Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
114
110 employees · 4 contractors · 39 on an average day Keller Landing
Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Tuscumbia, AL
ALM Inspection Grade
A-
ALM's inspection grade is 91 / 100, an A- · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 91 / 100, an A- · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
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
Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Tuscumbia, AL
ALM Inspection Grade
A-
ALM's inspection grade is 91 / 100, an A- · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 91 / 100, an A- · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
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 accepts Medicare, Medicaid, and private pay.
Keller Landing provides nursing home, skilled nursing, hospice, palliative, and respite care in Tuscumbia, AL. Nursing home and skilled nursing care include licensed nursing on site around the clock. Hospice and palliative care focus on comfort and symptom management for someone with a serious or life limiting illness. Respite care provides a short stay while the usual caregiver travels or recovers, so Keller Landing may suit someone who needs ongoing nursing care or comfort focused support, as well as a family seeking temporary help.
The community has 109 beds, with private and semi private rooms available. A private room gives one resident personal living space, while a semi private room means sharing that space with another resident. Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care. Total nurse staffing is 3 hours and 54 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Keller Landing is in the South Sheffield neighborhood.
Quality ratings
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 89th out of 121 nursing homes we track 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.
3h 54m
This nursing home is ranked 89th out of 121 nursing homes we track 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.
3h 54mStandout metric: Registered nurse (RN) is +97% above Alabama average
4 of 6 metrics below Alabama average
Daily care time per resident, by role
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. All 18 are the facility's own employees; no agency contractors work in this role.
18 staff · 9.6-hour shifts
1h 15m
↑ 97% · AL 38mThis facility: 1h 15m per resident per day, 97% above the Alabama average of 38m (among Alabama facilities reporting a recent figure).
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. All 18 are the facility's own employees; no agency contractors work in this role.
18 staff · 9.6-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. All 13 are the facility's own employees; no agency contractors work in this role.
13 staff · 8.9-hour shifts
35m
↓ 26% · AL 47mThis facility: 35m per resident per day, 26% below the Alabama average of 47m (among Alabama facilities reporting a recent figure).
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. All 13 are the facility's own employees; no agency contractors work in this role.
13 staff · 8.9-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 51 are the facility's own employees; no agency contractors work in this role.
51 staff · 7.2-hour shifts
2h 4m
↓ 17% · AL 2h 30mThis facility: 2h 4m per resident per day, 17% below the Alabama average of 2h 30m (among Alabama facilities reporting a recent figure).
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. All 51 are the facility's own employees; no agency contractors work in this role.
51 staff · 7.2-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
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
↓ 65% · AL 2mThis facility: 1m per resident per day, 65% below the Alabama average of 2m (among Alabama facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 15m
↓ 1% · AL 3h 17mThis facility: 3h 15m per resident per day, 1% below the Alabama average of 3h 17m (among Alabama facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
34m
↑ 53% · AL 22mThis facility: 34m per resident per day, 53% above the Alabama average of 22m (among Alabama facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
114
110 employees · 4 contractors · 39 on an average day
114 total staff / 65 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.75 : 1
↑ 11% · AL 1.58This facility: 1.75 staff per resident, 11% above the Alabama average of 1.58 (among Alabama facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
114 staff ÷ 65 residents
See full Alabama ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.7 h
↓ 4% · AL 8 hThis facility: 7.7 h, 4% below the Alabama average of 8 h (among Alabama facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
27,188 staff hours this quarter
See full Alabama ranking →99% of staff hours were worked by the facility's own employees
Alabama average: 95% · Contractors this quarter: Medical Director (1), Respiratory Therapy Technician (1), Occupational Therapy Aide (1), Occupational Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
109
Rank #69 / 133Bed count — State benchmarked This nursing home is ranked 69th out of 133 nursing homes we track in Alabama for bed count. Shows this facility's certified or reported bed count compared to other Alabama facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
109
Rank #69 / 133Bed count — State benchmarked This nursing home is ranked 69th out of 133 nursing homes we track in Alabama for bed count. Shows this facility's certified or reported bed count compared to other Alabama facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #55 / 124Walk Score — State benchmarked This nursing home is ranked 55th out of 124 nursing homes we track in Alabama for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Alabama facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #55 / 124Walk Score — State benchmarked This nursing home is ranked 55th out of 124 nursing homes we track in Alabama for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Alabama facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
48
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #93 / 106Occupancy rate — State benchmarked This nursing home is ranked 93rd out of 106 nursing homes we track in Alabama for occupancy. Shows this facility's occupancy rate versus the Alabama average, with its Statewide rank out of 106. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #93 / 106Occupancy rate — State benchmarked This nursing home is ranked 93rd out of 106 nursing homes we track in Alabama for occupancy. Shows this facility's occupancy rate versus the Alabama average, with its Statewide rank out of 106. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
69.8%
This home usually has availability
Based on residents per day and 109 beds.
Lower than the Alabama average: 85%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
76
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
178
days
About This Community
AHCA/NCAL National Quality Award — BronzeA three-tier quality program from the American Health Care Association / National Center for Assisted Living, based on the Baldrige performance-excellence framework. Bronze recognizes a documented quality commitment; Silver and Gold require demonstrated, externally reviewed outcomes and are progressively rarer.
Resident Council
Short-Term Rehabilitation
Orthopedic Rehabilitation
Physical Therapy
Occupational Therapy
Speech Therapy
On-Site Medical Director
On-Site Nurse Practitioner
Registered Nurses
IV Therapy
Total Parenteral Nutrition
Colostomy CareHelp caring for a colostomy, an opening in the abdomen that allows stool to leave the body into an attached pouch. Support can include pouch changes and skin care.
Wound CareCare for wounds such as pressure sores, surgical wounds, or ulcers, including assessment, dressing changes, and monitoring for infection.
X-Ray Services
Pain Management
Palliative CareCare focused on relieving pain, symptoms, and stress while supporting quality of life. It can be provided alongside treatment for a serious illness.
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Discharge Planning
Mail and Newspaper Service
Pharmaceutical Delivery Service
Emergency Call SystemListed as: 24-hour emergency alert and response system
TransportationListed as: Coordinated transportation
Housekeeping
Beauty Services
Fitness Center
Sun Room
Garden
Courtyard
Beauty Salon
Cable Tv
Community Kitchen
Laundry
Dining & Nutrition
Sourced directly from the team at Keller Landing.
Dining & Nutrition
Sourced directly from the team at Keller Landing.- In-room dining available.
Building TypeSingle-story
Room Types
Private Room
Semi-Private / Shared Room
In-Room Features
Private Bathroom
CMS Health Inspection History
ALM Inspection Grade
91 / 100
Calculated from CMS inspection data for this community's nursing-home beds
Category breakdown
Citations
Strong
3 severity-weighted points · 8× lower than the typical CMS-certified AL facility (median: 23)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Strong
29 days to fix issues · faster than the typical CMS-certified AL facility (median: 34)
Total health inspections
2
↓ 29% · AL 2.8This facility: 2, 29% below the AL average of 2.8 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
3
Rank #8 / 122Health citations — State benchmarked This nursing home is ranked 8th out of 122 nursing homes we track in Alabama for health citations. Shows this facility's total health deficiency citations benchmarked to the Alabama State average, with a ranking across all 122 AL facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 71% · AL 10.2This facility: 3, 71% below the AL average of 10.2 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
1.5
Rank #12 / 122Citations per inspection — State benchmarked This nursing home is ranked 12th out of 122 nursing homes we track in Alabama for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Alabama mean across 122 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 58% · AL 3.54This facility: 1.5, 58% below the AL average of 3.54 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
3 of 3 citations corrected
Critical
J–L
0
↓ 100% · AL 0.6This facility: 0, 100% below the AL average of 0.6 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · AL 0.2This facility: 0, 100% below the AL average of 0.2 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
3
↓ 67% · AL 9This facility: 3, 67% below the AL average of 9 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · AL 0.4This facility: 0, 100% below the AL average of 0.4 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Jun 20, 2019 · 1 citation (Infection Control, moderate), corrected
Most cited category: Infection Control, 2 of 3 citations · 2 categories in total
Citations history
Most recent first
Jun 20, 2019
1 citation
Infection Control moderate citation
Corrected
Corrected
Sep 13, 2018
2 citations
Resident Rights moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Top deficiency categories
Share of 3 citations
Infection Control
2 deficiencies (67%)
Resident Rights
1 deficiency (33%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 3 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection Reports
Enforcement
Penalties and fines
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 · Data as of Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Total fines
$0
AL avg $81KAlabama average: $81,109. Average among the 37 Alabama facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0
AL avg 1.76Alabama average: 1.76. Average among the 37 Alabama facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
AL avg 0.38Alabama average: 0.38. Average among the 37 Alabama facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Alabama average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
6.0
Score · lower is better
↓ 17% · AL 7.2This facility: 6.0, 17% below the AL average of 7.2 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
9.8
Score · lower is better
↓ 15% · AL 11.6This facility: 9.8, 15% below the AL average of 11.6 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 9 better, 2 worse, 1 near AL average, 1 without a benchmark
8 short-stay measures: 2 better, 3 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
12.5%
↑ 8% · AL 11.5This facility: 12.5, 8% above the AL average of 11.5 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
12.5%
↑ 8% · AL 11.5This facility: 12.5, 8% above the AL average of 11.5 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
6.3%
↓ 42% · AL 11.0This facility: 6.3, 42% below the AL average of 11.0 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
6.3%
↓ 42% · AL 11.0This facility: 6.3, 42% below the AL average of 11.0 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.7%
↓ 13% · AL 12.2This facility: 10.7, 13% below the AL average of 12.2 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.7%
↓ 13% · AL 12.2This facility: 10.7, 13% below the AL average of 12.2 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.7%
↓ 68% · AL 2.2This facility: 0.7, 68% below the AL average of 2.2 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.7%
↓ 68% · AL 2.2This facility: 0.7, 68% below the AL average of 2.2 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
↓ 12% · AL 3.2This facility: 2.8, 12% below the AL average of 3.2 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
↓ 12% · AL 3.2This facility: 2.8, 12% below the AL average of 3.2 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
2.9%
↓ 44% · AL 5.2This facility: 2.9, 44% below the AL average of 5.2 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
2.9%
↓ 44% · AL 5.2This facility: 2.9, 44% below the AL average of 5.2 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
5.3%
↓ 1% · AL 5.4This facility: 5.3, 1% below the AL average of 5.4 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
5.3%
↓ 1% · AL 5.4This facility: 5.3, 1% below the AL average of 5.4 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
12.9%
Percent of long-stay residents who have depressive symptoms
12.9%
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
17.9%
↓ 16% · AL 21.3This facility: 17.9, 16% below the AL average of 21.3 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
17.9%
↓ 16% · AL 21.3This facility: 17.9, 16% below the AL average of 21.3 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 8% · AL 92.8This facility: 100.0, 8% above the AL average of 92.8 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 8% · AL 92.8This facility: 100.0, 8% above the AL average of 92.8 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · AL 95.4This facility: 100.0, 5% above the AL average of 95.4 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · AL 95.4This facility: 100.0, 5% above the AL average of 95.4 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.84
↓ 8% · AL 2.00This facility: 1.84, 8% below the AL average of 2.00 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.84
↓ 8% · AL 2.00This facility: 1.84, 8% below the AL average of 2.00 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.23
↑ 25% · AL 1.79This facility: 2.23, 25% above the AL average of 1.79 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.23
↑ 25% · AL 1.79This facility: 2.23, 25% above the AL average of 1.79 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
40.0%
↓ 25% · US 53.7This facility: 40.0, 25% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
40.0%
↓ 25% · US 53.7This facility: 40.0, 25% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
31.8%
↓ 37% · US 50.6This facility: 31.8, 37% below the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
31.8%
↓ 37% · US 50.6This facility: 31.8, 37% below the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
3.9%
↑ 99% · AL 1.9This facility: 3.9, 99% above the AL average of 1.9 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
3.9%
↑ 99% · AL 1.9This facility: 3.9, 99% above the AL average of 1.9 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.8%
↓ 6% · AL 85.6This facility: 80.8, 6% below the AL average of 85.6 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.8%
↓ 6% · AL 85.6This facility: 80.8, 6% below the AL average of 85.6 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.6%
↓ 8% · AL 82.2This facility: 75.6, 8% below the AL average of 82.2 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.6%
↓ 8% · AL 82.2This facility: 75.6, 8% below the AL average of 82.2 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.0%
↓ 6% · AL 24.5This facility: 23.0, 6% below the AL average of 24.5 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.0%
↓ 6% · AL 24.5This facility: 23.0, 6% below the AL average of 24.5 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
4.0%
↓ 65% · AL 11.5This facility: 4.0, 65% below the AL average of 11.5 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
4.0%
↓ 65% · AL 11.5This facility: 4.0, 65% below the AL average of 11.5 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Keller Landing’s finances from its CMS cost report for the fiscal year ending June 2025, compared with 118 Alabama nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Jun 2025
Is it financially stable?
Losing money on care, and more than last year
−10.6% operating margin
−8.3 pts vs prior year
An operating loss in 6 of the last 8 reported years. Other income ($0.0M) trims the net loss to −$0.8M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Alabama homes
49.6% payroll share of revenue
AL average 53.9%Rank #76 / 116Payroll % of net patient revenue — State benchmarked This nursing home is ranked 76th out of 116 nursing homes we track in Alabama for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Alabama average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.1M while revenue fell $0.3M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Alabama homes.
Revenue & profit
Losing money on care
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | AL median | Compared with AL homesRank in AL | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $7.7M | −$0.3M | Trend 20182025 | AL median $10.5M | Rank in AL Rank #95 / 118Net patient revenue — State benchmarked This nursing home is ranked 95th out of 118 nursing homes we track in Alabama for net patient revenue. Shows this facility's net patient revenue compared to the Alabama average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 20% of homes | Below AL median Higher net patient revenue than 20% of AL homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $8.5M | +$0.3M | Trend 20182025 | AL median $10.6M | Rank in AL Rank #92 / 118Operating expenses — State benchmarked This nursing home is ranked 92nd out of 118 nursing homes we track in Alabama for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Alabama homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 22% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.8M | −$0.6M | Trend 20182025 | AL median $0.0M | Rank in AL Rank #100 / 118Net patient income — State benchmarked This nursing home is ranked 100th out of 118 nursing homes we track in Alabama for net patient income. Shows net patient revenue minus operating expenses, compared with other Alabama homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 15% of homes | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −10.6% | −8.3 pts | Trend 20182025 | AL median 0.3% | Rank in AL Rank #105 / 118Operating margin — State benchmarked This nursing home is ranked 105th out of 118 nursing homes we track in Alabama for operating margin. Shows net patient income as a share of net patient revenue, compared with other Alabama homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 11% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | AL median $0.1M | Rank in AL Rank #101 / 117Other income — State benchmarked This nursing home is ranked 101st out of 117 nursing homes we track in Alabama for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Alabama homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 14% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.8M | −$1.1M | Trend — | AL median $0.3M | Rank in AL Rank #110 / 118Net income — State benchmarked This nursing home is ranked 110th out of 118 nursing homes we track in Alabama for net income. Shows the bottom line after other income, compared with other Alabama homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 7% of homes | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends less of revenue on staff than most Alabama homes
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | AL median | Compared with AL homesRank in AL | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $3.8M | +$0.1M | Trend 20182025 | AL median $5.5M | Rank in AL Rank #102 / 118Payroll costs — State benchmarked This nursing home is ranked 102nd out of 118 nursing homes we track in Alabama for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Alabama average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 14% of homes | Below AL median Higher payroll than 14% of AL homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 49.6% | +3.0 pts | Trend 20182025 | AL median 52.7% | Rank in AL Rank #76 / 116Payroll % of net patient revenue — State benchmarked This nursing home is ranked 76th out of 116 nursing homes we track in Alabama for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Alabama average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Alabama that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 35% of homes | 4.3 pts under AL average The AL average is 53.9% of revenue. Within 3 points of it reads as near the average. |
Charts, 2018–2025 2 charts · AL benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Alabama payroll average.
% of net patient revenue
Payroll share Operating margin AL payroll average
Year-by-year data, 2018–2025 every reported year · latest first, scroll sideways
| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $6.5M | $6.0M | $6.0M | $5.8M | $6.7M | $8.1M | $8.0M | $7.7M |
| Operating expenses | $6.7M | $7.2M | $2.9M | $6.7M | $7.6M | $7.6M | $8.2M | $8.5M |
| Net patient income | −$0.3M | −$1.2M | $3.2M | −$0.9M | −$0.9M | $0.5M | −$0.2M | −$0.8M |
| Operating margin | −4.1% | −20.0% | 52.8% | −15.4% | −13.7% | 6.0% | −2.3% | −10.6% |
| Net income | −$0.3M | −$1.2M | $3.6M | −$0.9M | −$0.4M | $0.7M | $0.3M | −$0.8M |
| Payroll costs | $2.5M | $2.6M | $2.7M | $2.6M | $3.1M | $3.4M | $3.7M | $3.8M |
| Payroll share of revenue | 39.1% | 43.4% | 45.1% | 44.8% | 46.0% | 42.7% | 46.6% | 49.6% |
| Beds | 109 | 109 | 106 | 109 | 109 | 109 | 109 | 109 |
| Gross revenue | $7.7M | $7.4M | $7.3M | $6.6M | $7.0M | $8.0M | $8.4M | $8.3M |
| Salaries | $2.2M | $2.3M | $2.3M | $2.2M | $2.7M | $3.0M | $3.3M | $3.4M |
| Wage-related costs | $0.3M | $0.3M | $0.4M | $0.4M | $0.4M | $0.4M | $0.4M | $0.5M |
| Contract labor | $0.9M | $1.0M | $0.9M | $0.6M | $1.7M | $1.3M | $1.0M | $1.0M |
| Other operating costs | $4.2M | $4.6M | $0.1M | $4.1M | $4.5M | $4.1M | $4.5M | $4.7M |
| Net patient revenue per day | $225 | $216 | $220 | $256 | $279 | $299 | $285 | $285 |
| Cost per day | $235 | $260 | $104 | $296 | $317 | $281 | $292 | $315 |
| Average length of stay | 341.7 days | 235.8 days | 274.6 days | 232.6 days | 192.2 days | 180.0 days | 305.4 days | 178.1 days |
Showing 2025–2023 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2025
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
148 admissions · FY2025
Residents admitted during the year.
Medicare
44 · 30%
Medicaid
30 · 20%
Private pay & other
74 · 50%
Resident snapshot
65 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
8 · 12%
Medicaid
52 · 80%
Private pay & other
5 · 8%
Leaving
152 discharges · FY2025
Residents discharged during the year.
Medicare
25 · 16%
Medicaid
63 · 41%
Private pay & other
64 · 42%
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.
Places of interest near Keller Landing
1.1 miles from city center
Estimated distance in miles from Tuscumbia's city center to Keller Landing's address, calculated via Google Maps.
Calculate Travel Distance to Keller Landing
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Compare Nursing Homes around the area
Info below is compiled from CMS reports & the AL Dept. of Public Health (ADPH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Alabama average is: 53.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Albertville Nursing Home | NH RC SNF | North Albertville | 159
Facility
159
AL AVG
118
Rank
#22 / 133 | A- |
96.6%
Facility
96.6%
AL AVG
85%
Rank
#4 / 106 | +14% | 5.44
Facility
5.44
AL AVG
4.44
Rank
#11 / 121 | -36% | +22% | $0
Facility
$0
AL AVG
$85.7k
Rank
#1 / 123 | 6
Facility
6
AL AVG
10.2
Rank
#51 / 122 | 2.0
Facility
2.0
AL AVG
3.5
Rank
#41 / 122 | - | 154 | - |
66
Facility
66
AL AVG
42
Rank
#14 / 124 | Terri Brown | $18.6MFiscal year ending 06/2025
Facility
$18.6MFiscal year ending 06/2025
AL AVG
$11.8M
Rank
#11 / 118 | $11.0MFiscal year ending 06/2025
Facility
$11.0MFiscal year ending 06/2025
AL AVG
$6.1M
Rank
#4 / 118 | 58.8%Fiscal year ending 06/2025
Facility
58.8%Fiscal year ending 06/2025
AL AVG
53.9%
Rank
#27 / 116 | 015163 | ||||
| Cleburne County Nursing Home | NH AL | Heflin | 82
Facility
82
AL AVG
118
Rank
#104 / 133 | A- |
91.5%
Facility
91.5%
AL AVG
85%
Rank
#32 / 106 | +8% | 4.93
Facility
4.93
AL AVG
4.44
Rank
#30 / 121 | -36% | +11% | $0
Facility
$0
AL AVG
$85.7k
Rank
#1 / 123 | 1
Facility
1
AL AVG
10.2
Rank
#3 / 122 | 1.0
Facility
1.0
AL AVG
3.5
Rank
#1 / 122 | - | 75 | - |
47
Facility
47
AL AVG
42
Rank
#57 / 124 | Tony Culberson | $7.7MFiscal year ending 09/2024
Facility
$7.7MFiscal year ending 09/2024
AL AVG
$11.8M
Rank
#96 / 118 | $5.4MFiscal year ending 09/2024
Facility
$5.4MFiscal year ending 09/2024
AL AVG
$6.1M
Rank
#66 / 118 | 69.7%Fiscal year ending 09/2024
Facility
69.7%Fiscal year ending 09/2024
AL AVG
53.9%
Rank
#6 / 116 | 015053 | ||||
| Palm Gardens Health and Rehabilitation, LLC | NH PC SNF | Mobile (South Crichton) | 100
Facility
100
AL AVG
118
Rank
#79 / 133 | ? |
90.9%
Facility
90.9%
AL AVG
85%
Rank
#38 / 106 | +7% | 4.36
Facility
4.36
AL AVG
4.44
Rank
#56 / 121 | +23% | -2% | $0
Facility
$0
AL AVG
$85.7k
Rank
#1 / 123 | 4
Facility
4
AL AVG
10.2
Rank
#15 / 122 | 4.0
Facility
4.0
AL AVG
3.5
Rank
#83 / 122 | - | 91 | - |
46
Facility
46
AL AVG
42
Rank
#61 / 124 | Jeanne Freeman | $10.8MFiscal year ending 06/2025
Facility
$10.8MFiscal year ending 06/2025
AL AVG
$11.8M
Rank
#57 / 118 | $5.3MFiscal year ending 06/2025
Facility
$5.3MFiscal year ending 06/2025
AL AVG
$6.1M
Rank
#67 / 118 | 49.5%Fiscal year ending 06/2025
Facility
49.5%Fiscal year ending 06/2025
AL AVG
53.9%
Rank
#78 / 116 | 015403 | ||||
| Athens Health and Rehabilitation, LLC | NH PC SNF | Athens | 149
Facility
149
AL AVG
118
Rank
#31 / 133 | B+ |
93.6%
Facility
93.6%
AL AVG
85%
Rank
#14 / 106 | +10% | 4.09
Facility
4.09
AL AVG
4.44
Rank
#75 / 121 | +16% | -8% | $0
Facility
$0
AL AVG
$85.7k
Rank
#1 / 123 | 10
Facility
10
AL AVG
10.2
Rank
#67 / 122 | 5.0
Facility
5.0
AL AVG
3.5
Rank
#101 / 122 | - | 140 | A+ | - | Northport Holding Operations, LLC | $17.3MFiscal year ending 06/2025
Facility
$17.3MFiscal year ending 06/2025
AL AVG
$11.8M
Rank
#16 / 118 | $8.4MFiscal year ending 06/2025
Facility
$8.4MFiscal year ending 06/2025
AL AVG
$6.1M
Rank
#21 / 118 | 48.8%Fiscal year ending 06/2025
Facility
48.8%Fiscal year ending 06/2025
AL AVG
53.9%
Rank
#81 / 116 | 015016 | ||||
| Keller Landing | NH HOS PC RC SNF | Tuscumbia (South Sheffield) | 109
Facility
109
AL AVG
118
Rank
#69 / 133 | A- |
69.8%
Facility
69.8%
AL AVG
85%
Rank
#93 / 106 | -18% | 3.90
Facility
3.90
AL AVG
4.44
Rank
#89 / 121 | +53% | -12% | $0
Facility
$0
AL AVG
$85.7k
Rank
#1 / 123 | 3
Facility
3
AL AVG
10.2
Rank
#8 / 122 | 1.5
Facility
1.5
AL AVG
3.5
Rank
#12 / 122 | - | 76 | - |
48
Facility
48
AL AVG
42
Rank
#55 / 124 | Christine Davis | $7.7MFiscal year ending 06/2025
Facility
$7.7MFiscal year ending 06/2025
AL AVG
$11.8M
Rank
#95 / 118 | $3.8MFiscal year ending 06/2025
Facility
$3.8MFiscal year ending 06/2025
AL AVG
$6.1M
Rank
#102 / 118 | 49.6%Fiscal year ending 06/2025
Facility
49.6%Fiscal year ending 06/2025
AL AVG
53.9%
Rank
#76 / 116 | 015028 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other AL nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Know before you visit
Frequently Asked Questions about Keller Landing
Quick answers from public records and the community's own listing.01 What neighborhood is Keller Landing in?
Keller Landing is in the South Sheffield neighborhood of Tuscumbia.
02 Is Keller Landing in a walkable area?
Keller Landing has a walk score of 48. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
03 What is the occupancy rate at Keller Landing?
Keller Landing's occupancy is 69.8%.
04 Are pets allowed at Keller Landing?
No, Keller Landing has a no-pet policy.
05 What is the best email address for Keller Landing?
The team at Keller Landing can be reached at corporatecivilrightscoordinator@genesishcc.com.
06 Does Keller Landing operate as a for-profit or non-profit?
Keller Landing is registered as a for-profit.
07 What is the overall rating for Keller Landing?
Keller Landing received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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