Brookshire Healthcare Center
4320 Judith Lane, Huntsville, AL 35805 · Madison County · (256) 837-1730
129 certified beds, about 118 residents a day · For profit - Corporation · Medicare and Medicaid since 1975
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015127 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 17, 2022, inspectors cited 5 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 8 health citations since May 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 3.98 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.92 of those hours.
52.1% 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.
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 8 health citations on file.
March 17, 2022Standard inspection · 5 citations
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure a copy of Resident Identifier (RI) #30's transfer notice was provided to the ombudsman as soon as practicable after RI #30 was sent to the emergency room in 11/2021 due to medical concerns. This affected one of one resident reviewed for a transfer to the hospital.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on interviews and record review, the facility failed to ensure a baseline care plan was developed within 48 hours of admission for Resident Identifier (RI) #89, one of nine sampled residents reviewed for a baseline care plan.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interviews, the facility failed to ensure a comprehensive care plan was developed to address Resident Identifier (RI) #93's use of an antidepressant medication. This affected one of 24 sampled residents for whom care plans were reviewed.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interviews, the facility failed to ensure comprehensive care plans were developed and implemented for Resident Identifier (RI) #89 within seven days of the completion of RI #89's admission Minimum Data Set (MDS) assessment. This affected one of 24 sampled residents for whom care plans were reviewed.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on record review and interview, the facility failed to ensure behaviors and side-effects of psychotropic medications were monitored and documented for Resident Identifier (RI) #27, one of five residents reviewed for unnecessary medications.
May 21, 2019Standard inspection · 2 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review, interview and review of a policy tilted Abuse Policy the facility failed to ensure an allegation of verbal abuse was reported to the State Agency within 2 hours. This affected one of five abuse records reviewed during the survey and Resident Identifier (RI) #165 and RI #25. Findings Include: Review of a policy tilted Abuse Policy, with an effective date of June 2018, documented: .Reporting . 1. Any allegation of abuse within two hours . On 5/20/19 at 12:00 p.m., the surveyor reviewed an online incident report involving an allegation of verbal abuse concerning RI #165 and RI #25. The facility became aware of the incident on 8/14/18 at 6:00 p.m. and did not report the incident until 8/15/18 at 6:18 p.m. On 5/20/19 at 12:42 p.m., an interview was completed with Employee Identifier (EI) #1, Registered Nurse (RN)/Director of Nursing (DON). [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews, record review, and review of a facility document titled, SKILL 7-1 Hand Hygiene, the facility failed to ensure a licensed nurse washed their hands after removing gloves and prior to administering Resident Identifier (RI) #10's eye drop medication. Further, the licensed nurse left RI #10's room after administering medications and returned to the medication cart without first washing hands. This affected one of two residents observed during medication administration pass receiving an eye drop medication and one of four nurses observed during medication administration pass. Findings Include: Review of a facility document titled SKILL 7-1 Hand Hygiene, undated, revealed the following: . The most important and basic technique in preventing and controlling transmission of infection is hand hygiene. 3 . a. Before and after having direct contact with patients. [...]
May 24, 2018Standard inspection · 1 citation
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interviews and record review the facility failed to ensure a care plan was developed for Resident Identifier (RI) #84's indwelling catheter. This deficient practice affected RI #84, one of four sampled residents with an indwelling catheter. Findings Include: RI #84 was admitted to the facility on [DATE] with diagnoses to include: Altered Mental Status, Unspecified, Obstructive Uropathy, Obstructive Uropathy, and Urinary Tract Infection. A review RI #84's admission Minimal Data Set, (MDS) with an Assessment Reference Date (ARD) of 4/28/2018 revealed RI #84 had an indwelling catheter. RI #84 was observed on 5/24/18 at 7:49 a.m. in wheelchair in hallway with foley catheter below level of bladder in a privacy bag. A review of RI #84's 2/27/2018 Physician's Orders revealed : .Foley Catheter Care every shift . [...]
Fire safety inspections
10 fire safety citations on file: 5 on March 17, 2022, 3 on May 21, 2019, 2 on May 24, 2018.
Every fire safety citation10 citations
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Install an approved automatic sprinkler system.
- D Install corridor and hallway doors that block smoke.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Have properly located and lighted "Exit" signs.
- D Install an approved automatic sprinkler system.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E 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.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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) | 3.98 | 3.88 | 3.86 |
| Registered nurses | 0.92 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.26 | 3.26 | 3.42 |
| Nurse aides | 2.56 | ||
| Licensed practical nurses | 0.50 | ||
| Nursing staff turnover (share who left in a year) | 52.1% | 46.9% | 45.8% |
| Registered nurse turnover | 37.0% | 39.5% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.38 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 4.27 on weekdays and 3.26 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.25 in April to June 2025 to 3.98 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 | 3.98 | 0.92 | 4.27 | 3.26 | 0.0% | 0 of 90 | 118 |
| Oct to Dec 2025 | 4.03 | 0.82 | 4.32 | 3.29 | 0.0% | 0 of 92 | 117 |
| Jul to Sep 2025 | 4.28 | 0.78 | 4.57 | 3.53 | 0.0% | 0 of 92 | 115 |
| Apr to Jun 2025 | 4.25 | 0.84 | 4.54 | 3.51 | 0.0% | 0 of 91 | 117 |
| 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.
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.
Official wage estimates for Alabama
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Alabama, all employers | |||
| CNAs (nursing assistants) | $16.41 | $14.45 to $17.49 | 25,250 |
| LPNs and LVNs | $27.42 | $23.15 to $29.71 | 11,580 |
| Registered nurses | $37.06 | $30.53 to $40.09 | 54,340 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 18.3 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.5 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.7 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.8 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.6 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 31.8 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.9 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 20.8 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.7 | 1.8 |
Owners and operators
Legal business name: BROOKSHIRE 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 |
|---|---|---|---|---|
| Aop SNF Operations Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 03/01/2023 |
| Ch Aop Holdings LLC | 5% or greater indirect ownership interest | Organization | 48% | 03/01/2023 |
| Ms Aop Holdings LLC | 5% or greater indirect ownership interest | Organization | 23% | 03/01/2023 |
| Ss Aop Holdings LLC | 5% or greater indirect ownership interest | Organization | 23% | 03/01/2023 |
| Goodman, Menucha | Managing control - governing body | Individual | 12/01/2025 | |
| Goodman, Menucha | Corporate officer | Individual | 12/01/2025 | |
| Aop Opco Manager LLC | Operational/managerial control | Organization | 03/01/2023 | |
| Melb Opco Manager LLC | Operational/managerial control | Organization | 12/01/2025 | |
| Vertex Financial Services LLC | Operational/managerial control | Organization | 01/01/2025 | |
| Cody, Brenda | Operational/managerial control | Individual | 08/25/2025 | |
| Goodman, Menucha | Operational/managerial control | Individual | 12/01/2025 | |
| Wagner, John | Operational/managerial control | Individual | 03/01/2023 | |
| Strauss, Susan | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 12/30/2025 | |
| Melb Opco Manager LLC | Adp of the SNF | Organization | 12/30/2025 | |
| Vertex Financial Services LLC | Adp of the SNF | Organization | 12/30/2025 | |
| Cody, Brenda | Adp of the SNF | Individual | 08/25/2025 | |
| Wagner, John | Adp of the SNF | Individual | 03/01/2023 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on March 17, 2022: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- 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 March 17, 2022: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on March 17, 2022: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on May 21, 2019: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Windsor House Huntsville, 0.1 mi · 1 of 5 stars · 20 citations
- Diversicare of Big Springs Huntsville, 2.6 mi · 4 of 5 stars · 9 citations
- The Health Center at Research Park Huntsville, 3.2 mi · 1 of 5 stars · 20 citations
- Rocket City Rehabilitation and Healthcare Center Huntsville, 3.6 mi · 1 of 5 stars · 20 citations
- Regency Health Care and Rehabilitation Center Huntsville, 3.8 mi · 1 of 5 stars · 18 citations
- Huntsville Health & Rehabilitation, LLC Huntsville, 3.9 mi · 1 of 5 stars · 19 citations
- Willowbrooke Ct Skilled Care Ctr at Magnolia Trace Huntsville, 5.1 mi · 5 of 5 stars · 4 citations
- Madison Manor Nursing Home Madison, 7.3 mi · 3 of 5 stars · 8 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 Brookshire Healthcare Center's Medicare star rating?
- CMS rates Brookshire Healthcare Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Brookshire Healthcare Center get at its last inspection?
- 5 health deficiencies at the standard inspection on March 17, 2022. The Alabama average is 4.
- Has Brookshire Healthcare Center been fined?
- CMS lists no fines in the last three years.
- Does Brookshire 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 Brookshire Healthcare Center?
- CMS lists 17 owners and managers, and links the home to Venza Care Management. Legal business name: BROOKSHIRE 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.