Hartford Health Care
Nursing Home & Assisted Living · Hartford, 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.

Hartford Health Care

Nursing Home & Assisted Living · Hartford, 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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Hartford Health Care accepts Medicare, Medicaid, and private pay.

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 2019 · 7 years of data 5 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 2019 vs. Alabama state average
Overall vs. AL average 0 Worse No metrics in this bucket. 2 Better Metrics better than Alabama average:
• Total deficiencies (71% below)
• Deficiencies per year (71% below)
Latest Inspection December 14, 2023 Routine

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. 517 This facility has 71% fewer total deficiencies than a typical Alabama assisted living residence (5 vs. AL avg 17).↓ 71% better
Deficiencies per year Info Average deficiencies per year since 2019. 0.72.4 This facility has 71% fewer deficiencies per year than a typical Alabama assisted living residence (0.7 vs. AL avg 2.4).↓ 71% better

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

  • The most recent inspection on December 14, 2023, found five deficiencies but no immediate jeopardy or harm-level citations.
  • Deficiencies involved resident dining options, oxygen therapy without physician order, food labeling, inaccurate staffing data, and airborne isolation PPE use.
  • Prior inspections on June 17, 2022, and October 31, 2019, found no health deficiencies.

Health Inspection History

Inspections since 2023
Total health inspections 1

State average N/A


Last Health inspection on Dec 2023

Total health citations
5 Rank #22 / 136Health citations — State benchmarkedThis home is ranked 22nd 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
5 Rank #109 / 136Citations per inspection — State benchmarkedThis home is ranked 109th 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 5 citations resulted from standard inspections.

Breakdown of citation severity (last 3 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

3 moderate citations State average: N/A

2 minor citations State average: N/A
Citations history (last 3 years)
Administration minor citation Dec 14, 2023
Corrected

Infection Control moderate citation Dec 14, 2023
Corrected

Nutrition moderate citation Dec 14, 2023
Corrected

Quality of Care moderate citation Dec 14, 2023
Corrected

Staffing Data

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

Total staff 109
Employees 88
Contractors 21
Staff to resident ratio 1.36 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 38
Average shift 7.9 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 27,481

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 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 13 LPN Staff are full-time employees. No contractors work on this role. 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 48 CNA Staff are full-time employees. No contractors work on this role. 48
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 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

9%

2,468 contractor hours this quarter

Speech Language Pathologist: 6 Occupational Therapy Aide: 4 Physical Therapy Aide: 3 Qualified Social Worker: 3 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 1 Medical Director: 1 Occupational Therapy Assistant: 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 Assistant4804811,49692100%7.7
Licensed Practical Nurse130134,59692100%8.1
Registered Nurse8082,83892100%9.9
Medication Aide/Technician100102,36692100%10.1
Clinical Nurse Specialist3031,1996368%7.9
Physical Therapy Aide0337087986%5.7
Speech Language Pathologist0666897582%6.5
Administrator1015046368%8
RN Director of Nursing1015046267%8.1
Nurse Practitioner1014725964%8
Dietitian1014535964%7.7
Mental Health Service Worker1014515863%7.8
Respiratory Therapy Technician0114476571%6.9
Physical Therapy Assistant0222626065%4.3
Occupational Therapy Aide0441493033%4.2
Qualified Social Worker0331453942%3.7
Other Dietary Services Staff1011342325%5.8
Medical Director0113667%6
Occupational Therapy Assistant0113467%5.7
48 Certified Nursing Assistant
% of Days 100%
13 Licensed Practical Nurse
% of Days 100%
8 Registered Nurse
% of Days 100%
10 Medication Aide/Technician
% of Days 100%
3 Clinical Nurse Specialist
% of Days 68%
3 Physical Therapy Aide
% of Days 86%
6 Speech Language Pathologist
% of Days 82%
1 Administrator
% of Days 68%
1 RN Director of Nursing
% of Days 67%
1 Nurse Practitioner
% of Days 64%
1 Dietitian
% of Days 64%
1 Mental Health Service Worker
% of Days 63%
1 Respiratory Therapy Technician
% of Days 71%
2 Physical Therapy Assistant
% of Days 65%
4 Occupational Therapy Aide
% of Days 33%
3 Qualified Social Worker
% of Days 42%
1 Other Dietary Services Staff
% of Days 25%
1 Medical Director
% of Days 7%
1 Occupational Therapy Assistant
% of Days 7%

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. 3.6
60% better 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. 10.7
26% better than State average

State average: 14.5

Long-stay resident measures
Significantly above 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 4.9%
65% better than State average

State average: 13.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 6.7%
59% better 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 20.7%
52% worse 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 2.6%
24% better than State average

State average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.4%
43% better than State average

State average: 5.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.5%
91% 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 9.1%
56% better than State average

State average: 20.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
9% 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. 2.04
In line with 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. 0.96
46% better than State average

State average: 1.79

Short-stay resident measures
Above average State avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
19% better than State average

State average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.9%
10% better than State average

State average: 2.1%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.1%
21% better than State average

State average: 80.3%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 48.0%
11% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 54.2%
7% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

14% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

55% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

30% of new residents, often for long-term daily care.

Typical stay 6 - 7 months

Facility Characteristics

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

Total residents 80
Medicare
13
16.3% of residents
Medicaid
67
83.8% 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."
$8.0M
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."
$644.4K
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."
$8.0M Rank #92 / 135Revenue — State benchmarkedThis home is ranked 92nd 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."
$644.4K
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.
$3.4K
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 #128 / 135Payroll — State benchmarkedThis home is ranked 128th 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.
$3.1M 38.1% 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 #130 / 133Payroll % — State benchmarkedThis home is ranked 130th 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).
$4.3M
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).
$7.4M

Who this home usually serves

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 (55% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
306 total

Coverage residents most often arrive under.

Medicare 14%
Private pay 55%
Medicaid 30%
Discharges
306 total

Coverage residents most often leave under.

Medicare 13%
Private pay 75%
Medicaid 12%

Places of interest near Hartford Health Care

Address 0.0 miles from city center Info Estimated distance in miles from Hartford's city center to Hartford Health Care's address, calculated via Google Maps.

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Frequently Asked Questions about Hartford Health Care

Is Hartford Health Care in a walkable area?

Hartford Health Care has a walk score of 55. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Hartford Health Care?

Hartford Health Care's occupancy is 91%.

Does Hartford Health Care operate as a for-profit or non-profit?

Hartford Health Care is registered as a for-profit in AL.

Who is the administrator of Hartford Health Care?

Lisa Algarin is the administrator of Hartford Health Care.

How many beds does Hartford Health Care have?

Hartford Health Care has 86 beds.

What is the address of Hartford Health Care?

Hartford Health Care is located at 217 Toro Road, Hartford, AL 36344.

What is the phone number of Hartford Health Care?

(334) 588-3842 will put you in contact with the team at Hartford Health Care.

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