Home / Alabama / Alexander City
Adams Rehabilitation and Healthcare Center
1555 Hillabee Street, Alexander City, AL 35010 · Tallapoosa County · (256) 329-0847
88 certified beds, about 71 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1984
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015386 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 3, 2021, inspectors cited 1 health deficiency (the Alabama average is 4, the national average 9.2).
None of its 4 health citations since February 2018 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.13 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.
48.1% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Venza Care Management, an affiliated group of 26 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
302/18
002/19
106/21
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 4 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
0E
0F
Potential for minimal harm
0A
0B
0C
June 3, 2021Standard inspection · 1 citation
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview, review of Resident Identifier (RI) #39's medical record and the facility's policy, the facility failed to ensure the estimated cost to continue to receive physical therapy services was listed on the Advance Beneficiary Notice of Noncoverage (ABN) for RI #39; one of three residents reviewed for beneficiary notices.
February 28, 2019Standard inspection · 0 citations
February 8, 2018Standard inspection · 3 citations
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview and review of a facility policy titled, Diabetes - Insulin Injections, the facility failed to ensure Resident Identifier (RI) #19's vial of insulin contained an opened date on the vial and box containing RI #19's insulin. This deficient practice affected RI #19, one of 15 sampled residents. Findings Include: A review of a facility policy titled, Diabetes - Insulin Injections with a Revised date of 02.01.15, revealed: .Procedure A. Procedure to prepare the insulin for an injection. .4. When opening new vial of insulin - the date opened should be documented on the vial and the box with an indelible pen. 5. Open vials of insulin should be replaced within 28 days of being opened, or according to manufacturer's guidelines whichever comes first. [...]
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview, record reviews and review of a facility policy titled, ALABAMA Advance Directives - Do Not Resuscitate Orders - DNR, the facility failed to ensure DNR - Do Not Resuscitate Consent forms were completed for Resident Identifier (RI) #12, RI #36, and RI #49. This deficient practice affected RI #12, RI #36 and RI #49, three of four residents sampled with Do Not Resuscitate orders. Findings Include: A review of a facility policy titled, ALABAMA Advance Directives - Do Not Resuscitate Orders - DNR with a Revised date 04/01/03, revealed: .1. The Attending Physician determines, to a reasonable degree of medical certainty, that (a) the resident is unable to understand, appreciate, and direct his or her medical treatment, and (b) the resident has no hope of regaining such ability; 2. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews and review of facility policies titled, Standard Precautions, Personal Protective Equipment - Gloves Usage, Handwashing - Hand Hygiene and Catheter - Care - Suprapubic, the facility failed to ensure: 1. Licensed Practical Nurse (LPN) cleaned her stethoscope and pulse oximeter after obtaining vital signs for RI #19, 2. an LPN washed her hands after removing her gloves when cleaning RI #30's glucometer and putting on a clean pair of gloves, 3. an LPN did not touch the paper towel dispenser handle after washing her hands and prior to applying clean gloves during administration of RI #49's medications via gastrostomy tube and and LPN cleaned a stethoscope before and/or after using the stethoscope to auscultate RI #49's gastrostomy tube placement, and 4. [...]
Fire safety inspections
10 fire safety citations on file: 4 on February 28, 2019, 6 on February 8, 2018.
Every fire safety citation10 citations
- E Have properly located and lighted "Exit" signs.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- D Install corridor and hallway doors that block smoke.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- D Have exits that are accessible at all times.
- D Ensure proper usage of power strips and extension cords.
- C Develop Emergency Preparedness policies and procedures.
- C Establish emergency prep training and testing.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Alabama | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.13 | 3.88 | 3.86 |
| Registered nurses | 0.79 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.59 | 3.26 | 3.42 |
| Nurse aides | 2.63 | ||
| Licensed practical nurses | 0.71 | ||
| Nursing staff turnover (share who left in a year) | 48.1% | 46.9% | 45.8% |
| Registered nurse turnover | 16.7% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.53 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.35 on weekdays and 3.59 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.02 in April to June 2025 to 4.13 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.13 | 0.79 | 4.35 | 3.59 | 0.9% | 0 of 90 | 71 |
| Oct to Dec 2025 | 4.25 | 0.95 | 4.51 | 3.57 | 5.2% | 0 of 92 | 67 |
| Jul to Sep 2025 | 4.25 | 0.91 | 4.51 | 3.59 | 4.2% | 0 of 92 | 68 |
| Apr to Jun 2025 | 4.02 | 0.88 | 4.26 | 3.43 | 2.8% | 0 of 91 | 64 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Alabama, Jan to Mar 2026 | 3.88 | 0.63 | 4.13 | 3.27 | 0.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Alabama | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 11.5 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.1 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.4 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.9 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.4 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.5 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.8 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.6 | 1.7 | 1.8 |
Owners and operators
Legal business name: ADAMS SNF OPERATIONS LLC. CMS links this home to Venza Care Management, a group of 26 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Alabama SNF Operations Holdings LLC | Direct ownership interest | Organization | 03/24/2023 | |
| Al SNF Associates LLC | Indirect ownership interest | Organization | 03/25/2026 | |
| Al SNF Associates Trust | Indirect ownership interest | Organization | 03/25/2026 | |
| Al SNF Holdings LLC | Indirect ownership interest | Organization | 03/25/2026 | |
| Al SNF Holdings Trust | Indirect ownership interest | Organization | 03/25/2026 | |
| Ch Alabama Holdings LLC | Indirect ownership interest | Organization | 03/25/2026 | |
| Cw Alabama Holdings LLC | Indirect ownership interest | Organization | 03/25/2026 | |
| M Melb Opco LLC | Indirect ownership interest | Organization | 12/01/2025 | |
| M Melb Opco Trust | Indirect ownership interest | Organization | 03/25/2026 | |
| Ms Alabama Holdings LLC | Indirect ownership interest | Organization | 03/24/2023 | |
| S Melb Opco LLC | Indirect ownership interest | Organization | 12/01/2025 | |
| S Melb Opco Trust | Indirect ownership interest | Organization | 03/25/2026 | |
| Ss Alabama Holdings LLC | Indirect ownership interest | Organization | 03/24/2023 | |
| Apfel, Sydney | Indirect ownership interest | Individual | 03/24/2023 | |
| Welltower Op, LLC | 5% or greater mortgage interest | Organization | 03/25/2026 | |
| Bankwell Bank | 5% or greater security interest | Organization | 03/25/2026 | |
| Crickmore, Reid | Managing control - governing body | Individual | 03/25/2026 | |
| Goodman, Menucha | Managing control - governing body | Individual | 12/01/2025 | |
| Ratley, Aida | Managing control - governing body | Individual | 03/25/2026 | |
| Alabama Opco Manager LLC | Operational/managerial control | Organization | 03/24/2023 | |
| Melb Opco Manager LLC | Operational/managerial control | Organization | 12/01/2025 | |
| Venza Care Admin Services LLC | Operational/managerial control | Organization | 08/31/2025 | |
| Venza Care Clinical Consulting LLC | Operational/managerial control | Organization | 01/01/2025 | |
| Vertex Financial Services LLC | Operational/managerial control | Organization | 01/01/2025 | |
| Corbin, Timothy | Operational/managerial control | Individual | 03/24/2023 | |
| Goodman, Menucha | Operational/managerial control | Individual | 12/01/2025 | |
| Stalnaker, Deborah | Operational/managerial control | Individual | 03/24/2023 | |
| Herzka, Yisroel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/26/2026 | |
| Strauss, Susan | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/26/2026 | |
| Al Realty Holdings LLC | Adp of the SNF | Organization | 03/25/2026 | |
| Al Realty Holdings Trust | Adp of the SNF | Organization | 03/25/2026 | |
| Ch Al7 Realty Holdings LLC | Adp of the SNF | Organization | 03/25/2026 | |
| Ms Alabama Propco Holdings LLC | Adp of the SNF | Organization | 12/01/2025 | |
| Venza Care Admin Services LLC | Adp of the SNF | Organization | 08/31/2025 | |
| Venza Care Clinical Consulting LLC | Adp of the SNF | Organization | 01/01/2025 | |
| Vertex Financial Services LLC | Adp of the SNF | Organization | 01/01/2025 | |
| Welltower Op, LLC | Adp of the SNF | Organization | 03/25/2026 | |
| Chubb, Lisa | Adp of the SNF | Individual | 02/19/2026 | |
| Corbin, Timothy | Adp of the SNF | Individual | 03/24/2023 | |
| Crickmore, Reid | Adp of the SNF | Individual | 03/25/2026 | |
| Ratley, Aida | Adp of the SNF | Individual | 03/25/2026 | |
| Stalnaker, Deborah | Adp of the SNF | Individual | 03/24/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on June 3, 2021: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on February 8, 2018: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on February 8, 2018: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on February 8, 2018: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Brown Nursing Home Alexander City, 2.3 mi · 4 of 5 stars · 7 citations
- Chapman Healthcare Center, Inc Alexander City, 2.5 mi · 5 of 5 stars · 5 citations
- Goodwater Healthcare Center Goodwater, 10.8 mi · 5 of 5 stars · 5 citations
- Dadeville Healthcare Center Dadeville, 13 mi · 3 of 5 stars · 16 citations
- Coosa Valley Healthcare Center Sylacauga, 23.7 mi · 5 of 5 stars · 5 citations
- Clay County Nursing Home Ashland, 24 mi · 3 of 5 stars · 8 citations
- Sylacauga Health and Rehab Services Sylacauga, 24.5 mi · 4 of 5 stars · 9 citations
Alabama contacts for a concern about a nursing home
These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Alabama Department of Public Health, Bureau of Health Provider Standards, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Alabama Office of the State Long-Term Care Ombudsman Program, 334-242-5753. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Alabama Health Care Facilities Deficiencies, where Alabama publishes its own records on licensed homes.
Common questions
- What is Adams Rehabilitation and Healthcare Center's Medicare star rating?
- CMS rates Adams Rehabilitation and Healthcare Center 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Adams Rehabilitation and Healthcare Center get at its last inspection?
- 1 health deficiency at the standard inspection on June 3, 2021. The Alabama average is 4.
- Has Adams Rehabilitation and Healthcare Center been fined?
- CMS lists no fines in the last three years.
- Does Adams Rehabilitation and Healthcare Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Adams Rehabilitation and Healthcare Center?
- CMS lists 42 owners and managers, and links the home to Venza Care Management. Legal business name: ADAMS SNF OPERATIONS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.