.

Income Limits (2025) ~$2,510/month 200% of poverty level, individual

Asset Limits Not applicable; income-driven.

Prioritizes seniors and disabled; limited annual funding.

Benefits

Insulation Weather stripping HVAC repairs (avg. $500-$1,000 in annual energy savings)

Section 202 Supportive Housing for the Elderly

AL Section 202

Age 62+

General Alabama resident, very low income, able to live independently with support.

Income Limits (2025) ~$1,500/month 50% of area median income, individual, varies by county

Asset Limits $10,000 individual, excludes home if owned

High demand in urban areas like Birmingham; limited units statewide.

Benefits

Subsidized rent (30% of income, e.g., $300-$500/month) On-site services (housekeeping, transportation, ~$200/month value)

Alabama CARES Program

AL CARES

Age —

General Caregivers of Alabama residents aged 60+ needing assistance with 3+ daily activities; no age limit for caregivers.

Income Limits No strict limit; cost-sharing based on recipient’s income e.g., ~$2,500/month threshold

Asset Limits Not applicable; focus on need.

Prioritizes caregivers with greatest economic/social need; complements respite programs like AL Lifespan Respite.

Benefits

Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplemental supplies (e.g., $200/year avg.)

What is the occupancy rate at Cullman Rehabilitation and Healthcare Center?

Cullman Rehabilitation and Healthcare Center's occupancy is 86%.

Does Cullman Rehabilitation and Healthcare Center operate as a for-profit or non-profit?

Cullman Rehabilitation and Healthcare Center is registered as a for-profit in AL.

Who is the administrator of Cullman Rehabilitation and Healthcare Center?

Adam Madison (license # 1820) is the administrator of Cullman Rehabilitation and Healthcare Center.

How many beds does Cullman Rehabilitation and Healthcare Center have?

Cullman Rehabilitation and Healthcare Center has 95 beds.

Are there photos of Cullman Rehabilitation and Healthcare Center?

Yes — there are 10 photos of Cullman Rehabilitation and Healthcare Center in the photo gallery on this page.

What is the address of Cullman Rehabilitation and Healthcare Center?

Cullman Rehabilitation and Healthcare Center is located at 1607 Main Avenue Ne, Cullman, AL 35055.

What is the phone number of Cullman Rehabilitation and Healthcare Center?

(256) 734-8745 will put you in contact with the team at Cullman Rehabilitation and Healthcare Center.

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Cullman Rehabilitation and Healthcare Center

Overview of Cullman Rehabilitation and Healthcare Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Contact Cullman Rehabilitation and Healthcare Center

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

61 Certified Nursing Assistant

15 Licensed Practical Nurse

11 Registered Nurse

9 Clinical Nurse Specialist

4 Therapeutic Recreation Specialist

2 RN Director of Nursing

3 Medication Aide/Technician

2 Qualified Activities Professional

4 Qualified Social Worker

1 Nurse Practitioner

1 Dental Services Staff

2 Respiratory Therapist

1 Other Dietary Services Staff

1 Dietitian

2 Physical Therapy Assistant

3 Respiratory Therapy Technician

1 Administrator

1 Nurse Aide in Training

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

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

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Cullman Rehabilitation and Healthcare Center

Calculate Travel Distance to Cullman Rehabilitation and Healthcare Center

Financial Assistance for Assisted Living in Alabama

Elderly and Disabled Waiver

Alabama Respite for Caregivers Program

SenioRx Prescription Assistance Program

Weatherization Assistance Program (WAP)

Section 202 Supportive Housing for the Elderly

Alabama CARES Program

Guides for Better Senior Living

Financial Assistance for
Assisted Living in Alabama