Mitchell-Hollingsworth Nursing and Rehabilitation Center

Nursing Home, Memory Care & Respite Care · Florence, AL

CMS overall rating

805 Flagg Cir, Florence, AL 35630 View map

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Mitchell-Hollingsworth Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

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Mitchell-Hollingsworth Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Mitchell-Hollingsworth Nursing and Rehabilitation Center

(256) 740-5400

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Alabama state averages

Total nursing care / resident

3h 59m per day

This facility Alabama avg (4h 22m per day)

vs Alabama avg

-9%

3 of 6 metrics below state avg

Standout metric LPN / LVN is +18% above state avg

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.	43m per day	▲ 13% 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.	55m per day	▲ 18% State avg: 47m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 49m per day	▼ 27% State avg: 2h 30m per day · National avg: 2h 21m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 56m per day	▼ 10% 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.	2m per day	▼ 9% 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.	24m per day	▲ 8% State avg: 22m per day · National avg: 29m per day

Capacity and availability

77 days

222-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

Walk Score: 52 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

84%

Similar to the Alabama average: 80.8%

Occupied beds

187 / 222

Average occupied beds in Alabama homes 97 beds

Facility TypeNursing Home

StatusRegular

CountyLauderdale

Business TypeLimited Liability Company

CMS Certification Number15031

Mitchell-Hollingsworth Nursing and Rehabilitation Center is administrated by Brian Scheri.

SNF (Skilled Nursing)

222 units

Total beds

222 units

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Rehab

Dementia/Memory Care

Since 2018 · 8 years of data 23 deficiencies

Inspection Scorecard 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.

Since 2018 vs. Alabama state average

Overall vs. AL average

Latest Inspection September 18, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	AL Average	vs. AL Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	23	17	This facility has 35% more total deficiencies than a typical Alabama nursing home (23 vs. AL avg 17).↑ 35% worse
Deficiencies per year Average deficiencies per year since 2018.	2.9	2.1	This facility has 38% more deficiencies per year than a typical Alabama nursing home (2.9 vs. AL avg 2.1).↑ 38% worse

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

September 18, 2025 complaint investigation found six deficiencies including resident-to-resident physical abuse, inappropriate psychotropic medication use, failure to notify families of transfers, inadequate fall investigations, improper bed rail use, and expired medications.
The facility substantiated resident-to-resident abuse causing injury and failed to protect residents from abuse despite immediate staff intervention and 1:1 supervision for the aggressor resident.
The September 5, 2019 annual inspection found one deficiency for missing physician orders on a urinary catheter but no harm was identified.

Show Inspection Reports

Inspections since 2018

Total health inspections 3

Alabama average 2.9

Last Health inspection on Sep 2025

Total health citations

Alabama average 10.4

Citations per inspection

3.67

Alabama average 3.46

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

10 of 11 citations resulted from standard inspections; and 1 of 11 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 8 years)

Critical health citations

100% better than Alabama average

Alabama average: 0.7

Serious health citations

100% better than Alabama average

Alabama average: 0.2

0 critical citations Alabama average: 0.7

0 serious citations Alabama average: 0.2

11 moderate citations Alabama average: 9.1

0 minor citations Alabama average: 0.4

Citations history (last 8 years)

Abuse/Neglect moderate citation Sep 18, 2025

Corrected

Abuse/Neglect moderate citation Sep 18, 2025

Corrected

Pharmacy moderate citation Sep 18, 2025

Corrected

Quality of Care moderate citation Sep 18, 2025

Corrected

Total staff 258

Employees 221

Contractors 37

Staff to resident ratio 1.37 : 1

12% fewer staff per resident than Alabama average

Avg staff/day 104

Average shift 7.6 hours

0% compared with Alabama average

Total staff hours (quarter) 72,494

Nursing staff breakdown

8.6 hours

8 hours

116

7.4 hours

Contractor staffing

6,149 contractor hours this quarter

Speech Language Pathologist: 13 Physical Therapy Aide: 11 Physical Therapy Assistant: 5 Qualified Social Worker: 3 Respiratory Therapy Technician: 3 Medical Director: 1 Other Physician: 1

Staff by category


Certified Nursing Assistant	116	0	116	31,842	92	100%	7.4
Licensed Practical Nurse	50	0	50	16,281	92	100%	8
Registered Nurse	32	0	32	9,310	92	100%	8.6
Other Dietary Services Staff	9	0	9	3,651	76	83%	8
Clinical Nurse Specialist	8	0	8	2,944	69	75%	7.1
Speech Language Pathologist	0	13	13	2,173	78	85%	6.8
Physical Therapy Aide	0	11	11	2,171	89	97%	6.9
Qualified Social Worker	0	3	3	789	66	72%	6.5
Respiratory Therapy Technician	0	3	3	537	78	85%	5.3
Dental Services Staff	1	0	1	521	63	68%	8.3
Mental Health Service Worker	1	0	1	435	58	63%	7.5
Nurse Practitioner	1	0	1	413	55	60%	7.5
Physical Therapy Assistant	0	5	5	376	70	76%	4.9
Occupational Therapy Aide	1	0	1	354	45	49%	7.9
Administrator	1	0	1	345	46	50%	7.5
Nurse Aide in Training	1	0	1	251	33	36%	7.6
Medical Director	0	1	1	52	13	14%	4
Other Physician	0	1	1	52	13	14%	4

116 Certified Nursing Assistant

% of Days 100%

50 Licensed Practical Nurse

% of Days 100%

32 Registered Nurse

% of Days 100%

9 Other Dietary Services Staff

% of Days 83%

8 Clinical Nurse Specialist

% of Days 75%

13 Speech Language Pathologist

% of Days 85%

11 Physical Therapy Aide

% of Days 97%

3 Qualified Social Worker

% of Days 72%

3 Respiratory Therapy Technician

% of Days 85%

1 Dental Services Staff

% of Days 68%

1 Mental Health Service Worker

% of Days 63%

1 Nurse Practitioner

% of Days 60%

5 Physical Therapy Assistant

% of Days 76%

1 Occupational Therapy Aide

% of Days 49%

1 Administrator

% of Days 50%

1 Nurse Aide in Training

% of Days 36%

1 Medical Director

% of Days 14%

1 Other Physician

% of Days 14%

View All Staffing Data in Florence

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 10.5

18% worse than Alabama average

Alabama average: 8.9

Functional decline score 19.4

34% worse than Alabama average

Alabama average: 14.5

Long-stay resident measures

Above average Alabama avg: 3.3

Need for Help with Daily Activities Increased 17.1%

23% worse than Alabama average

Alabama average: 13.9%

Walking Ability Worsened 24.8%

54% worse than Alabama average

Alabama average: 16.1%

Low Risk Residents with Bowel/Bladder Incontinence 16.3%

20% worse than Alabama average

Alabama average: 13.6%

Falls with Major Injury 2.6%

25% better than Alabama average

Alabama average: 3.4%

High Risk Residents with Pressure Ulcers 4.2%

30% better than Alabama average

Alabama average: 5.9%

Urinary Tract Infection 2.6%

6% better than Alabama average

Alabama average: 2.7%

Lost Too Much Weight 3.9%

28% better than Alabama average

Alabama average: 5.4%

Depressive Symptoms 0.8%

34% better than Alabama average

Alabama average: 1.2%

Antipsychotic Use 19.6%

5% better than Alabama average

Alabama average: 20.7%

Pneumococcal Vaccine 97.1%

6% better than Alabama average

Alabama average: 91.5%

Influenza Vaccine 99.4%

5% better than Alabama average

Alabama average: 94.8%

Hospitalizations per 1,000 days 1.69

16% better than Alabama average

Alabama average: 2.00

ED visits per 1,000 days 0.68

62% better than Alabama average

Alabama average: 1.79

Short-stay resident measures

Below average Alabama avg: 2.1

Pneumococcal Vaccine 98.8%

18% better than Alabama average

Alabama average: 83.7%

Antipsychotic medication increase 2.1%

In line with Alabama average

Alabama average: 2.1%

Influenza Vaccine 90.4%

13% better than Alabama average

Alabama average: 80.3%

Re-hospitalized after SNF stay 27.0%

10% worse than Alabama average

Alabama average: 24.5%

Emergency department visits 8.5%

26% better than Alabama average

Alabama average: 11.5%

Falls with major injury 0.9%

18% worse than Alabama average

Alabama average: 0.8%

Ability to care for self at discharge 44.8%

17% worse than Alabama average

Alabama average: 53.7%

Successful return to home or community 57.4%

14% better than Alabama average

Alabama average: 50.6%

Breakdown by payment type

Medicare

44% of new residents, usually for short-term rehab.

Typical stay 20 days

Private pay

52% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

4% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Total residents 188

Medicare

22.3% of residents

Medicaid

44.1% of residents

Private pay or other

33.5% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Mitchell-Hollingsworth Nursing and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 84.1% ↑ 6.2pp vs 2022

Net Patient Income $414.5K ↑ ~$651.0K vs 2022

Payroll Costs $9.2M ↑ ~$806.5K vs 2022

Operating Margin 2.0% ↑ 3.3pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	93.4%	93.3%	92.7%	92.2%	88.0%	83.6%	74.9%	77.2%	78.5%	75.6%	69.5%	77.8%	84.1%
Beds	222	222	222	222	222	222	222	222	222	222	222	222	222
Net Income	$1,041,429	$387,208	$354,083	$63,537	-$445,483	-$191,268	-$411,527	$77,563	$518,302	$203,766	$1,370,571	$681,817	$1,525,903
Gross Revenue	$15,865,647	$16,154,862	$16,799,109	$16,787,461	$15,824,363	$16,236,742	$15,419,145	$16,700,287	$18,218,479	$15,805,703	$15,571,663	$17,596,527	$20,014,002
Operating Expenses	$15,434,792	$15,456,453	$15,575,422	$15,904,529	$16,240,032	$16,188,787	$15,911,818	$16,520,522	$16,895,556	$17,104,627	$17,131,014	$18,277,842	$19,969,708
Net Patient Income	$843,739	$205,394	$144,003	$36,036	-$639,905	-$358,802	-$511,487	-$56,318	$611,310	-$506,144	-$1,196,432	-$236,464	$414,533
Net Patient Revenue	$16,278,531	$15,661,847	$15,719,425	$15,940,565	$15,600,127	$15,829,985	$15,400,331	$16,464,204	$17,506,866	$16,598,483	$15,934,582	$18,041,378	$20,384,241
Payroll Costs	$5,913,638	$7,011,795	$7,059,903	$7,276,231	$7,470,832	$7,290,644	$6,932,678	$6,991,182	$6,978,654	$7,541,660	$7,429,949	$8,436,692	$9,243,235
Operating Margin %	5.2%	1.3%	0.9%	0.2%	-4.1%	-2.3%	-3.3%	-0.3%	3.5%	-3.1%	-7.5%	-1.3%	2.0%
Medicare %	14.3%	13.5%	14.5%	14.5%	14.2%	17.2%	20.9%	21.0%	22.8%	15.6%	17.6%	13.2%	10.8%
Medicaid %	54.7%	57.3%	54.4%	50.8%	50.0%	46.6%	45.7%	43.5%	38.8%	46.3%	42.1%	48.8%	44.7%
Private %	31.0%	29.2%	31.1%	34.6%	35.8%	36.3%	33.4%	35.5%	38.4%	38.1%	40.3%	38.0%	44.5%
Net Patient Revenue/Day	$215	$207	$209	$213	$219	$233	$254	$263	$275	$270	$283	$286	$299
Cost/Day	$204	$204	$207	$213	$228	$238	$262	$264	$266	$278	$304	$290	$293
Avg Length of Stay	350.4 days	121.3 days	114.1 days	95.6 days	102.7 days	92.8 days	75.1 days	73.7 days	73.9 days	106.9 days	83.9 days	88.8 days	77.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$20.4M

Net patient income

$414.5K

Privately-owned community Operated by a single business entity.

Net patient revenue

$20.4M

Net patient income

$414.5K

Other income

$1.3M

Payroll costs

$9.2M 45.3% of net patient revenue

Other operating costs

$10.7M

Total costs

$20.0M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (52% of admissions), and a typical private pay stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 44%

Private pay 52%

Medicaid 4%

Coverage residents most often leave under.

Medicare 35%

Private pay 54%

Medicaid 11%

Managed by Brian Scheri

Administrator

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Compare Nursing Home around Florence

The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.

2 facilities compared · CMS & AL Dept. of Health data


Florence Nursing And Rehabilitation Ctr, Llc		NH NC	Florence (Cloyd Boulevard)	147 Facility 147 AL AVG 90 Rank #36 / 245	86.1% Facility 86.1% AL AVG 80.8% Rank #57 / 138	+7%	4.40 Facility 4.40 AL AVG 4.37 Rank #68 / 136				+26%	+1%	$0 Facility $0 AL AVG $59.8k Rank #1 / 137	10 Facility 10 AL AVG 10.4 Rank #67 / 136	3.3 Facility 3.3 AL AVG 3.5 Rank #66 / 136	-	132	-	21 Facility 21 AL AVG 36 Rank #298 / 418	Donald T Denz Irrv Tr	$13.8M Facility $13.8M AL AVG $11.1M Rank #32 / 135	$8.6M Facility $8.6M AL AVG $4.7M Rank #19 / 135	62.5% Facility 62.5% AL AVG 45% Rank #38 / 133	15169
Mitchell-Hollingsworth Nursing and Rehabilitation Center		NH MC RC	Florence (North Florence)	222 Facility 222 AL AVG 90 Rank #5 / 245	84.1% Facility 84.1% AL AVG 80.8% Rank #70 / 138	+4%	3.98 Facility 3.98 AL AVG 4.37 Rank #97 / 136				+21%	-9%	$0 Facility $0 AL AVG $59.8k Rank #1 / 137	11 Facility 11 AL AVG 10.4 Rank #79 / 136	3.7 Facility 3.7 AL AVG 3.5 Rank #84 / 136	-	192	-	52 Facility 52 AL AVG 36 Rank #101 / 418	Kenneth Rose	$20.4M Facility $20.4M AL AVG $11.1M Rank #7 / 135	$9.2M Facility $9.2M AL AVG $4.7M Rank #3 / 135	45.3% Facility 45.3% AL AVG 45% Rank #63 / 133	15031

Nursing Home Explorer

Elderly and Disabled Waiver

Alabama Medicaid E&D Waiver

Age 65+ or disabled

General Alabama resident, Medicaid-eligible, requires nursing home-level care but can live in community with support.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple) (excludes home, car).

Must be assessed by a nurse for nursing home-level care need.

Benefits

In-home personal care (4-6 hours/day, e.g., bathing, dressing) Respite care (up to 240 hours/year) Adult day care (~$50/day avg.) Home-delivered meals Case management

Alabama Respite for Caregivers Program

Alabama Respite (via NFCSP)

Age Caregiver of someone 60+ (or with dementia)

General Alabama resident.

Income Limits No strict limit; prioritizes low-income.

Asset Limits Not applicable.

Focus on rural caregivers; limited funding.

Benefits

In-home respite (4-6 hours/day) Adult day care (~$50/day) Short-term facility care (up to 5 days)

SenioRx Prescription Assistance Program

AL SenioRx

Age 55+

General Alabama resident, chronic illness requiring daily medication, not fully covered by other drug plans.

Income Limits ~$3,000/month individual, varies by AAA

Asset Limits Not strictly enforced; income-focused.

High ROI; saved $43.5M for 6,825 participants in FY 2022.

Benefits

Prescription cost reduction (avg. $6,300/year savings per participant) Medication management support

Weatherization Assistance Program (WAP)

AL WAP

Age 60+ priority

General Alabama resident, own or rent home, low-income status.

Income Limits (2025) ~$2,510/month 200% of poverty level, individual

Asset Limits Not applicable; income-driven.

Prioritizes seniors and disabled; limited annual funding.

Benefits

Insulation Weather stripping HVAC repairs (avg. $500-$1,000 in annual energy savings)

Section 202 Supportive Housing for the Elderly

AL Section 202

Age 62+

General Alabama resident, very low income, able to live independently with support.

Income Limits (2025) ~$1,500/month 50% of area median income, individual, varies by county

Asset Limits $10,000 individual, excludes home if owned

High demand in urban areas like Birmingham; limited units statewide.

Benefits

Subsidized rent (30% of income, e.g., $300-$500/month) On-site services (housekeeping, transportation, ~$200/month value)

Alabama CARES Program

AL CARES

Age —

General Caregivers of Alabama residents aged 60+ needing assistance with 3+ daily activities; no age limit for caregivers.

Income Limits No strict limit; cost-sharing based on recipient’s income e.g., ~$2,500/month threshold

Asset Limits Not applicable; focus on need.

Prioritizes caregivers with greatest economic/social need; complements respite programs like AL Lifespan Respite.

Benefits

Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplemental supplies (e.g., $200/year avg.)

What neighborhood is Mitchell-Hollingsworth Nursing and Rehabilitation Center in?

Mitchell-Hollingsworth Nursing and Rehabilitation Center is in the North Florence neighborhood of Florence.

Is Mitchell-Hollingsworth Nursing and Rehabilitation Center in a walkable area?

Mitchell-Hollingsworth Nursing and Rehabilitation Center has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Mitchell-Hollingsworth Nursing and Rehabilitation Center?

Mitchell-Hollingsworth Nursing and Rehabilitation Center's occupancy is 84%.

Who is the administrator of Mitchell-Hollingsworth Nursing and Rehabilitation Center?

Brian Scheri is the administrator of Mitchell-Hollingsworth Nursing and Rehabilitation Center.

How many beds does Mitchell-Hollingsworth Nursing and Rehabilitation Center have?

Mitchell-Hollingsworth Nursing and Rehabilitation Center has 222 beds.

Are there photos of Mitchell-Hollingsworth Nursing and Rehabilitation Center?

Yes — there are 5 photos of Mitchell-Hollingsworth Nursing and Rehabilitation Center in the photo gallery on this page.

What is the phone number of Mitchell-Hollingsworth Nursing and Rehabilitation Center?

(256) 740-5400 will put you in contact with the team at Mitchell-Hollingsworth Nursing and Rehabilitation Center.

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Mitchell-Hollingsworth Nursing and Rehabilitation Center

Overview of Mitchell-Hollingsworth Nursing and Rehabilitation Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Contact Mitchell-Hollingsworth Nursing and Rehabilitation Center

Inspection History

Inspection Scorecard 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 Deficiencies are formal regulatory issues recorded during state inspections.

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

Health Inspection History

Inspections since 2018

Breakdown of citation severity (last 8 years)

Citations history (last 8 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

116 Certified Nursing Assistant

50 Licensed Practical Nurse

32 Registered Nurse

9 Other Dietary Services Staff

8 Clinical Nurse Specialist

13 Speech Language Pathologist

11 Physical Therapy Aide

3 Qualified Social Worker

3 Respiratory Therapy Technician

1 Dental Services Staff

1 Mental Health Service Worker

1 Nurse Practitioner

5 Physical Therapy Assistant

1 Occupational Therapy Aide

1 Administrator

1 Nurse Aide in Training

1 Medical Director

1 Other Physician

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Managed by Brian Scheri

Places of interest near Mitchell-Hollingsworth Nursing and Rehabilitation Center

Calculate Travel Distance to Mitchell-Hollingsworth Nursing and Rehabilitation Center

Compare Nursing Home around Florence

Financial Assistance for Nursing Home in Alabama

Elderly and Disabled Waiver

Alabama Respite for Caregivers Program

SenioRx Prescription Assistance Program

Weatherization Assistance Program (WAP)

Section 202 Supportive Housing for the Elderly

Alabama CARES Program

Financial Assistance for
Nursing Home in Alabama