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.
192
192 employees · 0 contractors · 83 on an average day The Healthcare Center at Buck Creek
Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Alabaster, AL
ALM Inspection Grade
C
ALM's inspection grade is 76 / 100, a C — 7 points below the Alabama average for CMS-certified facilities (83/100) · 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 76 / 100, a C — 7 points below the Alabama average for CMS-certified facilities (83/100) · 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
3/5
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.
3/5
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 Healthcare Center at Buck Creek
Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Alabaster, AL
ALM Inspection Grade
C
ALM's inspection grade is 76 / 100, a C — 7 points below the Alabama average for CMS-certified facilities (83/100) · 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 76 / 100, a C — 7 points below the Alabama average for CMS-certified facilities (83/100) · 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
3/5
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.
3/5
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 Healthcare Center at Buck Creek accepts Medicare, Medicaid, and private pay.
Overview of The Healthcare Center at Buck Creek
Memory care, respite, nursing home care, hospice care, and skilled nursing are what The Healthcare Center at Buck Creek runs in Alabaster, AL. The last two carry licensed nursing on the premises. Supervision is what memory care means, and it is a full-time post that no household can staff by itself.
Hospice care answers the day when improvement stops being the goal. Respite is often the first time anyone has asked the caregiver whether they can keep this up. A week away is the answer, with a date on it.
Short Stay Rehabilitation and Complex Medical Care are the two programs this home names. The first describes trouble measured in weeks; the second, trouble that needs a nurse’s judgment daily. There is room here for 198 residents.
Each resident is allotted 4 hours of nursing across a day. Medicare and Medicaid cover eligible care, and private pay covers what is not eligible. Antonio Alonso is the administrator, and this suits a resident whose needs change except the need to stay at one address.
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: Q4 2025 (October 1 – December 31, 2025).
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 Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 81st out of 122 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.
4h 0m
This nursing home is ranked 81st out of 122 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.
4h 0mStandout metric: LPN / LVN is +20% above Alabama average
3 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 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 10-hour shifts
33m
↓ 14% · AL 38mThis facility: 33m per resident per day, 14% below 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 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 10-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 39 are the facility's own employees; no agency contractors work in this role.
39 staff · 9.8-hour shifts
56m
↑ 20% · AL 47mThis facility: 56m per resident per day, 20% above 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 39 are the facility's own employees; no agency contractors work in this role.
39 staff · 9.8-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 98 are the facility's own employees; no agency contractors work in this role.
98 staff · 8.2-hour shifts
2h 31m
↑ 1% · AL 2h 30mThis facility: 2h 31m per resident per day, 1% above 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 98 are the facility's own employees; no agency contractors work in this role.
98 staff · 8.2-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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.
0m
↓ 84% · AL 2mThis facility: 0m per resident per day, 84% 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 35m
↑ 9% · AL 3h 17mThis facility: 3h 35m per resident per day, 9% above 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
21m
↓ 5% · AL 22mThis facility: 21m per resident per day, 5% below 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: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
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.
192
192 employees · 0 contractors · 83 on an average day
192 total staff / 162 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.19 : 1
↓ 25% · AL 1.57This facility: 1.19 staff per resident, 25% below the Alabama average of 1.57 (among Alabama facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
192 staff ÷ 162 residents
See full Alabama ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.6 h
↑ 9% · AL 7.9 hThis facility: 8.6 h, 9% above the Alabama average of 7.9 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.
65,769 staff hours this quarter
See full Alabama ranking →100% of staff hours were worked by the facility's own employees
Alabama average: 95% · No agency contractors this quarter
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.
198
Rank #11 / 133Bed count — State benchmarked This nursing home is ranked 11th 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.
198
Rank #11 / 133Bed count — State benchmarked This nursing home is ranked 11th 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. Most errands require a car, with limited nearby walkable options.
Rank #117 / 124Walk Score — State benchmarked This nursing home is ranked 117th 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. Most errands require a car, with limited nearby walkable options.
Rank #117 / 124Walk Score — State benchmarked This nursing home is ranked 117th 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.
4
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #73 / 110Occupancy rate — State benchmarked This nursing home is ranked 73rd out of 110 nursing homes we track in Alabama for occupancy. Shows this facility's occupancy rate versus the Alabama average, with its Statewide rank out of 110. 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 between 85% and 95% suggests balanced demand.
Rank #73 / 110Occupancy rate — State benchmarked This nursing home is ranked 73rd out of 110 nursing homes we track in Alabama for occupancy. Shows this facility's occupancy rate versus the Alabama average, with its Statewide rank out of 110. 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.
92.1%
This home usually has limited availability
Based on 182.3 residents and 198 beds. Source: CMS Provider Information, average daily residents
Higher than the Alabama average: 82.1%
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.
132
days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
C
Not Accredited
How BBB ratings workAbout This Community
Facility TypeNursing Home
StatusRegular
CountyShelby
CMS Certification Number015144
The Healthcare Center at Buck Creek is administered by Antonio Alonso.
Profit StatusFor-profit
Resident Council
Short-Term Rehabilitation
Physical Therapy
Occupational Therapy
Speech Therapy
Behavioral Health Services
Pets not allowed
CMS Health Inspection History
ALM Inspection Grade
76 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
7 points below the Alabama average for CMS-certified facilities (83/100)
Category breakdown
Citations
Typical
24 severity-weighted points (13 deficiencies) · 4% higher than the typical CMS-certified AL facility (median: 23)
Enforcement
Concern
$16,801 in fines · 3 enforcement actions
Persistence
Concern
42 days to fix issues · slower than the typical CMS-certified AL facility (median: 34)
Total health inspections
5
↑ 79% · AL 2.8This facility: 5, 79% above 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
13
Rank #96 / 122Health citations — State benchmarked This nursing home is ranked 96th 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.↑ 27% · AL 10.2This facility: 13, 27% above 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
2.6
Rank #33 / 122Citations per inspection — State benchmarked This nursing home is ranked 33rd 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.↓ 27% · AL 3.54This facility: 2.6, 27% 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
13 of 13 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
2
↑ 900% · AL 0.2This facility: 2, 900% above 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
10
↑ 11% · AL 9This facility: 10, 11% above 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
1
↑ 150% · AL 0.4This facility: 1, 150% above 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: Sep 29, 2024 · 2 citations, all corrected
Most cited category: Abuse, Neglect & Exploitation, 6 of 13 citations · 6 categories in total
Citations history
Most recent first
Sep 29, 2024
2 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
May 03, 2024
4 citations
Abuse/Neglect serious citation
Corrected
Corrected
Abuse/Neglect serious citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Jan 25, 2024
3 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Nursing Services minor citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Oct 14, 2022
3 citations
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Apr 07, 2022
1 citation
Infection Control moderate citation
Corrected
Corrected
Top deficiency categories
Share of 13 citations
Abuse, Neglect & Exploitation
6 deficiencies (46%)
Pharmacy Services
3 deficiencies (23%)
Infection Control
1 deficiency (8%)
Resident Rights
1 deficiency (8%)
Quality of Life & Care
1 deficiency (8%)
Nursing & Physician Services
1 deficiency (8%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 13 citations resulted from standard inspections; 6 of 13 resulted from complaint investigations; and 3 of 13 came from combined inspections (standard and complaint).
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 Aug 2026
3 penalties in the past 3 years
Latest: May 3, 2024 · $8,400 civil money penalty
May 3, 2024 · $8,400 civil money penalty
May 3, 2024 · $8,401 civil money penalty
May 3, 2024 · 90-day payment denial
Total fines
$16,801
↓ 79% · AL $78KThis facility: $16,801, 79% below the Alabama average of $78,445. Average among the 39 Alabama facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #108 / 123Federal fines — State benchmarked This nursing home is ranked 108th out of 123 nursing homes we track in Alabama for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Alabama average among facilities with fines, and where it ranks among 123 facilities in the pool. Lower total dollars mean 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.
Number of fines
2
↓ 5% · AL 2.1This facility: 2, 5% below the Alabama average of 2.1. Average among the 39 Alabama facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 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.
1
90 days
↑ 160% · AL 0.38This facility: 1, 160% above the Alabama average of 0.38. Average among the 39 Alabama facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
May 3, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$8,400
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$8,400
May 3, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$8,401
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$8,401
May 3, 2024
Payment denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
90 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
90 daysFine amount comparison
This facility
$16,801
Alabama average
$78,445
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Alabama and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
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.
5
/ 5
Significantly above average
↑ 50% · AL 3.3This facility: 5.0, 50% above the AL average of 3.3 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
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.
3
/ 5
Average
↑ 42% · AL 2.1This facility: 3.0, 42% above the AL average of 2.1 (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 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.
6.9
Score · lower is better
↓ 9% · AL 7.6This facility: 6.9, 9% below the AL average of 7.6 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
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.
12.1
Score · lower is better
↓ 2% · AL 12.3This facility: 12.1, 2% below the AL average of 12.3 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 7 better, 4 worse, 2 near AL average
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
7.2%
↓ 40% · AL 12.0This facility: 7.2, 40% below the AL average of 12.0 (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 need for help with daily activities has increased
7.2%
↓ 40% · AL 12.0This facility: 7.2, 40% below the AL average of 12.0 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
9.9%
↓ 18% · AL 12.1This facility: 9.9, 18% below the AL average of 12.1 (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
9.9%
↓ 18% · AL 12.1This facility: 9.9, 18% below the AL average of 12.1 (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
19.3%
↑ 51% · AL 12.8This facility: 19.3, 51% above the AL average of 12.8 (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 low risk long-stay residents who lose control of their bowels or bladder
19.3%
↑ 51% · AL 12.8This facility: 19.3, 51% above the AL average of 12.8 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.9%
↓ 62% · AL 2.4This facility: 0.9, 62% below the AL average of 2.4 (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 with a urinary tract infection
0.9%
↓ 62% · AL 2.4This facility: 0.9, 62% below the AL average of 2.4 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
↑ 36% · AL 3.3This facility: 4.5, 36% above the AL average of 3.3 (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 experiencing one or more falls with major injury
4.5%
↑ 36% · AL 3.3This facility: 4.5, 36% above the AL average of 3.3 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
7.9%
↑ 46% · AL 5.4This facility: 7.9, 46% above 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 high risk residents with pressure ulcers
7.9%
↑ 46% · AL 5.4This facility: 7.9, 46% above 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.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
5.2%
↓ 3% · AL 5.4This facility: 5.2, 3% 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
5.2%
↓ 3% · AL 5.4This facility: 5.2, 3% 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
3.0%
↑ 112% · AL 1.4This facility: 3.0, 112% above the AL average of 1.4 (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 have depressive symptoms
3.0%
↑ 112% · AL 1.4This facility: 3.0, 112% above the AL average of 1.4 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
16.7%
↓ 21% · AL 21.2This facility: 16.7, 21% below the AL average of 21.2 (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 who received an antipsychotic medication
16.7%
↓ 21% · AL 21.2This facility: 16.7, 21% below the AL average of 21.2 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.8%
↑ 4% · AL 92.2This facility: 95.8, 4% above the AL average of 92.2 (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 assessed and appropriately given the pneumococcal vaccine
95.8%
↑ 4% · AL 92.2This facility: 95.8, 4% above the AL average of 92.2 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 6% · AL 94.8This facility: 100.0, 6% above the AL average of 94.8 (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 seasonal influenza vaccine
100.0%
↑ 6% · AL 94.8This facility: 100.0, 6% above the AL average of 94.8 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.72
↓ 14% · AL 2.00This facility: 1.72, 14% 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.
1.72
↓ 14% · AL 2.00This facility: 1.72, 14% 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.
1.22
↓ 32% · AL 1.79This facility: 1.22, 32% below 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.
1.22
↓ 32% · AL 1.79This facility: 1.22, 32% below 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.
61.5%
↑ 15% · US 53.7This facility: 61.5, 15% above 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.
61.5%
↑ 15% · US 53.7This facility: 61.5, 15% above 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.
42.3%
↓ 16% · US 50.6This facility: 42.3, 16% 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.
42.3%
↓ 16% · US 50.6This facility: 42.3, 16% 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.
1.4%
↑ 86% · US 0.8This facility: 1.4, 86% above 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.
1.4%
↑ 86% · US 0.8This facility: 1.4, 86% above 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
3.2%
↑ 61% · AL 2.0This facility: 3.2, 61% above the AL average of 2.0 (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 short-stay residents who newly received an antipsychotic medication
3.2%
↑ 61% · AL 2.0This facility: 3.2, 61% above the AL average of 2.0 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
78.5%
↓ 8% · AL 85.3This facility: 78.5, 8% below the AL average of 85.3 (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 short-stay residents assessed and appropriately given the pneumococcal vaccine
78.5%
↓ 8% · AL 85.3This facility: 78.5, 8% below the AL average of 85.3 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.4%
↑ 8% · AL 80.3This facility: 86.4, 8% above the AL average of 80.3 (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 short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.4%
↑ 8% · AL 80.3This facility: 86.4, 8% above the AL average of 80.3 (among AL facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
33.7%
↑ 38% · AL 24.5This facility: 33.7, 38% above 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.
33.7%
↑ 38% · AL 24.5This facility: 33.7, 38% above 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.
8.8%
↓ 23% · AL 11.5This facility: 8.8, 23% 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.
8.8%
↓ 23% · AL 11.5This facility: 8.8, 23% 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.
The Healthcare Center at Buck Creek’s finances from its CMS cost report for the fiscal year ending December 2024, 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 Dec 2024
Is it financially stable?
Profitable on care
7.2% operating margin
+10.2 pts vs prior year
Positive margin in 3 of the last 8 reported years. Net income $1.4M after other income.
Does it invest in staff?
Payroll in line with Alabama homes
54.5% payroll share of revenue
AL average 53.9%Rank #46 / 116Payroll % of net patient revenue — State benchmarked This nursing home is ranked 46th 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 $2.5M while revenue rose $4.0M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Alabama homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2015 → 2024Trend | 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. | $19.6M | +$4.0M | Trend 20152024 | AL median $10.5M | Rank in AL Rank #8 / 118Net patient revenue — State benchmarked This nursing home is ranked 8th 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 94% of homes | Top 6% in AL Higher net patient revenue than 94% 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. | $18.1M | +$2.1M | Trend 20152024 | AL median — | Rank in AL Not ranked | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $1.4M | +$1.9M | Trend 20152024 | AL median — | Rank in AL Not ranked | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 7.2% | +10.2 pts | Trend 20152024 | AL median — | Rank in AL Not ranked | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | AL median — | Rank in AL Not ranked | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $1.4M | +$1.5M | Trend — | AL median — | Rank in AL Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Staff spending in line with Alabama homes
| Metric | FY 2024 | vs prior year | Trend 2015 → 2024Trend | AL median | Compared with AL homesRank in AL | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $10.7M | +$2.5M | Trend 20152024 | AL median $5.5M | Rank in AL Rank #6 / 118Payroll costs — State benchmarked This nursing home is ranked 6th 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 96% of homes | Top 4% in AL by size Higher payroll than 96% 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. | 54.5% | +1.7 pts | Trend 20152024 | AL median 52.7% | Rank in AL Rank #46 / 116Payroll % of net patient revenue — State benchmarked This nursing home is ranked 46th 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 61% of homes | Near AL average The AL average is 53.9% of revenue. Within 3 points of it reads as near the average. |
Charts, 2015–2024 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 No report
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 No report
Year-by-year data, 2015–2024 every reported year · latest first, scroll sideways
| Metric | 2015 | 2016 | 2017 | 2018no report | 2019 | 2020 | 2021no report | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $12.7M | $13.3M | $12.2M | $12.1M | $13.4M | $12.6M | $15.5M | $19.6M | ||
| Operating expenses | $12.9M | $13.5M | $12.6M | $11.3M | $13.2M | $18.9M | $16.0M | $18.1M | ||
| Net patient income | −$0.2M | −$0.2M | −$0.4M | $0.8M | $0.2M | −$6.3M | −$0.5M | $1.4M | ||
| Operating margin | −1.2% | −1.4% | −3.4% | 6.5% | 1.7% | −50.0% | −2.9% | 7.2% | ||
| Net income | −$0.1M | −$0.2M | −$0.4M | $0.4M | −$1.0M | −$6.1M | −$0.1M | $1.4M | ||
| Payroll costs | $7.8M | $8.2M | $7.8M | $6.4M | $7.2M | $6.7M | $8.2M | $10.7M | ||
| Payroll share of revenue | 61.2% | 62.1% | 63.9% | 52.4% | 53.5% | 53.4% | 52.8% | 54.5% | ||
| Beds | 198 | 198 | 198 | 198 | 198 | 198 | 198 | 198 | ||
| Gross revenue | $13.4M | $15.7M | $14.5M | $12.5M | $14.3M | $12.6M | $16.8M | $21.1M | ||
| Salaries | $6.7M | $7.1M | $6.8M | $5.5M | $6.3M | $6.7M | $8.2M | $9.2M | ||
| Wage-related costs | $1.1M | $1.2M | $1.0M | $0.8M | $0.9M | — | — | $1.5M | ||
| Contract labor | — | — | — | $0.5M | $0.8M | $2.8M | $0.6M | — | ||
| Other operating costs | $5.1M | $5.2M | $4.8M | $5.0M | $6.0M | $12.2M | $7.8M | $7.5M | ||
| Net patient revenue per day | $209 | $212 | $209 | $230 | $249 | $267 | $291 | $313 | ||
| Cost per day | $211 | $215 | $217 | $215 | $244 | $400 | $300 | $290 | ||
| Average length of stay | 162.9 days | 382.0 days | 618.5 days | 148.4 days | 193.0 days | 147.9 days | 214.1 days | 131.7 days |
Showing 2024–2022 · scroll sideways for 7 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, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
494 admissions · FY2024
Residents admitted during the year.
Medicare
66 · 13%
Medicaid
161 · 33%
Private pay & other
267 · 54%
Resident snapshot
162 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
7 · 4%
Medicaid
113 · 70%
Private pay & other
42 · 26%
Leaving
475 discharges · FY2024
Residents discharged during the year.
Medicare
31 · 7%
Medicaid
172 · 36%
Private pay & other
272 · 57%
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 The Healthcare Center at Buck Creek
1.8 miles from city center
Estimated distance in miles from Alabaster's city center to The Healthcare Center at Buck Creek's address, calculated via Google Maps.
Calculate Travel Distance to The Healthcare Center at Buck Creek
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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.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cleburne County Nursing Home | NH AL | Heflin | 82
Facility
82
AL AVG
118
Rank
#104 / 133 | A |
91.5%
Facility
91.5%
AL AVG
82.1%
Rank
#46 / 110 | +11% | 4.93
Facility
4.93
AL AVG
4.46
Rank
#13 / 122 | -31% | +11% | $0
Facility
$0
AL AVG
$80.5k
Rank
#1 / 123 | 2
Facility
2
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 | ||||
| Diversicare of Oneonta | NH HOS MC SNF | Oneonta | 120
Facility
120
AL AVG
118
Rank
#59 / 133 | C |
87.4%
Facility
87.4%
AL AVG
82.1%
Rank
#35 / 110 | +6% | 3.20
Facility
3.20
AL AVG
4.46
Rank
#120 / 122 | +13% | -28% | $0
Facility
$0
AL AVG
$80.5k
Rank
#1 / 123 | 10
Facility
10
AL AVG
10.2
Rank
#67 / 122 | 3.3
Facility
3.3
AL AVG
3.5
Rank
#61 / 122 | 1 | 105 | A+ |
65
Facility
65
AL AVG
42
Rank
#16 / 124 | - | $10.1MFiscal year ending 06/2025
Facility
$10.1MFiscal year ending 06/2025
AL AVG
$11.8M
Rank
#70 / 118 | $4.3MFiscal year ending 06/2025
Facility
$4.3MFiscal year ending 06/2025
AL AVG
$6.1M
Rank
#85 / 118 | 42.9%Fiscal year ending 06/2025
Facility
42.9%Fiscal year ending 06/2025
AL AVG
53.9%
Rank
#103 / 116 | 015159 | ||||
| The Healthcare Center at Buck Creek | NH HOS MC RC SNF | Nw Alabaster | 198
Facility
198
AL AVG
118
Rank
#11 / 133 | C |
92.1%
Facility
92.1%
AL AVG
82.1%
Rank
#73 / 110 | +12% | 4.00
Facility
4.00
AL AVG
4.46
Rank
#81 / 122 | -24% | -10% | $16.8k
Facility
$16.8k
AL AVG
$80.5k
Rank
#108 / 123 | 13
Facility
13
AL AVG
10.2
Rank
#96 / 122 | 2.6
Facility
2.6
AL AVG
3.5
Rank
#33 / 122 | 2 | 182 | C |
4
Facility
4
AL AVG
42
Rank
#117 / 124 | Rock Hill Acquisition III LLC | $19.6MFiscal year ending 12/2024
Facility
$19.6MFiscal year ending 12/2024
AL AVG
$11.8M
Rank
#8 / 118 | $10.7MFiscal year ending 12/2024
Facility
$10.7MFiscal year ending 12/2024
AL AVG
$6.1M
Rank
#6 / 118 | 54.5%Fiscal year ending 12/2024
Facility
54.5%Fiscal year ending 12/2024
AL AVG
53.9%
Rank
#46 / 116 | 015144 | ||||
| Kirkwood By the River | NH AL CCRC IL MC SNF | Birmingham (Overton) | 46
Facility
46
AL AVG
118
Rank
#127 / 133 | ? | - | - | - | -41% | - | $0
Facility
$0
AL AVG
$80.5k
Rank
#1 / 123 | 8
Facility
8
AL AVG
10.2
Rank
#44 / 122 | 2.7
Facility
2.7
AL AVG
3.5
Rank
#34 / 122 | - | 54 | A+ | - | William Widman | $18.3MFiscal year ending 12/2024
Facility
$18.3MFiscal year ending 12/2024
AL AVG
$11.8M
Rank
#12 / 118 | $7.6MFiscal year ending 12/2024
Facility
$7.6MFiscal year ending 12/2024
AL AVG
$6.1M
Rank
#30 / 118 | 41.7%Fiscal year ending 12/2024
Facility
41.7%Fiscal year ending 12/2024
AL AVG
53.9%
Rank
#108 / 116 | 015457 | ||||
| Regency Retirement Village of Huntsville | NH AL IL MC SNF | Huntsville (Greenhill) | 104
Facility
104
AL AVG
118
Rank
#72 / 133 | D- | - | - | 4.48
Facility
4.48
AL AVG
4.46
Rank
#45 / 122 | -13% | +1% | $16.8k
Facility
$16.8k
AL AVG
$80.5k
Rank
#108 / 123 | 18
Facility
18
AL AVG
10.2
Rank
#110 / 122 | 6.0
Facility
6.0
AL AVG
3.5
Rank
#112 / 122 | 3 | 81 | - |
44
Facility
44
AL AVG
42
Rank
#68 / 124 | Huntsville Senior Services LLC | $18.7MFiscal year ending 12/2024
Facility
$18.7MFiscal year ending 12/2024
AL AVG
$11.8M
Rank
#10 / 118 | $9.8MFiscal year ending 12/2024
Facility
$9.8MFiscal year ending 12/2024
AL AVG
$6.1M
Rank
#12 / 118 | 52.3%Fiscal year ending 12/2024
Facility
52.3%Fiscal year ending 12/2024
AL AVG
53.9%
Rank
#62 / 116 | 015372 |
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
Frequently Asked Questions about The Healthcare Center at Buck Creek
Is The Healthcare Center at Buck Creek in a walkable area?
The Healthcare Center at Buck Creek has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the occupancy rate at The Healthcare Center at Buck Creek?
The Healthcare Center at Buck Creek's occupancy is 92.1%.
Are pets allowed at The Healthcare Center at Buck Creek?
No, The Healthcare Center at Buck Creek has a no-pet policy.
What is the best email address for The Healthcare Center at Buck Creek?
The team at The Healthcare Center at Buck Creek can be reached at ealvarado@seniorlivingsmart.com.
Does The Healthcare Center at Buck Creek operate as a for-profit or non-profit?
The Healthcare Center at Buck Creek is registered as a for-profit in AL.
Who is the administrator of The Healthcare Center at Buck Creek?
Antonio Alonso is the administrator of The Healthcare Center at Buck Creek.
What is the overall rating for The Healthcare Center at Buck Creek?
The Healthcare Center at Buck Creek received a 3-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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