Total staff
177
Employees
175
Contractors
2
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
The Folsom Center
Nursing Home, Assisted Living, Respite Care & Memory Care · Alabama, AL
CMS overall rating
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.
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
Nursing Home, Assisted Living, Respite Care & Memory Care · Alabama, AL
CMS overall rating
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.
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 accepts Medicare, Medicaid, and private pay.
Overview of The Folsom Center
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.
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 hours breakdown
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 nursing care / resident
This home is ranked 30th 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.
This home is ranked 30th 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.
4h 49m per day
Rank #30 / 130Nurse hours — State benchmarkedThis home is ranked 30th out of 130 homes in Alabama for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Alabama average, with a ranking across 130 Alabama SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Alabama avg
+10%
Standout metric
Weekend Total Nursing is +12% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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 38m per day | ▲ 12% State avg: 3h 15m per day · National avg: 3h 25m per day |
Capacity and availability
This home usually has limited availability
Occupancy rate
85.2%
Rank #63 / 132Occupancy rate — State benchmarkedThis home is ranked 63rd out of 132 homes in Alabama for occupancy rate. Shows this facility's occupancy rate versus the Alabama average, with its Statewide rank out of 132. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
84 days
Walk Score: 67 / 100 Rank #29 / 418Walk Score — State benchmarkedThis home is ranked 29th out of 418 homes in Alabama for walk score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Alabama SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Rehabilitation Services
Respite Care
Short-Term Rehab
24-Hour Staffing
Memory Support Care
Spacious Therapy Gym
Activities Department
On Site Maintenance
Physician Services
Housekeeping
Laundry Services
Wifi Internet Access
Religious ServicesYes
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
2.06 : 1
32% more staff per resident than Alabama average
Avg staff/day
60
Average shift
7.9 hours
0% compared with Alabama average
Total staff hours (quarter)
43,608
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
All 8 RN Staff are full-time employees. No contractors work on this role.
8
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 83 CNA Staff are full-time employees. No contractors work on this role.
83
All 83 CNA Staff are full-time employees. No contractors work on this role.
83
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0.3%
129 contractor hours this quarter
Respiratory Therapy Technician: 1
Qualified Social Worker: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
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 |
83 Certified Nursing Assistant
% of Days
100%
13 Licensed Practical Nurse
% of Days
100%
7 Medication Aide/Technician
% of Days
100%
9 Clinical Nurse Specialist
% of Days
93%
8 Registered Nurse
% of Days
100%
19 Nurse Aide in Training
% of Days
99%
7 Therapeutic Recreation Specialist
% of Days
88%
2 Other Dietary Services Staff
% of Days
84%
2 RN Director of Nursing
% of Days
72%
9 Respiratory Therapist
% of Days
78%
2 Qualified Activities Professional
% of Days
66%
1 Dietitian
% of Days
66%
1 Administrator
% of Days
62%
1 Mental Health Service Worker
% of Days
60%
2 Qualified Social Worker
% of Days
67%
6 Physical Therapy Assistant
% of Days
71%
2 Nurse Practitioner
% of Days
48%
3 Respiratory Therapy Technician
% of Days
77%
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.2
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 Alabama averageAlabama average: 8.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.3
8% better than Alabama averageAlabama average: 14.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
9.4%
Percent of long-stay residents whose need for help with daily activities has increased
9.4%
33% better than Alabama averageAlabama average: 13.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
13.2%
Percent of long-stay residents whose ability to move independently worsened
13.2%
18% better than Alabama averageAlabama average: 16.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.3%
27% worse than Alabama averageAlabama average: 13.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
31% better than Alabama averageAlabama average: 3.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.7%
Percent of long-stay high risk residents with pressure ulcers
2.7%
55% better than Alabama averageAlabama average: 5.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.1%
Percent of long-stay residents with a urinary tract infection
2.1%
23% better than Alabama averageAlabama average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.4%
Percent of long-stay residents who lose too much weight
3.4%
37% better than Alabama averageAlabama average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.7%
Percent of long-stay residents who have depressive symptoms
2.7%
123% worse than Alabama averageAlabama average: 1.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
13.5%
Percent of long-stay residents who received an antipsychotic medication
13.5%
35% better than Alabama averageAlabama average: 20.7%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Alabama averageAlabama average: 91.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Alabama averageAlabama average: 94.8%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.9%
17% better than Alabama averageAlabama average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
68% better than Alabama averageAlabama average: 2.1%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.3%
21% better than Alabama averageAlabama average: 80.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
49% of new residents, usually for short-term rehab.
Typical stay
20 days
Private pay
41% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
10% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
86
Medicare
15
17.4% of residents
Medicaid
46
53.5% of residents
Private pay or other
25
29.1% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
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.
Financial Trends
Historical financial and operational data for The Folsom Center based on CMS SNF Cost Reports.
Occupancy Rate
83.6%
↑ 5.2pp vs 2022
Net Income
-$889.8K
↓ ~$1.1M vs 2022
Total Payroll
$4.2M
↓ ~$1.3M vs 2022
Profit Margin
-13.5%
↓ 16.0pp vs 2022
Finances and operations
Privately-owned community
Home revenue
$6.8M
Operating loss
-$167.3K
Privately-owned community
Home revenue
$6.8M Rank #111 / 129Revenue — State benchmarkedThis home is ranked 111th out of 129 homes in Alabama for revenue. Shows this facility's annual revenue compared to the Alabama SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$167.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #91 / 129Payroll — State benchmarkedThis home is ranked 91st out of 129 homes in Alabama for payroll. 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.
$4.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #91 / 129Payroll — State benchmarkedThis home is ranked 91st out of 129 homes in Alabama for payroll. 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.8M
What does this home offer?
Housing Options: Private Rooms
Building Type: Mid-rise
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near The Folsom Center
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.
Calculate Travel Distance to The Folsom Center
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Financial Assistance for
Nursing Home in Alabama
The Folsom Center is located in NE Cullman, Alabama.
Here are the financial assistance programs available to residents in Alabama.
Frequently Asked Questions about The Folsom Center
What neighborhood is The Folsom Center in?
The Folsom Center is in the Arnold Street Northeast neighborhood.
Is The Folsom Center in a walkable area?
The Folsom Center has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Are there photos of The Folsom Center?
Yes — there are 3 photos of The Folsom Center in the photo gallery on this page.
What is the address of The Folsom Center?
The Folsom Center is located at 401 Arnold St., NE Cullman, AL 35055.
What is the phone number of The Folsom Center?
(256) 739-4409 will put you in contact with the team at The Folsom Center.
Is The Folsom Center Medicare or Medicaid certified?
Yes — The Folsom Center is a CMS-certified provider of Medicare and Medicaid.
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