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.
The Folsom Center is a compassionate nursing home in Cullman, AL, that offers long-term care, memory care, rehabilitation, and respite care. With its warm and welcoming environment, the community promises comfort and healing for older adults. 24-hour care, medical and non-medical assistance, and therapy services are offered to help residents recover and live to their potential. Residents can also keep their peace of mind, especially with personalized care plans.
Mind-stimulating activities, light exercises, and plenty of recreational programs are dedicated to enhancing residents’ cognition and promoting an active lifestyle. Private rooms, lively communal spaces, and a state-of-the-art therapy gym ensure residents can rest without hassles. The Cullman Regional Medical Center is also located nearby, providing residents with easy access to their medical needs. This nursing home continuously provides a wide range of care, making it one of the best options for senior living in Alabama.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
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.
| 45m 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.
| 48m 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 59m 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 49m 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 | |
|
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.
| 26m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
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 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursHelps with daily care and mobility.
All 83 CNA Staff are full-time employees. No contractors work on this role.
83
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
129 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 83 | 0 | 83 | 19,591 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 13 | 0 | 13 | 5,671 | 92 | 100% | 10.3 |
| Medication Aide/Technician | 7 | 0 | 7 | 3,324 | 92 | 100% | 10.3 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 3,085 | 86 | 93% | 8.7 |
| Registered Nurse | 8 | 0 | 8 | 2,784 | 92 | 100% | 8.4 |
| Nurse Aide in Training | 19 | 0 | 19 | 2,145 | 91 | 99% | 7.1 |
| Therapeutic Recreation Specialist | 7 | 0 | 7 | 1,079 | 81 | 88% | 6.1 |
| Other Dietary Services Staff | 2 | 0 | 2 | 1,029 | 77 | 84% | 7.9 |
| RN Director of Nursing | 2 | 0 | 2 | 996 | 66 | 72% | 8.3 |
| Respiratory Therapist | 9 | 0 | 9 | 551 | 72 | 78% | 6.1 |
| Qualified Activities Professional | 2 | 0 | 2 | 491 | 61 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 472 | 61 | 66% | 7.7 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 432 | 55 | 60% | 7.9 |
| Qualified Social Worker | 1 | 1 | 2 | 417 | 62 | 67% | 6.6 |
| Physical Therapy Assistant | 6 | 0 | 6 | 404 | 65 | 71% | 4.7 |
| Nurse Practitioner | 2 | 0 | 2 | 352 | 44 | 48% | 8 |
| Respiratory Therapy Technician | 2 | 1 | 3 | 330 | 71 | 77% | 3.6 |
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.
6.2
30% better than State averageState average: 8.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.3
8% better than State averageState average: 14.5
Percent of long-stay residents whose need for help with daily activities has increased
9.4%
33% better than State averageState average: 13.9%
Percent of long-stay residents whose ability to move independently worsened
13.2%
18% better than State averageState average: 16.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.3%
27% worse than State averageState average: 13.6%
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
31% better than State averageState average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
2.7%
55% better than State averageState average: 5.9%
Percent of long-stay residents with a urinary tract infection
2.1%
23% better than State averageState average: 2.7%
Percent of long-stay residents who lose too much weight
3.4%
37% better than State averageState average: 5.4%
Percent of long-stay residents who have depressive symptoms
2.7%
123% worse than State averageState average: 1.2%
Percent of long-stay residents who received an antipsychotic medication
13.5%
35% better than State averageState average: 20.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than State averageState average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than State averageState average: 94.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.9%
17% better than State averageState average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
68% better than State averageState average: 2.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.3%
21% better than State averageState average: 80.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
49% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
10% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
86Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Folsom Center from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #94 / 135Payroll — State benchmarkedThis home is ranked 94th out of 135 homes in Alabama. Shows total annual staff payroll benchmarked to the Alabama average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #20 / 133Payroll % — State benchmarkedThis home is ranked 20th out of 133 homes in Alabama. Shows payroll as a percentage of revenue versus the Alabama average. Well-run Alabama facilities typically land around 54–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private Rooms
Building Type: Mid-rise
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (49% of admissions), and a typical Medicare stay runs around 20 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.7 miles from city center
Estimated distance in miles from Ne Cullman's city center to The Folsom Center's address, calculated via Google Maps.
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The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| The Folsom Center | NH MC RC | Ne Cullman (Arnold Street Northeast) | - | 102 | - | 67 | Private Rooms |
| Kirkwood By the River | NH AL IL MC | Birmingham (Overton) | - | 46 | A+ | 0 | Studio / 1 Bed / 2 Bed |
| Regency Retirement Village of Huntsville | NH AL IL MC | Huntsville (Greenhill) | - | 104 | - | 44 | - |
| Athens Health and Rehabilitation, LLC | NH PC | Athens | - | 149 | A+ | 0 | - |
| Keller Landing | NH MC | Tuscumbia (South Sheffield) | - | 109 | - | 48 | Private / Semi-Private Rooms |
The Folsom Center is in the Arnold Street Northeast neighborhood.
The Folsom Center has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
The Folsom Center's occupancy is 85.2%.
The Folsom Center is registered as a for-profit.
Yes — there are 3 photos of The Folsom Center in the photo gallery on this page.
The Folsom Center is located at 401 Arnold St, Ne Cullman, AL 35055.
(256) 739-4409 will put you in contact with the team at The Folsom Center.
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