Home / Alabama / Alexander City
Brown Nursing Home
2334 Washington Street, Alexander City, AL 35010 · Tallapoosa County · (256) 329-9061
68 certified beds, about 64 residents a day · For profit - Corporation · Medicare and Medicaid since 1977
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015191 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 5, 2020, inspectors cited 0 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 7 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 3.75 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
60.7% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Crowne Health Care, an affiliated group of 18 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
411/18
002/20
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 7 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
2F
Potential for minimal harm
0A
1B
0C
February 5, 2020Standard inspection · 0 citations
November 15, 2018Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews and review of the 2017 U.S. (United States) Public Health Service Food Code, the facility failed to ensure: 1) a styrofoam cup was not stored in the sugar bin; 2) dust was not in the ice scoop holder; crumbs were not in the convection oven and 3) the [NAME] was not handling food with bare hands. These deficient practices had the potential to affect 60 of 60 residents receiving meals from the dietary department. Findings Include: 1) On 11/13/2018 at 3:30 p.m., the surveyor observed a styrofoam cup in the sugar bin. This was observed during the initial tour of the kitchen and the Dietary Manager, Employee Identifier (EI) #2 was present. At this time, the surveyor conducted an interview with EI #2. The surveyor asked EI #2, what was in the sugar bin. EI #2 said a stryofoam cup. [...]
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure the staff properly secured Resident Identifier (RI) #27's pants to prevent them from falling and exposing his/her buttocks and genitals while ambulating in the hallway, upon returning from the bathroom. This deficient practice affected RI #27, one of 22 sampled residents observed for dignity. Findings Include: RI #27 was originally admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses to include Blindness Both Eyes, Unspecified Glaucoma and Recurrent Unspecified Major Depressive Disorder. A review of RI #27's most recent Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 09/05/2018, documented a Brief Interview for Mental Status (BIMS) score of 15, which indicated RI #27 was cognitively intact and independent for daily decision making. [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review, the facility failed to ensure Resident Identifier (RI) #19's Significant Change (SC) Minimum Data Set (MDS) assessment, dated 08/27/18, accurately reflected RI #19 was receiving Hospice services during this assessment period. This deficient practice affected RI #19, one of 20 sampled residents whose MDS's were reviewed. Findings Include: RI #19 was admitted to the facility on [DATE], and readmitted on [DATE] with a diagnosis of Adult Failure To Thrive. RI #19's Physician's Order dated 08/17/18, documented: admitted to Alacare Hospice for Adult Failure to Thrive . A review of a certification form for RI #19 from Alacare Home Health and Hospice revealed RI #19 was certified for Hospice services from 08/17/18 to 11/14/18. [...]
- 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 interview, record review and review of a facility policy titled, Care Planning Policy and Procedure, the facility failed to ensure a care plan was developed for Resident Identifier (RI) # 35's usage of the diuretic, Lasix. This deficient practice affected RI #35, one of 22 sampled residents whose plan of care was reviewed. Findings Include: Review of a facility policy titled, Care Planning Policy and Procedure, with a revision date of 02/18, documented: Policy: The care plan is a guide for all staff on a course of action that will attain or maintain a resident's highest practicable level of well being. The care plan will be written in accordance with professional standards of practice and documentation . Procedure: 1. Facility staff will complete a care plan to meet the basic care needs of the resident . 2.baseline care plan . [...]
February 8, 2018Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews and a review of a policy titled, Food Safety and Sanitation, the facility failed to ensure that dietary staff wore a hair restraint properly while working in the kitchen. This was observed on one of three days and had the potential to affect 58 residents being served meals from the kitchen. Findings Include: A review of an undated facility policy, titled, Food Safety and Sanitation, revealed: Policy: . c. All staff are required to have their hair styled so that it does not touch the collar . * Hair restraints are required and should cover all hair on the head. On 02/07/2018 at 08:51 AM, an observation was made of EI (Employee Identifier) #1, Dietary Worker with her hair partially covered. EI #1 had her hair up in a tall bun. The hair restraint partially covered the bun and part of the top of the head. [...]
- 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, interview and a facility policy titled, Care Planning Policy and Procedure, the facility failed to ensure a care plan was in place for the use of antipsychotic medication. This affected Resident Identifier (RI) #31, one of 18 sampled residents. Findings Include: A facility policy titled, Care Planning Policy and Procedure with a revised date of 07/2011, revealed: Policy: The care plan is a guide for all staff on a course of action that will attain or maintain a resident's highest practicable level of well being. The care plan will be written in accordance with professional standards of practice and documentation. Procedure: . 3. Clinical judgement must be used in the identification of problems and potential problems in developing the plan of care . 6. [...]
- B Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, a facility document titled, Housekeeper Job Overview and interview, the facility failed to keep Room Locator (RL) #1 free of an unknown odor and the carpet on RL#'s 1 -7 free of stains. This was observed on one of three days of the survey and affected two of three halls in the facility. Findings Include: A review of a document titled Housekeeper Job Overview documented: .Perform daily housekeeping activities to assure that the facility is maintained in a clean .manner . The following observations were made on 2/08/18 at 10:15 a.m. : 1) an unknown odor and stain in the hallway in front of RL #1, 2) a bleach stain by RL #2, 3) stains observed in front of RL #3, 4) a yellow stain in front of RL#'s 4 and 5, 5) a black stain in front of room RL #6 and 6) a stain and dirty area in front of RL #7. [...]
Fire safety inspections
6 fire safety citations on file: 1 on February 5, 2020, 2 on November 15, 2018, 3 on February 8, 2018.
Every fire safety citation6 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- 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.
- F Ensure that testing and maintenance of electrical equipment is performed.
- 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) | 3.75 | 3.88 | 3.86 |
| Registered nurses | 0.50 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.13 | 3.26 | 3.42 |
| Nurse aides | 2.01 | ||
| Licensed practical nurses | 1.25 | ||
| Nursing staff turnover (share who left in a year) | 60.7% | 46.9% | 45.8% |
| Registered nurse turnover | 66.7% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.56 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 4.00 on weekdays and 3.13 on weekends, 22% 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 4.07 in April to June 2025 to 3.75 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 | 3.75 | 0.50 | 4.00 | 3.13 | 0.0% | 1 of 90 | 64 |
| Oct to Dec 2025 | 3.96 | 0.63 | 4.21 | 3.31 | 0.0% | 0 of 92 | 63 |
| Jul to Sep 2025 | 3.97 | 0.67 | 4.23 | 3.29 | 0.0% | 0 of 92 | 65 |
| Apr to Jun 2025 | 4.07 | 0.74 | 4.34 | 3.41 | 0.0% | 1 of 91 | 65 |
| 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 | 11.7 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 7.7 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 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 | 17.5 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.7 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.1 | 21.2 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 1.7 | 1.8 |
Owners and operators
Legal business name: BROWN NURSING HOME, LLC. CMS links this home to Crowne Health Care, a group of 18 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Crowne Operations, Inc | 5% or greater direct ownership interest | Organization | 11/01/2003 | |
| Jennifer Jones McInnish Family Dynasty Trust #1 | 5% or greater indirect ownership interest | Organization | 12/31/2016 | |
| Richard Bryan Jones Family Dynasty Trust #1 | 5% or greater indirect ownership interest | Organization | 12/31/2016 | |
| Lee, Cecily | W-2 managing employee | Individual | 12/10/2009 | |
| Dunnam, Noel | Corporate director | Individual | 06/11/2015 | |
| Jones, Richard | Corporate director | Individual | 06/11/2015 | |
| Manning, Marcus | Corporate director | Individual | 06/11/2015 | |
| Wilder, John | Corporate director | Individual | 12/03/2003 | |
| Dunnam, Noel | Corporate officer | Individual | 06/11/2015 | |
| Jones, Richard | Corporate officer | Individual | 06/11/2015 | |
| Crowne Management, LLC | Operational/managerial control | Organization | 12/10/2009 |
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 3 problems in this area, most recently on November 15, 2018: "Ensure each resident receives an accurate assessment."
- 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 November 15, 2018: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on November 15, 2018: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.13 hours per resident per day, below the Alabama average of 3.26.
Other nursing homes nearby
- Adams Rehabilitation and Healthcare Center Alexander City, 2.3 mi · 5 of 5 stars · 4 citations
- Chapman Healthcare Center, Inc Alexander City, 4.4 mi · 5 of 5 stars · 5 citations
- Goodwater Healthcare Center Goodwater, 9.1 mi · 5 of 5 stars · 5 citations
- Dadeville Healthcare Center Dadeville, 15.2 mi · 3 of 5 stars · 16 citations
- Coosa Valley Healthcare Center Sylacauga, 21.6 mi · 5 of 5 stars · 5 citations
- Sylacauga Health and Rehab Services Sylacauga, 22.3 mi · 4 of 5 stars · 9 citations
- Clay County Nursing Home Ashland, 24.2 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 Brown Nursing Home's Medicare star rating?
- CMS rates Brown Nursing Home 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Brown Nursing Home get at its last inspection?
- 0 health deficiencies at the standard inspection on February 5, 2020. The Alabama average is 4.
- Has Brown Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Brown Nursing Home 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 Brown Nursing Home?
- CMS lists 11 owners and managers, and links the home to Crowne Health Care. Legal business name: BROWN NURSING HOME, 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.