Show Inspection Reports
Total health inspections
3
Alabama average 2.9
Last Health inspection on Dec 2023
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.
Village at Cook Springs Skilled Nursing Facility
Nursing Home in Alabama
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Village at Cook Springs Skilled Nursing Facility
Nursing Home in Alabama
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Village at Cook Springs Skilled Nursing Facility accepts Medicare, Medicaid, and private pay.
Village at Cook Springs Skilled Nursing Facility is located in Pell City, Alabama, offering a range of services including rehabilitation, skilled nursing, memory care, and assisted living. The facility is set on a scenic 200-acre campus, providing a peaceful environment with various amenities and activities. Residents can enjoy a maintenance-free lifestyle with access to personalized care and support.
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 33rd out of 118 homes in Alabama.
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 33rd out of 118 homes in Alabama.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 41m per day
Rank #33 / 118Nurse hours — state benchmarkedThis home is ranked 33rd out of 118 homes in Alabama.Shows adjusted nurse hours per resident per day benchmarked to the Alabama average, with a ranking across 118 Alabama SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Alabama avg
+7%
Standout metric
Nurse Aide is +9% above state avg
| Staff type | Hours / day | 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.
| 32m per day | ▼ 16% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 42m per day | ▼ 11% State avg: 47m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 43m per day | ▲ 9% State avg: 2h 30m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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 17m per day | ■ Avg State avg: 3h 17m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 16m per day | ▼ 27% State avg: 22m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
73.8%
Rank #84 / 118Occupancy rate — state benchmarkedThis home is ranked 84th out of 118 homes in Alabama.Shows this facility's occupancy rate versus the Alabama average, with its statewide rank out of 118. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
128 days
Occupancy rate
73.8%
Rank #84 / 118Occupancy rate — state benchmarkedThis home is ranked 84th out of 118 homes in Alabama.Shows this facility's occupancy rate versus the Alabama average, with its statewide rank out of 118. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
128 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
23% of new residents, usually for short-term rehab.
Typical stay
18 days
Private pay
47% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
30% of new residents, often for long-term daily care.
Typical stay
9 - 10 months
Finances and operations
Voluntary non-profit community
Home revenue
$14.7M
Surplus of revenue
$958.4K
Voluntary non-profit community
Home revenue
$14.7M Rank #29 / 117Revenue — state benchmarkedThis home is ranked 29th out of 117 homes in Alabama.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 %.
Surplus of revenue
$958.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #24 / 117Payroll — state benchmarkedThis home is ranked 24th out of 117 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.
$6.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #24 / 117Payroll — state benchmarkedThis home is ranked 24th out of 117 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$13.6M
168-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
About this community
Facility TypeNursing Home
StatusRegular
CountySt. Clair
CMS Certification Number015195
Village at Cook Springs Skilled Nursing Facility is administrated by Randolph Pickell.
Profit StatusLimited Liability Company
Accept Medicare
Rehabilitation Services
Respite Care
24-Hour Staffing
Rural
Country Living On 200+ Acres With Walking Trails And Serene Views
Full Calendar Of Social
Cultural And Educational Events
Flexible Dining Options
Chapel With Daily Services
Library
Beauty/Barbershop
Public Wi-Fi Available
Specific ProgramsLong Term Care, Apartments Homes, All Inclusive Independent Living Suites
Religious ServicesYes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
In Alabama, the Department of Public Health, Bureau of Health Provider Standards conducts unannounced surveys to ensure facilities meet state licensing and federal certification safety standards.
Alabama average: 1 complaint visit
Alabama average: 1 inspection
Health Inspection History
Inspections
Total health citations
12
Rank #78 / 118Health citations — state benchmarkedThis home is ranked 78th out of 118 homes in Alabama.Shows this facility's total health deficiency citations benchmarked to the Alabama state average, with a ranking across all 118 AL SNFs. Lower citation counts earn a better rank.
Alabama average 10.4
Citations per inspection
4
Rank #79 / 118Citations per inspection — state benchmarkedThis home is ranked 79th out of 118 homes in Alabama.Shows average deficiency citations per CMS inspection for this facility versus the Alabama mean across 118 SNFs with citation data. Lower is better.
Alabama average 3.46
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
10 of 12 citations resulted from standard inspections; and 2 of 12 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
3
329% worse than Alabama averageAlabama average: 0.7
Serious Health citations
0
0
100% better than Alabama averageAlabama average: 0.2
3 critical citations
0 serious citations
9 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 20, 2023
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 20, 2023
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 20, 2023
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 20, 2023
Corrected
Abuse/Neglect critical citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 28, 2019
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 28, 2019
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 28, 2019
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 28, 2019
Corrected
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.
Financial Assistance for
Nursing Home in Alabama
Village at Cook Springs Skilled Nursing Facility is located in Pell City, Alabama.
Here are the financial assistance programs available to residents in Alabama.
Places of interest near Village at Cook Springs Skilled Nursing Facility
97.5 miles from city center
Estimated distance in miles from Pell City's city center to Village at Cook Springs Skilled Nursing Facility's address, calculated via Google Maps.
Calculate Travel Distance to Village at Cook Springs Skilled Nursing Facility
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
196
Employees
164
Contractors
32
Staff to resident ratio
2.15:1
37% better than Alabama averageAlabama average ratio: 1.57:1
Avg staff/day
63
Average shift
8.7 hours
10% better than Alabama averageAlabama average: 7.9 hours
Total staff hours (quarter)
49,992
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
18
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 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
94
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
4.4%
2,175 contractor hours this quarter
Speech Language Pathologist: 12
Respiratory Therapy Technician: 8
Qualified Social Worker: 4
Physical Therapy Aide: 3
Physical Therapy Assistant: 1
Medical Director: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Diagnostic X-ray Services Staff: 1
Staff by category
| Certified Nursing Assistant | 94 | 0 | 94 | 29,494 | 91 | 100% | 9.3 |
| Licensed Practical Nurse | 18 | 0 | 18 | 6,268 | 91 | 100% | 10.3 |
| Registered Nurse | 21 | 0 | 21 | 5,452 | 91 | 100% | 8.9 |
| Nurse Aide in Training | 21 | 0 | 21 | 2,996 | 71 | 78% | 6.6 |
| RN Director of Nursing | 3 | 0 | 3 | 1,527 | 66 | 73% | 8.7 |
| Speech Language Pathologist | 0 | 12 | 12 | 679 | 74 | 81% | 5.8 |
| Administrator | 1 | 0 | 1 | 516 | 65 | 71% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 494 | 63 | 69% | 7.8 |
| Physical Therapy Aide | 0 | 3 | 3 | 420 | 62 | 68% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 419 | 53 | 58% | 7.9 |
| Qualified Social Worker | 0 | 4 | 4 | 351 | 58 | 64% | 5.5 |
| Physical Therapy Assistant | 0 | 1 | 1 | 292 | 69 | 76% | 4.2 |
| Respiratory Therapy Technician | 0 | 8 | 8 | 167 | 56 | 62% | 2.7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 156 | 21 | 23% | 7.4 |
| Medical Director | 0 | 1 | 1 | 96 | 12 | 13% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 88 | 11 | 12% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 58 | 12 | 13% | 4.8 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
94 Certified Nursing Assistant
% of Days
100%
18 Licensed Practical Nurse
% of Days
100%
21 Registered Nurse
% of Days
100%
21 Nurse Aide in Training
% of Days
78%
3 RN Director of Nursing
% of Days
73%
12 Speech Language Pathologist
% of Days
81%
1 Administrator
% of Days
71%
1 Mental Health Service Worker
% of Days
68%
1 Dietitian
% of Days
69%
3 Physical Therapy Aide
% of Days
68%
1 Nurse Practitioner
% of Days
58%
4 Qualified Social Worker
% of Days
64%
1 Physical Therapy Assistant
% of Days
76%
8 Respiratory Therapy Technician
% of Days
62%
3 Clinical Nurse Specialist
% of Days
23%
1 Medical Director
% of Days
13%
1 Occupational Therapy Aide
% of Days
12%
1 Occupational Therapy Assistant
% of Days
13%
1 Diagnostic X-ray Services Staff
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
91
Medicaid
56
61.5% of residents
Private pay or other
35
38.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
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.
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.
8.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.4
6% 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.
11.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.9
18% better than Alabama averageAlabama average: 14.5
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
11.5%
Percent of long-stay residents whose need for help with daily activities has increased
11.5%
17% better than Alabama averageAlabama average: 13.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
14.6%
Percent of long-stay residents whose ability to move independently worsened
14.6%
9% 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
9.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
9.7%
29% better than Alabama averageAlabama average: 13.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
27% worse than Alabama averageAlabama average: 3.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.5%
Percent of long-stay high risk residents with pressure ulcers
5.5%
7% better than Alabama averageAlabama average: 5.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
5.7%
Percent of long-stay residents with a urinary tract infection
5.7%
109% worse than Alabama averageAlabama average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.0%
Percent of long-stay residents who lose too much weight
6.0%
12% worse than Alabama averageAlabama average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.8%
Percent of long-stay residents who have depressive symptoms
0.8%
33% better than Alabama averageAlabama average: 1.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
22.8%
Percent of long-stay residents who received an antipsychotic medication
22.8%
10% worse 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%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.96
Number of hospitalizations per 1,000 long-stay resident days.
1.96
In line with Alabama averageAlabama average: 2.00
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.98
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.98
11% worse than Alabama averageAlabama average: 1.79
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
19% better than Alabama averageAlabama average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
67% worse than Alabama averageAlabama average: 2.1%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
19% better than Alabama averageAlabama average: 80.3%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.4%
12% worse than Alabama averageAlabama average: 24.5%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
11.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.9%
In line with Alabama averageAlabama average: 11.5%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Alabama averageAlabama average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
51.0%
Percentage of residents at or above expected ability to care for themselves at discharge.
51.0%
5% worse than Alabama averageAlabama average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
50.9%
Rate of successful return to home or community from a skilled nursing facility.
50.9%
In line with Alabama averageAlabama average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Compare Nursing Homes around Alabama The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.
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| Village at Cook Springs Skilled Nursing Facility |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Financial Trends
Historical financial and operational data for Village at Cook Springs Skilled Nursing Facility based on CMS SNF Cost Reports.
Occupancy Rate
73.8%
↑ 9.9pp vs 2023
Net Income
$958.4K
↑ ~$39.3K vs 2023
Total Payroll
$7.4M
↑ ~$1.8M vs 2023
Profit Margin
6.6%
↓ 0.5pp vs 2023
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