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Washington County Nursing Home
Washington County Nursing Home provides nursing home, adult day care, respite care, and skilled nursing in Chatom, AL. Nursing home care supports residents who need ongoing assistance and nursing oversight, while skilled nursing provides licensed nursing care on site around the clock. Adult day care offers care during the day, and respite care supports a short term stay when a usual caregiver needs time away. This mix may suit families whose care needs vary by setting or length of stay.
Washington County Nursing Home opened in 1975 and has 88 beds. Total nurse staffing is 4 hours and 59 minutes per resident per day, representing the amount of nursing time allocated to each resident across a day. Teresa Grimes serves as the administrator.
Rehabilitation services are available, allowing a resident to receive rehab within the same care setting. The facility’s listed programs include cardiology, Millry Family Care, orthopaedics, pulmonary, radiology, swing bed, lab, Vascular Associates, and WCHNH Heritage Adult Day Haven.
Community insights.
About this community
Washington County Nursing Home is administered by Teresa Grimes.
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
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.
Includes all inspection records for this property, which could include management/ownership changes. 1 deficiency 3 inspections
Inspection Scorecard
This scorecard compares key inspection, deficiency, 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• Total deficiencies (93% below)
• Deficiencies per inspection (93% below)
Deficiencies
| This Facility | AL Average | vs. AL Avg |
|---|---|---|---|
|
Total deficiencies
| 1 | 15 | This facility has 93% fewer total deficiencies than a typical Alabama nursing home (1 vs. AL avg 15).↓ 93% better |
|
Deficiencies per inspection
| 0.3 | 4.47 | This facility has 93% fewer deficiencies per inspection than a typical Alabama nursing home (0.3 vs. AL avg 4.47).↓ 93% better |
Inspections
| This Facility | AL Average | vs. AL Avg |
|---|---|---|---|
|
Total inspections
| 3 | 1 | This facility has had 200% more total inspections than the Alabama average (3 vs. AL avg 1). More inspections can mean more regulatory scrutiny rather than worse care.↑ 200% more |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Inspections
Includes all CMS health inspection records for this property, which could include management/ownership changes.
State average 2.8
Last Health inspection on Feb 2018
State average 10.2
State average 3.51
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)
State average: 0.6
State average: 0.1
Citations history (last 8 years)
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31Registered Nurse
Manages medical care and health needs.
Licensed Practical Nurse
Assists with medical care and medications.
Certified Nursing Assistant
Helps with daily care and mobility.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31Total hours from contractors
235 contractor hours this quarter
Staff by category
Q4 2025 · Oct 1 – Dec 31| 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
18 Licensed Practical Nurse
11 Registered Nurse
4 Other Dietary Services Staff
2 Clinical Nurse Specialist
1 Administrator
1 Nurse Practitioner
1 Medical Director
2 Respiratory Therapy Technician
2 Qualified Social Worker
1 Physical Therapy Aide
1 Occupational Therapy Aide
1 Occupational Therapy Assistant
2 Speech Language Pathologist
1 Physical Therapy Assistant
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.
Long-stay resident measures
Short-stay resident measures
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
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.
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.
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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
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.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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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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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: 53.1% 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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Albertville Nursing Home | NH RC SNF | North Albertville | 159
Facility
159
AL AVG
117
Rank
#22 / 135 |
96.5%
Facility
96.5%
AL AVG
81.3%
Rank
#6 / 104 | +19% | 5.28
Facility
5.28
AL AVG
4.37
Rank
#13 / 125 | -21% | +21% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 125 | 9
Facility
9
AL AVG
10.4
Rank
#52 / 124 | 3.0
Facility
3.0
AL AVG
3.5
Rank
#46 / 124 | - | 154 | - |
66
Facility
66
AL AVG
42
Rank
#14 / 126 | Terri Brown | $18.0MFiscal year ending 06/2024
Facility
$18.0MFiscal year ending 06/2024
AL AVG
$11.3M
Rank
#9 / 108 | $10.6MFiscal year ending 06/2024
Facility
$10.6MFiscal year ending 06/2024
AL AVG
$5.7M
Rank
#3 / 108 | 58.9%Fiscal year ending 06/2024
Facility
58.9%Fiscal year ending 06/2024
AL AVG
53.1%
Rank
#21 / 107 | 15163 | ||||
| Southern Springs Healthcare | NH SNF | Union Springs | 123
Facility
123
AL AVG
117
Rank
#55 / 135 |
86.2%
Facility
86.2%
AL AVG
81.3%
Rank
#55 / 104 | +6% | 4.70
Facility
4.70
AL AVG
4.37
Rank
#35 / 125 | -46% | +7% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 125 | 7
Facility
7
AL AVG
10.4
Rank
#37 / 124 | 2.3
Facility
2.3
AL AVG
3.5
Rank
#25 / 124 | - | 106 | - |
61
Facility
61
AL AVG
42
Rank
#29 / 126 | Estate Of Milton E. Mcgregor | $10.2MFiscal year ending 06/2024
Facility
$10.2MFiscal year ending 06/2024
AL AVG
$11.3M
Rank
#56 / 108 | $7.1MFiscal year ending 06/2024
Facility
$7.1MFiscal year ending 06/2024
AL AVG
$5.7M
Rank
#27 / 108 | 69.9%Fiscal year ending 06/2024
Facility
69.9%Fiscal year ending 06/2024
AL AVG
53.1%
Rank
#5 / 107 | 15171 | ||||
| Palm Gardens Health and Rehabilitation, LLC | NH PC SNF | Mobile (South Crichton) | 100
Facility
100
AL AVG
117
Rank
#80 / 135 |
89.8%
Facility
89.8%
AL AVG
81.3%
Rank
#36 / 104 | +10% | 4.27
Facility
4.27
AL AVG
4.37
Rank
#67 / 125 | +40% | -2% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 125 | 4
Facility
4
AL AVG
10.4
Rank
#15 / 124 | 4.0
Facility
4.0
AL AVG
3.5
Rank
#87 / 124 | - | 90 | - |
46
Facility
46
AL AVG
42
Rank
#62 / 126 | Jeanne Freeman | $10.6MFiscal year ending 06/2024
Facility
$10.6MFiscal year ending 06/2024
AL AVG
$11.3M
Rank
#50 / 108 | $5.4MFiscal year ending 06/2024
Facility
$5.4MFiscal year ending 06/2024
AL AVG
$5.7M
Rank
#49 / 108 | 50.9%Fiscal year ending 06/2024
Facility
50.9%Fiscal year ending 06/2024
AL AVG
53.1%
Rank
#53 / 107 | 15403 | ||||
| Crossville Health and Rehabilitation, LLC | NH PC SNF | North Crossville (Crossville) | 143
Facility
143
AL AVG
117
Rank
#36 / 135 |
95.0%
Facility
95.0%
AL AVG
81.3%
Rank
#9 / 104 | +17% | 4.51
Facility
4.51
AL AVG
4.37
Rank
#47 / 125 | +16% | +3% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 125 | 13
Facility
13
AL AVG
10.4
Rank
#92 / 124 | 3.3
Facility
3.3
AL AVG
3.5
Rank
#61 / 124 | - | 136 | - |
45
Facility
45
AL AVG
42
Rank
#68 / 126 | Heather Blackburn | $12.9MFiscal year ending 06/2024
Facility
$12.9MFiscal year ending 06/2024
AL AVG
$11.3M
Rank
#36 / 108 | $6.4MFiscal year ending 06/2024
Facility
$6.4MFiscal year ending 06/2024
AL AVG
$5.7M
Rank
#37 / 108 | 49.6%Fiscal year ending 06/2024
Facility
49.6%Fiscal year ending 06/2024
AL AVG
53.1%
Rank
#63 / 107 | 15176 | ||||
| Washington County Nursing Home | NH ADC RC SNF | Chatom | 88
Facility
88
AL AVG
117
Rank
#96 / 135 |
86.1%
Facility
86.1%
AL AVG
81.3%
Rank
#56 / 104 | +6% | 4.98
Facility
4.98
AL AVG
4.37
Rank
#23 / 125 | -4% | +14% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 125 | 1
Facility
1
AL AVG
10.4
Rank
#1 / 124 | 1.0
Facility
1.0
AL AVG
3.5
Rank
#1 / 124 | - | 76 | - |
37
Facility
37
AL AVG
42
Rank
#77 / 126 | - | - | - | - | 15123 |
Rank badges are statewide: each nursing home is ranked against every 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 Washington County Nursing Home
Is Washington County Nursing Home in a walkable area?
Washington County Nursing Home has a walk score of 37. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
What is the occupancy rate at Washington County Nursing Home?
Washington County Nursing Home's occupancy is 86.1%.
Are pets allowed at Washington County Nursing Home?
No, Washington County Nursing Home has a no-pet policy.
Is Washington County Nursing Home a government-operated facility?
Washington County Nursing Home is a government-operated nursing facility in AL.
Who is the administrator of Washington County Nursing Home?
Teresa Grimes is the administrator of Washington County Nursing Home.
What is the overall rating for Washington County Nursing Home?
Washington County Nursing Home received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
How many beds does Washington County Nursing Home have?
Washington County Nursing Home has 88 beds.
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