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Altoona Health & Rehab

6532 Walnut Grove Road, Altoona, AL 35952 · Etowah County · (205) 589-6394

50 certified beds, about 44 residents a day · For profit - Corporation · Medicare and Medicaid since 1973

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 015101 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 13, 2022, inspectors cited 4 health deficiencies (the Alabama average is 4, the national average 9.2).

None of its 5 health citations since February 2019 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 3.90 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.

31.8% of nursing staff left within the year CMS measured (Alabama average 46.9%).

CMS links it to Trinity Management, Inc., an affiliated group of 5 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.

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 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
1E
1F
Potential for minimal harm
0A
0B
0C
June 13, 2022Standard inspection · 4 citations
  1. F
    Perform COVID19 testing on residents and staff.
    F886 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 18, 2022
    Inspectors wroteBased on record review, interviews, and review of the facility's policy titled Coronavirus Testing the facility failed to perform routine COVID-19 testing for all staff per the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare and Medicaid Services (CMS) guidance. This had the potential to affect 43 of 43.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 18, 2022
    Inspectors wroteBased on observations and interviews the facility failed to ensure temperatures were taken of all six bowls of soup heated in the microwave prior to serving to residents. This had the potential to affect 6 of 6 residents receiving soup from the kitchen.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2022
    Inspectors wroteBased on record review, interview, and review of the policy titled NURSING COMPREHENSIVE CARE PLAN (DEVELOPING), the facility failed to develop a care plan for Resident Identifier (RI) #29's use of an anticoagulant medication. This had the potential to affect 1 of 23 residents reviewed for care plans.
  4. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2022
    Inspectors wroteBased on record review, interviews, observations, review of facility policies titled NURSING MEDICATION ADMINISTRATION, and NURSING GASTROSTOMY TUBE/ADMINISTERING MEDICATIONS, and manufacturer's instructions for NovoLog and Humalog insulin, the facility failed to have a medication administration error rate less than 5%. Specifically, the facility had four errors out of 27 opportunities for error resulting in a medication error rate of 14.81%. Errors were observed during medication administration for four [Resident Identifier (RI) #18, RI #3, RI #4, and RI #31] of eight residents and the medications were administered by two different nurses.
February 27, 2020Standard inspection · 1 citation
  1. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2020
    Inspectors wroteBased on observations, interviews and a review of a facility policy titled, FOOD AND NUTRITION SERVICES DISHWASHING MACHINE, the facility failed to ensure trays were allowed to air dry before use during meal service on 2/26/2020. This had the potential to affect up to 12 of 46 residents who received meals from the kitchen. Findings Include: A review of a policy titled, FOOD AND NUTRITION SERVICES DISHWASHING MACHINE, with a revised date of 10/17, revealed: Policy The following procedure will be used when using the dishwashing machine. Procedure .9. Air-dry dishes. On 2/26/2020 at 4:39 p.m., the surveyor observed staff using wet trays during meal service. 12 trays were utilized for meal service with water inside of them and/or on the sides of the trays. On 2/26/20 at 5:40 p.m., an interview was conducted with EI #4, Dietary Aide. EI #4 was asked what she saw on the residents' trays. [...]
February 6, 2019Standard inspection · 0 citations

Fire safety inspections

6 fire safety citations on file: 3 on June 13, 2022, 1 on February 27, 2020, 2 on February 6, 2019.

Every fire safety citation6 citations
  1. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · June 13, 2022 · Corrected (the home has a date of correction)
  2. D
    Provide properly protected cooking facilities.
    K 324 · June 13, 2022 · Corrected (the home has a date of correction)
  3. D
    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
    K 343 · June 13, 2022 · Corrected (the home has a date of correction)
  4. D
    Have proper medical gas storage and administration areas.
    K 923 · February 27, 2020 · Corrected (the home has a date of correction)
  5. E
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · February 6, 2019 · Corrected (the home has a date of correction)
  6. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 6, 2019 · Corrected (the home has a date of correction)

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.

MeasureThis homeAlabamaUnited States
All nursing staff (RN, LPN and aides)3.903.883.86
Registered nurses0.690.650.69
All nursing staff on weekends3.583.263.42
Nurse aides2.52
Licensed practical nurses0.69
Nursing staff turnover (share who left in a year)31.8%46.9%45.8%
Registered nurse turnover40.0%39.5%42.9%
Administrators who left0

CMS expects 3.12 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 4.02 on weekdays and 3.58 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.98 in April to June 2025 to 3.90 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.900.694.023.58 5.5%0 of 9044
Oct to Dec 20253.620.693.773.23 0.2%0 of 9248
Jul to Sep 20253.890.764.063.46 0.0%0 of 9247
Apr to Jun 20253.980.824.243.31 0.0%0 of 9146
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Alabama, Jan to Mar 20263.880.634.133.270.9%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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Alabama

JobMedianMiddle halfEmployed
Alabama, all employers
CNAs (nursing assistants)$16.41$14.45 to $17.4925,250
LPNs and LVNs$27.42$23.15 to $29.7111,580
Registered nurses$37.06$30.53 to $40.0954,340
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Altoona Health & Rehab. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeAlabamaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.012.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.62.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.13.33.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
19.712.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.85.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
22.721.215.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Altoona Health & Rehab's Medicare short-stay residents. How to read these, and what Medicare pays for.

CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: ALTOONA HEALTH & REHAB, INC.. CMS links this home to Trinity Management, Inc., a group of 5 nursing homes averaging 4 stars overall.

NameRoleTypeShareSince
Long, Bradley5% or greater direct ownership interestIndividual50%01/01/2006
Bigelow, LindaW-2 managing employeeIndividual06/18/2008
Long, BradleyCorporate directorIndividual01/26/2011
Sims, MarkCorporate directorIndividual05/01/2022
Long, BradleyCorporate officerIndividual01/26/2011
Sims, MarkCorporate officerIndividual05/01/2022
Trintiy Management IncOperational/managerial controlOrganization10/01/2004
Long, BradleyOperational/managerial controlIndividual01/26/2011
Sims, MarkOperational/managerial controlIndividual05/01/2022

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.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on June 13, 2022: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. 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 June 13, 2022: "Perform COVID19 testing on residents and staff."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on June 13, 2022: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 13, 2022: "Ensure medication error rates are not 5 percent or greater."

Other nursing homes nearby

Alabama contacts for a concern about a nursing home

These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.

Common questions

What is Altoona Health & Rehab's Medicare star rating?
CMS rates Altoona Health & Rehab 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Altoona Health & Rehab get at its last inspection?
4 health deficiencies at the standard inspection on June 13, 2022. The Alabama average is 4.
Has Altoona Health & Rehab been fined?
CMS lists no fines in the last three years.
Does Altoona Health & Rehab 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 Altoona Health & Rehab?
CMS lists 9 owners and managers, and links the home to Trinity Management, Inc.. Legal business name: ALTOONA HEALTH & REHAB, INC..

Sources

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