5/5
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.
5/5
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.
Keller Landing is a highly-rated nursing home in Tuscumbia, AL, that offers short-term rehabilitation, memory care, and long-term care. With its nurturing and supportive environment, the community ensures older adults receive the utmost care to live comfortably in their later years. 24-hour care, medication management, and therapy services are also offered to meet residents’ healthcare needs. Through individualized care plans, the community strives to help residents live to their potential in retirement.
Educational activities, cultural programs, and social events help enhance residents’ memory and provide opportunities for interactions and learning. Residents can also utilize state-of-the-art amenities for recreation and wellness, including the fitness room, gardens, and beauty salon. Set in the peaceful residential area of Tuscumbia, the community ensures residents have a stress-free retirement. This nursing home is also an AHCA Bronze Quality Award winner and a WE HONOR Veterans partner, making it one of the best options for senior living in Alabama.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 123rd out of 136 homes in Alabama for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
| 1h 11m per day | ▲ 86% 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.
| 29m per day | ▼ 38% 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 36m per day | ▼ 36% State avg: 2h 30m per day · National avg: 2h 21m 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 38m per day | ▼ 20% 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.
| 1m per day | ▼ 67% 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.
| 37m per day | ▲ 67% State avg: 22m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
11% more staff per resident than Alabama average
0% compared with Alabama average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 21 RN Staff are full-time employees. No contractors work on this role.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursAssists with medical care and medications.
All 12 LPN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursHelps with daily care and mobility.
All 49 CNA Staff are full-time employees. No contractors work on this role.
49
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
251 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 49 | 0 | 49 | 11,033 | 92 | 100% | 7.3 |
| Registered Nurse | 21 | 0 | 21 | 6,032 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 12 | 0 | 12 | 3,401 | 92 | 100% | 8.7 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,716 | 70 | 76% | 7.6 |
| Speech Language Pathologist | 2 | 0 | 2 | 619 | 68 | 74% | 7.2 |
| Other Dietary Services Staff | 7 | 0 | 7 | 554 | 71 | 77% | 7 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Other Social Services Staff | 1 | 0 | 1 | 478 | 61 | 66% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 449 | 58 | 63% | 7.7 |
| Physical Therapy Aide | 2 | 0 | 2 | 361 | 61 | 66% | 5.9 |
| Qualified Social Worker | 2 | 0 | 2 | 353 | 69 | 75% | 5.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 175 | 29 | 32% | 6 |
| Nurse Aide in Training | 4 | 0 | 4 | 116 | 12 | 13% | 7.3 |
| Physical Therapy Assistant | 1 | 0 | 1 | 106 | 37 | 40% | 2.9 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 78 | 32 | 35% | 2.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 40 | 13 | 14% | 3.1 |
| Medical Director | 0 | 1 | 1 | 36 | 17 | 18% | 2.1 |
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.
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.
5.7
36% better than Alabama averageAlabama average: 8.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.0
45% better than Alabama averageAlabama average: 14.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.0%
43% better than Alabama averageAlabama average: 13.9%
Percent of long-stay residents whose ability to move independently worsened
4.0%
75% better than Alabama averageAlabama average: 16.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.0%
12% better than Alabama averageAlabama average: 13.6%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
25% worse than Alabama averageAlabama average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
6.9%
16% worse than Alabama averageAlabama average: 5.9%
Percent of long-stay residents with a urinary tract infection
0.7%
73% better than Alabama averageAlabama average: 2.7%
Percent of long-stay residents who lose too much weight
5.3%
In line with Alabama averageAlabama average: 5.4%
Percent of long-stay residents who have depressive symptoms
18.8%
1436% worse than Alabama averageAlabama average: 1.2%
Percent of long-stay residents who received an antipsychotic medication
12.4%
40% better than Alabama averageAlabama average: 20.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
8% better than Alabama averageAlabama average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with Alabama averageAlabama average: 94.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.84
8% better than Alabama averageAlabama average: 2.00
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.23
25% worse than Alabama averageAlabama average: 1.79
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
75.8%
10% worse than Alabama averageAlabama average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
7.0%
233% worse than Alabama averageAlabama average: 2.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.0%
In line with Alabama averageAlabama average: 80.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.0%
6% better than Alabama averageAlabama average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
4.0%
65% better than Alabama averageAlabama average: 11.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Alabama averageAlabama average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
40.0%
25% worse than Alabama averageAlabama average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
31.8%
37% worse than Alabama averageAlabama average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
30% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
30% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
65Residents 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.
Historical financial and operational data for Keller Landing from 2011–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
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."
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."
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."
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."
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.
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 #77 / 135Payroll — State benchmarkedThis home is ranked 77th 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.
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 #51 / 133Payroll % — State benchmarkedThis home is ranked 51st 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.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Beauty Services
Housekeeping Services
Social and Recreational Activities
Exercise Programs
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under private pay (39% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.1 miles from city center
Estimated distance in miles from Tuscumbia's city center to Keller Landing'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.
| Keller Landing | MC NH | Tuscumbia (South Sheffield) | - | 109
Facility
109
AL AVG
90
Rank
#77 / 245 | - |
48
Facility
48
AL AVG
36
Rank
#138 / 418 | Private / Semi-Private Rooms |
| Cypress Cove Center | MC NH | Muscle Shoals (Jackson Heights) | - | 90
Facility
90
AL AVG
90
Rank
#106 / 245 | - |
50
Facility
50
AL AVG
36
Rank
#118 / 418 | Private / Semi-Private Rooms |
| Brentwood Retirement Community | MC NH AL | Muscle Shoals (Jackson Heights) | - | 123
Facility
123
AL AVG
90
Rank
#59 / 245 | - |
49
Facility
49
AL AVG
36
Rank
#125 / 418 | Private Rooms |
| Glenwood Center | MC NH | Florence (Ana Drive) | - | 125
Facility
125
AL AVG
90
Rank
#56 / 245 | - |
56
Facility
56
AL AVG
36
Rank
#82 / 418 | Private / Semi-Private Rooms |
Keller Landing is located in Tuscumbia, Alabama.
Here are the financial assistance programs available to residents in Alabama.
Keller Landing is in the South Sheffield neighborhood.
Keller Landing has a walk score of 48. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Keller Landing's occupancy is 70.4%.
Keller Landing is registered as a for-profit.
Yes — there are 5 photos of Keller Landing in the photo gallery on this page.
Keller Landing is located at 813 Keller Ln, Tuscumbia, AL 35674.
(256) 383-1535 will put you in contact with the team at Keller Landing.
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