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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.
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Offers a balance of services and community atmosphere.
Lower occupancy suggests more openings may be available.
Most residents stay for extended periods and receive ongoing daily care.
27% of new residents, usually for short-term rehab.
49% of new residents, often for short stays.
25% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
In line with Alabama average
The Healthcare Center at Buck Creek is administrated by Antonio Alonso.
Alabama average 2.9
Last Health inspection on Sep 2024
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 13 citations resulted from standard inspections; 6 of 13 resulted from complaint investigations; and 3 of 13 came from combined inspections (standard and complaint).
0
100% better than Alabama average
Alabama average: 0.7
2
900% worse than Alabama average
Alabama average: 0.2
Corrected
Corrected
Corrected
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.
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
+13% +4% 
-22% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-11% +8% +14% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-15% +16% +21% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-20% -19% -9% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
+3% -1% +19% 
Adams Rehabilitation and Healthcare Center
+13%
+4%
-22%
-11%
+8%
+14%
-15%
+16%
+21%
The Healthcare Center at Buck Creek
-20%
-19%
-9%
+3%
-1%
+19%
1.8 miles from city center
Alabaster, AL 35007
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Source: CMS Payroll-Based Journal (Q2 2025)
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 18 | 9.3 | No |
| Licensed Practical Nurse | 42 | 9.9 | Yes |
| Certified Nursing Assistant | 100 | 8.3 | No |
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 100 | 0 | 100 | 32,860 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 38 | 4 | 42 | 10,965 | 91 | 100% | 9.9 |
| Registered Nurse | 18 | 0 | 18 | 4,076 | 91 | 100% | 9.3 |
| Medication Aide/Technician | 16 | 0 | 16 | 3,596 | 91 | 100% | 9 |
| RN Director of Nursing | 8 | 0 | 8 | 2,442 | 74 | 81% | 8.8 |
| Clinical Nurse Specialist | 4 | 1 | 5 | 2,233 | 85 | 93% | 9.6 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,468 | 81 | 89% | 8.1 |
| Administrator | 2 | 0 | 2 | 1,040 | 65 | 71% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 845 | 69 | 76% | 6.7 |
| Physical Therapy Assistant | 0 | 5 | 5 | 695 | 61 | 67% | 7.5 |
| Nurse Practitioner | 2 | 0 | 2 | 663 | 77 | 85% | 8.5 |
| Feeding Assistant | 0 | 2 | 2 | 648 | 65 | 71% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 547 | 64 | 70% | 8.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Physical Therapy Aide | 0 | 5 | 5 | 472 | 64 | 70% | 6.3 |
| Speech Language Pathologist | 0 | 5 | 5 | 368 | 62 | 68% | 5.8 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 276 | 71 | 78% | 3.7 |
| Dietitian | 1 | 0 | 1 | 175 | 22 | 24% | 7.9 |
| Occupational Therapy Aide | 0 | 6 | 6 | 172 | 27 | 30% | 5.9 |
| Medical Director | 0 | 1 | 1 | 60 | 30 | 33% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 60 | 9 | 10% | 6.7 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.8
35% better than Alabama average
Alabama average: 8.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.8
32% better than Alabama average
Alabama average: 14.5
Percent of long-stay residents whose need for help with daily activities has increased
5.6%
60% better than Alabama average
Alabama average: 13.9%
Percent of long-stay residents whose ability to move independently worsened
5.7%
65% better than Alabama average
Alabama average: 16.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.2%
34% worse than Alabama average
Alabama average: 13.6%
Percent of long-stay residents experiencing one or more falls with major injury
5.4%
60% worse than Alabama average
Alabama average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
7.5%
27% worse than Alabama average
Alabama average: 5.9%
Percent of long-stay residents with a urinary tract infection
1.1%
60% better than Alabama average
Alabama average: 2.7%
Percent of long-stay residents who lose too much weight
4.8%
11% better than Alabama average
Alabama average: 5.4%
Percent of long-stay residents who have depressive symptoms
4.7%
284% worse than Alabama average
Alabama average: 1.2%
Percent of long-stay residents who received an antipsychotic medication
14.6%
29% better than Alabama average
Alabama average: 20.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.3%
5% better than Alabama average
Alabama average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Alabama average
Alabama average: 94.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.5%
In line with Alabama average
Alabama average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
3.3%
55% worse than Alabama average
Alabama average: 2.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.4%
8% better than Alabama average
Alabama average: 80.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
74% lower than Alabama average
Alabama average: $65K
15% fewer fines than Alabama average
Alabama average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
194% more payment denials than Alabama average
Alabama average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 3, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 3, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 3, 2024
Last updated: Jan 2026
Historical financial and operational data for The Healthcare Center at Buck Creek based on CMS SNF Cost Reports.
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