Total health inspections
1
Alabama average 2.9
Last Health inspection on Feb 2018
Washington County Nursing Home
Nursing Home, Adult Day Care & Respite Care · Alabama, AL
CMS overall rating
5/5
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.
5/5
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.
Washington County Nursing Home
Nursing Home, Adult Day Care & Respite Care · Alabama, AL
CMS overall rating
5/5
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.
5/5
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.
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Washington County Nursing Home is an 88-bed long-term care facility and county-operated governmental institution at 14600 St. Stephens Avenue in Chatom, Alabama, in Washington County. It’s administered by Teresa Grimes and functions as an integral part of Washington County Hospital, which has served the community since 1953. It accepts Medicare and Medicaid, and the current resident census (January 2026) shows 80 residents, with Medicaid covering 83.8 percent and private pay or other sources covering the rest.
The facility scored an overall 5-star rating by CMS, with every rating dimension above the Alabama average, the only facility in this review batch to achieve that across all four components. The overall score is 71.8 percent above the Alabama average, health inspection performance is 74.8 percent above average, staffing is 38.9 percent above average, and quality measures are 69.5 percent above average. The inspection record is extraordinary. Across three surveys over eight years: February 2018, February 2019, and June 2021, the facility accumulated just one total citation, placing it first out of 121 Alabama SNFs on both total citations and per-inspection citation rate. That single citation was a moderate Abuse/Neglect finding from the February 2018 survey, corrected promptly. No critical or serious citations have been issued, with no fines or penalties in the past three years. Quality measure performance for long-stay residents is similarly strong across most dimensions. Hospitalizations run at 0.94 per 1,000 resident days, 53 percent below the Alabama average of 2.00, indicating that chronic conditions are being managed proactively. ADL decline (9.4 percent vs Alabama average 13.9 percent) and walking ability decline (9.6 percent vs 16.1 percent) are both substantially better than state benchmarks, as are pressure ulcer (2.7 percent vs 5.9 percent) and UTI rates (2.3 percent vs 2.7 percent). Both pneumococcal and influenza vaccination rates reach 100 percent for long-stay residents. The composite high-risk clinical events score of 7.1 is 20 percent better than the Alabama average. Three areas warrant monitoring: weight loss at 9.6 percent (78 percent above Alabama average 5.4 percent), bowel/bladder incontinence at 21.7 percent (59 percent above average 13.6 percent), and falls with major injury at 4.4 percent (29 percent above average 3.4 percent). Given these figures, families of long-stay residents should ask specifically about fall prevention protocols and nutritional monitoring. Staffing is above average in total nursing hours, 4 hours 52 minutes per resident per day, 11 percent above the Alabama average, ranking 25th of 121 statewide. LPN hours stand out at 57 minutes per day, 21 percent above the state average. Weekend total nursing of 3 hours 34 minutes is 8 percent above average. One gap needs attention: weekend RN coverage at 8 minutes per day is 64 percent below the Alabama average of 22 minutes, the lowest weekend RN figure in this batch. Q2 2025 payroll data shows 103 total staff: 99 employees, 4 contractors (1.7 percent of hours) with 8.4 hours average shift. The 1.29:1 staff-to-resident ratio is below the Alabama average headcount ratio, though the nursing hours benchmarks remain above average, reflecting longer average shifts.
The campus’ specialty clinic access is a meaningful differentiator for a rural county-operated facility. On-site or affiliated services include cardiology, orthopaedics, pulmonary, radiology, vascular associates, a lab, a swing bed program, and the WCHNH Heritage Adult Day Haven, extending the facility’s services to day care for community members. Millry Family Care provides primary care access within the network.
Washington County Nursing Home is an exceptional option for Washington County and surrounding rural Alabama communities seeking a county-governed, 5-star rated facility. Its inspection record stands among the cleanest in the state, with quality results reflecting resident health outcomes instead of mere regulatory compliance. The RN weekend gap and the weight loss and incontinence metrics are the only material concerns in an otherwise highly favorable profile, though families of long-stay residents must ask about fall prevention protocols and nutritional monitoring.
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 28th out of 136 homes in Alabama for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 28th out of 136 homes in Alabama for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 52m per day
Rank #28 / 136Nurse hours — State benchmarkedThis home is ranked 28th out of 136 homes in Alabama. Shows adjusted nurse hours per resident per day benchmarked to the Alabama average, with a ranking across 136 Alabama facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Alabama avg
+11%
Standout metric
LPN / LVN is +23% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 40m per day | ▲ 5% 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.
| 58m per day | ▲ 23% 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 45m per day | ▲ 10% State avg: 2h 30m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 39m per day | ▲ 11% State avg: 3h 17m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ■ Avg State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 8m per day | ▼ 62% State avg: 22m per day · National avg: 28m per day |
88-bed community Rank #111 / 245Bed count — State benchmarkedThis home is ranked 111th out of 245 homes in Alabama. 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.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 37 / 100 Rank #203 / 418Walk Score — State benchmarkedThis home is ranked 203rd out of 418 homes in Alabama. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Alabama facilities. Higher scores benefit residents, families, and staff.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeNursing Home
StatusRegular
CountyWashington
Washington County Nursing Home is administrated by Teresa Grimes.
Profit StatusCounty
Rehabilitation Services
Specific ProgramsCardiology, Millry Family Care, Orthopaedics, Pulmonary, Radiology, Swing Bed, Lab, Vascular Associates, WCHNH Heritage Adult Day Haven
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.
Since 2018 · 8 years of data
1 deficiency
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Alabama state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2018 vs. Alabama state average
Overall vs. AL average
0 Worse
No metrics in this bucket.
2 Better
Metrics better than Alabama average:
• Total deficiencies (94% below)
• Deficiencies per year (95% below)
• Total deficiencies (94% below)
• Deficiencies per year (95% below)
Latest Inspection
June 10, 2021
Other An inspection that falls outside standard annual surveys and formal complaint investigations. May include administrative compliance checks, documentation reviews, focused surveys on specific concerns, or revisit surveys to verify prior corrections.
Deficiencies
| This Facility | AL Average | vs. AL Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 1 | 17 | This facility has 94% fewer total deficiencies than a typical Alabama nursing home (1 vs. AL avg 17).↓ 94% better |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 0.1 | 2.1 | This facility has 95% fewer deficiencies per year than a typical Alabama nursing home (0.1 vs. AL avg 2.1).↓ 95% better |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
- The most recent inspection on June 10, 2021 found no health deficiencies and no complaints were filed.
- The February 15, 2018 complaint investigation substantiated a failure to timely report suspected resident abuse to the State Survey Agency.
- The February 28, 2019 annual inspection found no health deficiencies and no complaints were noted.
Health Inspection History
Inspections
Total health citations
1
Rank #1 / 136Health citations — State benchmarkedThis home is ranked 1st out of 136 homes in Alabama. Shows this facility's total health deficiency citations benchmarked to the Alabama State average, with a ranking across all 136 AL facilities. Lower citation counts earn a better rank.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Alabama average 10.4
Citations per inspection
1
Rank #1 / 136Citations per inspection — State benchmarkedThis home is ranked 1st out of 136 homes in Alabama. Shows average deficiency citations per CMS inspection for this facility versus the Alabama mean across 136 facilities with citation data. Lower is better.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Alabama average 3.46
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 1 citation resulted from standard inspections.
Breakdown of citation severity (last 8 years)
Critical health citations
0
100% better than Alabama averageAlabama average: 0.7
Serious health citations
0
100% better than Alabama averageAlabama average: 0.2
Citations history (last 8 years)
Abuse/Neglect moderate citation
Feb 15, 2018
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
112
Employees
109
Contractors
3
Staff to resident ratio
1.40 : 1
10% fewer staff per resident than Alabama average
Avg staff/day
44
Average shift
8.4 hours
6% better than Alabama average
Total staff hours (quarter)
34,112
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
All 11 RN Staff are full-time employees. No contractors work on this role.
11
All 11 RN Staff are full-time employees. No contractors work on this role.
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 18 LPN Staff are full-time employees. No contractors work on this role.
18
All 18 LPN Staff are full-time employees. No contractors work on this role.
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
64 total: 63 full-time employees and 1 contractor.
64
64 total: 63 full-time employees and 1 contractor.
64
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0.7%
235 contractor hours this quarter
Certified Nursing Assistant: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 63 | 1 | 64 | 19,650 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 18 | 0 | 18 | 6,866 | 92 | 100% | 9.2 |
| Registered Nurse | 11 | 0 | 11 | 3,189 | 92 | 100% | 7.7 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,445 | 92 | 100% | 7.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,020 | 67 | 73% | 8.1 |
| Administrator | 1 | 0 | 1 | 642 | 72 | 78% | 8.9 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 68 | 74% | 7.5 |
| Medical Director | 1 | 0 | 1 | 269 | 77 | 84% | 3.5 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 235 | 34 | 37% | 6.7 |
| Qualified Social Worker | 2 | 0 | 2 | 89 | 33 | 36% | 2.7 |
| Physical Therapy Aide | 1 | 0 | 1 | 69 | 52 | 57% | 1.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 57 | 9 | 10% | 6.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 30 | 7 | 8% | 4.3 |
| Speech Language Pathologist | 2 | 0 | 2 | 29 | 20 | 22% | 1.3 |
| Physical Therapy Assistant | 1 | 0 | 1 | 10 | 5 | 5% | 2 |
64 Certified Nursing Assistant
% of Days
100%
18 Licensed Practical Nurse
% of Days
100%
11 Registered Nurse
% of Days
100%
4 Other Dietary Services Staff
% of Days
100%
2 Clinical Nurse Specialist
% of Days
73%
1 Administrator
% of Days
78%
1 Nurse Practitioner
% of Days
74%
1 Medical Director
% of Days
84%
2 Respiratory Therapy Technician
% of Days
37%
2 Qualified Social Worker
% of Days
36%
1 Physical Therapy Aide
% of Days
57%
1 Occupational Therapy Aide
% of Days
10%
1 Occupational Therapy Assistant
% of Days
8%
2 Speech Language Pathologist
% of Days
22%
1 Physical Therapy Assistant
% of Days
5%
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.1
20% better than Alabama averageAlabama average: 8.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.6
6% 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
9.4%
Percent of long-stay residents whose need for help with daily activities has increased
9.4%
32% better than Alabama averageAlabama average: 13.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
9.6%
Percent of long-stay residents whose ability to move independently worsened
9.6%
40% 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
21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.7%
59% worse than Alabama averageAlabama average: 13.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
29% worse than Alabama averageAlabama average: 3.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.7%
Percent of long-stay high risk residents with pressure ulcers
2.7%
55% better than Alabama averageAlabama average: 5.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.3%
Percent of long-stay residents with a urinary tract infection
2.3%
14% better than Alabama averageAlabama average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.6%
Percent of long-stay residents who lose too much weight
9.6%
78% worse than Alabama averageAlabama average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.1%
Percent of long-stay residents who have depressive symptoms
1.1%
13% better than Alabama averageAlabama average: 1.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.9%
Percent of long-stay residents who received an antipsychotic medication
16.9%
18% better than Alabama averageAlabama average: 20.7%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Alabama averageAlabama average: 91.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Alabama averageAlabama average: 94.8%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.94
Number of hospitalizations per 1,000 long-stay resident days.
0.94
53% better than Alabama averageAlabama average: 2.00
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.22
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.22
24% worse than Alabama averageAlabama average: 1.79
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
14% better than Alabama averageAlabama average: 83.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
80
Medicaid
67
83.8% of residents
Private pay or other
13
16.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Places of interest near Washington County Nursing Home
0.0 miles from city center
Estimated distance in miles from Chatom's city center to Washington County Nursing Home's address, calculated via Google Maps.
Calculate Travel Distance to Washington County Nursing Home
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Financial Assistance for
Nursing Home in Alabama
Washington County Nursing Home is located in Chatom, Alabama.
Here are the financial assistance programs available to residents in Alabama.
Frequently Asked Questions about Washington County Nursing Home
Is Washington County Nursing Home in a walkable area?
Washington County Nursing Home has a walk score of 37. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Who is the administrator of Washington County Nursing Home?
Teresa Grimes is the administrator of Washington County Nursing Home.
How many beds does Washington County Nursing Home have?
Washington County Nursing Home has 88 beds.
Are there photos of Washington County Nursing Home?
Yes — there is 1 photo of Washington County Nursing Home in the photo gallery on this page.
What is the address of Washington County Nursing Home?
Washington County Nursing Home is located at 14600 St. Stephens Avenue, PO Box 1299.
What is the phone number of Washington County Nursing Home?
(251) 847-2223 will put you in contact with the team at Washington County Nursing Home.
What county is Washington County Nursing Home located in?
Washington County Nursing Home is in Washington County.
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