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4/5
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.
4/5
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.
Situated on Rainbow Drive, Mcguffey Health and Rehabilitation Center is a skilled nursing home in Gadsden, Alabama. The 209-bed home currently operates at 75 percent occupancy that averages 97 days of stay, reflecting the blend of post-acute rehab residents and those in ongoing nursing care. Operated by owner Roger Turenne, the facility is well-positioned for short-term rehabilitation stays and longer-term nursing care. Medicare, Medicaid, and private pay are accepted to give families flexibility in their coverage approach. The community focuses much of its work on short-term rehabilitation. It’s then a pragmatic choice for someone recovering from surgery or a hospitalization.
Present around the clock is nursing support, totaling 4 hours and 45 minutes of nursing care per resident day. That includes registered nurses, nurse aides, and licensed practical nurses in a structure designed to support daily hands-on care needs. The combination of these roles supplies comprehensive clinical coverage throughout all shifts. Gadsden’s location is car-dependent, with most daily errands needing a vehicle; the Walk Score of 4 indicates limited nearby walkable options for residents or visiting family. That said, the facility’s position in the community provides easy access to local medical services and resources.
Alabama’s health department inspections have surfaced challenges in infection control and hand hygiene practices over time. These are areas families may want to comprehend in detail when considering the home, as they touch directly on care quality and resident safety.
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 40th out of 130 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.
| 35m per day | ▼ 7% 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.
| 49m per day | ▲ 3% State avg: 47m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 4m per day | ▼ 18% State avg: 2h 30m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 2m per day | ▼ 8% 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 | ▼ 75% 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.
| 25m per day | ▲ 15% State avg: 22m per day · National avg: 28m per day |
Lower than the Alabama average: 80.8%McGuffey Health and Rehabilitation Center is administrated by April Conley.
In Alabama, the Department of Public Health, Bureau of Health Provider Standards conducts unannounced surveys to ensure facilities meet state licensing and federal certification safety standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Alabama state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | AL Average | vs. AL Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 7 | 17 | This facility has 59% fewer total deficiencies than a typical Alabama nursing home (7 vs. AL avg 17).↓ 59% better |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 1 | 2.4 | This facility has 58% fewer deficiencies per year than a typical Alabama nursing home (1 vs. AL avg 2.4).↓ 58% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Alabama average 2.9
Last Health inspection on May 2021
Alabama average 10.4
Alabama average 3.46
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 7 citations resulted from standard inspections.
100% better than Alabama averageAlabama average: 0.7
100% better than Alabama averageAlabama average: 0.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
5% fewer 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 27 RN Staff are full-time employees. No contractors work on this role.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursAssists with medical care and medications.
All 33 LPN Staff are full-time employees. No contractors work on this role.
33
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
All 97 CNA Staff are full-time employees. No contractors work on this role.
97
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,766 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 97 | 0 | 97 | 28,906 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 33 | 0 | 33 | 9,931 | 92 | 100% | 9.5 |
| Registered Nurse | 27 | 0 | 27 | 8,194 | 92 | 100% | 8.4 |
| Nurse Aide in Training | 23 | 0 | 23 | 4,352 | 92 | 100% | 7.8 |
| RN Director of Nursing | 7 | 0 | 7 | 3,159 | 84 | 91% | 7.9 |
| Speech Language Pathologist | 0 | 4 | 4 | 941 | 68 | 74% | 7.2 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 939 | 71 | 77% | 7.7 |
| Physical Therapy Aide | 0 | 7 | 7 | 893 | 74 | 80% | 6.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 527 | 63 | 68% | 8.4 |
| Dietitian | 1 | 0 | 1 | 516 | 62 | 67% | 8.3 |
| Physical Therapy Assistant | 0 | 1 | 1 | 498 | 63 | 68% | 7.9 |
| Dental Services Staff | 1 | 0 | 1 | 471 | 60 | 65% | 7.8 |
| Administrator | 1 | 0 | 1 | 420 | 54 | 59% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 402 | 53 | 58% | 7.6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 399 | 52 | 57% | 7.7 |
| Qualified Social Worker | 0 | 3 | 3 | 212 | 38 | 41% | 5.3 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 136 | 61 | 66% | 1.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 57 | 9 | 10% | 6.3 |
| Medical Director | 0 | 1 | 1 | 30 | 6 | 7% | 5 |
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.
16.4
85% worse than Alabama averageAlabama average: 8.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.3
95% worse 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
28.2%
103% worse than Alabama averageAlabama average: 13.9%
Percent of long-stay residents whose ability to move independently worsened
33.0%
104% worse than Alabama averageAlabama average: 16.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.6%
74% worse than Alabama averageAlabama average: 13.6%
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
44% worse than Alabama averageAlabama average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
10.2%
72% worse than Alabama averageAlabama average: 5.9%
Percent of long-stay residents with a urinary tract infection
1.7%
38% better than Alabama averageAlabama average: 2.7%
Percent of long-stay residents who lose too much weight
6.0%
10% worse than Alabama averageAlabama average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Alabama averageAlabama average: 1.2%
Percent of long-stay residents who received an antipsychotic medication
19.1%
8% better than Alabama averageAlabama average: 20.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Alabama averageAlabama average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Alabama averageAlabama average: 94.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.43
29% better than Alabama averageAlabama average: 2.00
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.10
39% better 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
100.0%
19% better than Alabama averageAlabama average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
4.1%
93% worse than Alabama averageAlabama average: 2.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
23% better than Alabama averageAlabama average: 80.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
11.6%
53% better than Alabama averageAlabama average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.5%
In line with Alabama averageAlabama average: 11.5%
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
97% worse than Alabama averageAlabama average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
49.0%
9% worse than Alabama averageAlabama average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
47.4%
6% 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.
15% of new residents, usually for short-term rehab.
61% of new residents, often for short stays.
24% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
146Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 McGuffey Health and Rehabilitation Center from 2012–2024, based on CMS SNF Cost Reports.
Based on the 2024 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #17 / 129Payroll — State benchmarkedThis home is ranked 17th out of 129 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
Most new residents arrive under private pay (61% 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.
4.6 miles from city center
Estimated distance in miles from Gadsden's city center to McGuffey Health and Rehabilitation Center's address, calculated via Google Maps.
Add your location
McGuffey Health and Rehabilitation Center is located in Gadsden, Alabama.
Here are the financial assistance programs available to residents in Alabama.
The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.
| Westminster Village – Spanish Fort |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
PC Palliative Care | Spanish Fort (Bridgehead) | 60
Facility
60
AL AVG
90
Rank
#156 / 245 |
65.0%
Facility
65.0%
AL AVG
80.8%
Rank
#105 / 132 | -20% | 4.91
Facility
4.91
AL AVG
4.37
Rank
#27 / 130 | +69% | +12% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 131 | 10
Facility
10
AL AVG
10.4
Rank
#65 / 130 | 3.3
Facility
3.3
AL AVG
3.5
Rank
#64 / 130 | - | 10 | - |
27
Facility
27
AL AVG
36
Rank
#261 / 418 | Acts Retirement Services, Inc | $18.1M
Facility
$18.1M
AL AVG
$11.1M
Rank
#19 / 129 | $8.3M
Facility
$8.3M
AL AVG
$4.7M
Rank
#23 / 129 | 45.8%
Facility
45.8%
AL AVG
45%
Rank
#83 / 127 | 15381 | ||||
| McGuffey Health and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Gadsden | 209
Facility
209
AL AVG
90
Rank
#8 / 245 |
75.1%
Facility
75.1%
AL AVG
80.8%
Rank
#91 / 132 | -7% | 4.75
Facility
4.75
AL AVG
4.37
Rank
#40 / 130 | +21% | +9% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 131 | 7
Facility
7
AL AVG
10.4
Rank
#41 / 130 | 2.3
Facility
2.3
AL AVG
3.5
Rank
#27 / 130 | - | 176 | - |
4
Facility
4
AL AVG
36
Rank
#369 / 418 | Roger Turenne | $32.4M
Facility
$32.4M
AL AVG
$11.1M
Rank
#3 / 129 | $8.8M
Facility
$8.8M
AL AVG
$4.7M
Rank
#17 / 129 | 27.2%
Facility
27.2%
AL AVG
45%
Rank
#127 / 127 | 15202 | ||||
| Kirkwood By the River |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Birmingham (Overton) | 46
Facility
46
AL AVG
90
Rank
#195 / 245 |
100.0%
Facility
100.0%
AL AVG
80.8%
Rank
#1 / 132 | +24% | 5.10
Facility
5.10
AL AVG
4.37
Rank
#16 / 130 | -41% | +17% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 131 | 8
Facility
8
AL AVG
10.4
Rank
#49 / 130 | 2.7
Facility
2.7
AL AVG
3.5
Rank
#40 / 130 | - | 55 | A+ |
0
Facility
0
AL AVG
36
Rank
#395 / 418 | William Widman | $15.9M
Facility
$15.9M
AL AVG
$11.1M
Rank
#30 / 129 | $7.2M
Facility
$7.2M
AL AVG
$4.7M
Rank
#33 / 129 | 45.4%
Facility
45.4%
AL AVG
45%
Rank
#87 / 127 | 15457 | ||||
| Plantation Manor Retirement Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Mccalla | 103
Facility
103
AL AVG
90
Rank
#81 / 245 |
83.8%
Facility
83.8%
AL AVG
80.8%
Rank
#68 / 132 | +4% | 4.26
Facility
4.26
AL AVG
4.37
Rank
#72 / 130 | -31% | -2% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 131 | 13
Facility
13
AL AVG
10.4
Rank
#95 / 130 | 3.3
Facility
3.3
AL AVG
3.5
Rank
#64 / 130 | - | 98 | - |
7
Facility
7
AL AVG
36
Rank
#355 / 418 | Cassie Ball | $7.8M
Facility
$7.8M
AL AVG
$11.1M
Rank
#102 / 129 | $4.1M
Facility
$4.1M
AL AVG
$4.7M
Rank
#94 / 129 | 53%
Facility
53%
AL AVG
45%
Rank
#52 / 127 | 15015 | ||||
| Galleria Woods |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
NC Nursing Care
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Birmingham | 24
Facility
24
AL AVG
90
Rank
#234 / 245 |
88.5%
Facility
88.5%
AL AVG
80.8%
Rank
#39 / 132 | +10% | 5.15
Facility
5.15
AL AVG
4.37
Rank
#16 / 130 | +56% | +18% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 131 | 10
Facility
10
AL AVG
10.4
Rank
#65 / 130 | 3.3
Facility
3.3
AL AVG
3.5
Rank
#64 / 130 | - | 26 | A+ |
28
Facility
28
AL AVG
36
Rank
#255 / 418 | Ccrc Opco Ventures LLC | $15.1M
Facility
$15.1M
AL AVG
$11.1M
Rank
#35 / 129 | $5.4M
Facility
$5.4M
AL AVG
$4.7M
Rank
#59 / 129 | 35.7%
Facility
35.7%
AL AVG
45%
Rank
#122 / 127 | 15459 |
McGuffey Health and Rehabilitation Center has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
McGuffey Health and Rehabilitation Center's occupancy is 75%.
April Conley is the administrator of McGuffey Health and Rehabilitation Center.
McGuffey Health and Rehabilitation Center has 209 beds.
Yes — there are 2 photos of McGuffey Health and Rehabilitation Center in the photo gallery on this page.
McGuffey Health and Rehabilitation Center is located at 2301 Rainbow Drive.
(256) 543-3467 will put you in contact with the team at McGuffey Health and Rehabilitation Center.
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