Cavalier Healthcare of Trussville
119 Watterson Parkway, Trussville, AL 35173 · Jefferson County · (205) 655-3226
125 certified beds, about 108 residents a day · For profit - Corporation · Medicare and Medicaid since 2016
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015467 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 13, 2021, inspectors cited 2 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 9 health citations since May 2018 was rated as actual harm or immediate jeopardy.
CMS lists 6 fines totaling $40,486 in the last three years; the largest was $14,434, and the latest is dated February 20, 2024.
Nurses and nurse aides worked 3.34 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.
78.5% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Cavalier Healthcare, an affiliated group of 4 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.
405/18
304/19
205/21
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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
0E
1F
Potential for minimal harm
0A
0B
0C
May 13, 2021Standard inspection · 2 citations
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observations, interviews, record review and review of the facility policy, the facility failed to accommodate the needs of one (1) of 43 sampled residents, by not ensuring the Resident Identifier (RI) #296's call light was accessible.
- 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 observations, interviews, record review, and facility policy review, the facility failed to implement care plan interventions related to call lights being within the reach for one (1) of 43 sampled residents, Resident Identifier (RI) #296.
April 11, 2019Standard inspection · 3 citations
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, interview, record review, and review of a facility policy titled Medication Administration via Enteral Tube, the facility failed to ensure licensed staff checked Resident Identifier (RI) #94's gastrostomy tube for placement prior to use and did not push water into the gastrostomy tube with a syringe. This affected RI #94, one of one resident observed with a gastrostomy during medication administration.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure a Certified Nursing Assistant (CNA) did not contaminate Resident Identifier (RI) #61's tracheostomy collar while wearing gloves worn and soiled during incontinent care. This affected RI #61, one of two residents sampled for tracheostomy care.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, record review, review of facility policies titled Hand Hygiene and MEDICATION ADMINISTRATION-GENERAL GUIDELINES, and review of a document titled Hand Hygiene Table, the facility failed to ensure: 1) Certified Nursing Assistants (CNAs) performed hand hygiene and glove changes when they became soiled before touching clean items, and did not contaminate incontinent care supplies (gloves, wipes, perineal wash placed back into circulation in Resident Identifier (RI) #61's room) during incontinent care provided to RI #61; 2) licensed staff washed their hands after removing gloves and before applying gloves while administering gastrostomy tube medication and tracheostomy inhalation medication for RI #94; [...]
May 3, 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 wrote5. FOOD LABELING The facility policy related to Storage of Healthshakes, effective 07/20/16, included: . Shakes do come in frozen and are thawed under refrigeration. Shakes thaw in 2 days and are used within 14 days of thawing. When shakes are removed from their original box, they will be labeled with a top date of a thawed/arrival date and a bottom date of a use by date . On 05/03/2018 at 8:44 AM, the surveyor and DM (EI #1) observed three 4-ounce cartons of Mighty Shakes in the East Wing pantry refrigerator. None of the cartons contained a label indicating the use-by-date. When asked to explain their policy regarding the labeling of shakes, EI #1 said an adhesive label was to be attached to each carton, with a discard date for the shakes of 14 days after thawed. [...]
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interviews, review of the facility policy titled Abuse, Neglect and Exploitation and review of the facility's investigative summary related to alleged misappropriation of resident narcotics by Employee Identifier (EI) #4, Licensed Practical Nurse (LPN), the facility failed to ensure Resident Identifier (RI) #104 and RI #157 remained free from abuse/misappropriation of property on 4/1/18 when EI #4, LPN, took Narcotic medication belonging to these residents. This affected two of four residents who were reviewed for abuse. This tag is cited as a result of the investigation of complaint/report #AL00035648 for abuse/misappropriation of resident property.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview, record review and review of Resident Identifier (RI) #38's hospital discharge summary, the facility failed to ensure a new diagnosis of Seizure was included on the Minimum Data Set (MDS) assessments after RI #38's readmission from the hospital on [DATE]. This affected one of 26 residents whose MDS was reviewed.
- 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 and record review the facility failed to ensure an individualized care plan was developed for Resident Identifier (RI) #38 for a diagnosis of Seizure and use of anti- seizure medication. This affected one of 26 residents for whom care plans were reviewed.
Fire safety inspections
12 fire safety citations on file: 6 on April 11, 2019, 6 on May 3, 2018.
Every fire safety citation12 citations
- F Establish emergency prep training and testing.
- F Have simulated fire drills held at unexpected times.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Have proper medical gas storage and administration areas.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Have properly installed electrical wiring and gas equipment.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 20, 2024 | Fine | $4,938 |
| February 12, 2024 | Fine | $4,938 |
| January 22, 2024 | Fine | $14,434 |
| January 8, 2024 | Fine | $4,178 |
| January 2, 2024 | Fine | $3,529 |
| December 11, 2023 | Fine | $8,469 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.34 | 3.88 | 3.86 |
| Registered nurses | 0.31 | 0.65 | 0.69 |
| All nursing staff on weekends | 2.87 | 3.26 | 3.42 |
| Nurse aides | 2.48 | ||
| Licensed practical nurses | 0.56 | ||
| Nursing staff turnover (share who left in a year) | 78.5% | 46.9% | 45.8% |
| Registered nurse turnover | 100.0% | 39.5% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.51 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 3.54 on weekdays and 2.87 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.11 in April to June 2025 to 3.34 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 | 3.34 | 0.31 | 3.54 | 2.87 | 0.1% | 0 of 90 | 108 |
| Oct to Dec 2025 | 2.91 | 0.16 | 2.98 | 2.74 | 2.3% | 3 of 92 | 122 |
| Jul to Sep 2025 | 3.15 | 0.20 | 3.23 | 2.93 | 0.2% | 1 of 92 | 105 |
| Apr to Jun 2025 | 3.11 | 0.24 | 3.25 | 2.78 | 0.4% | 0 of 91 | 103 |
| 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 | 16.0 | 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 | 3.1 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.6 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.8 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.8 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.4 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.0 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.7 | 1.8 |
Owners and operators
Legal business name: CAVALIER HEALTHCARE OF TRUSSVILLE LLC. CMS links this home to Cavalier Healthcare, a group of 4 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hubbard, Brien | 5% or greater direct ownership interest | Individual | 100% | 03/20/2023 |
| Venezia, Nicolas | W-2 managing employee | Individual | 10/01/2024 | |
| Hubbard, Brien | Corporate officer | Individual | 03/20/2023 | |
| Hubbard, Brien | Operational/managerial control | Individual | 03/20/2023 | |
| Venezia, Nicolas | Adp of the SNF | Individual | 01/15/2025 |
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 May 13, 2021: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 11, 2019: "Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube."
- 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 May 13, 2021: "Reasonably accommodate the needs and preferences of each resident."
- 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 April 11, 2019: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.87 hours per resident per day, below the Alabama average of 3.26.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Highlands Rehabilitation and Wellness Center Birmingham, 3.5 mi · 2 of 5 stars · 14 citations
- East Glen Birmingham, 3.7 mi · 3 of 5 stars · 7 citations
- Kirkwood by the River Birmingham, 5.4 mi · 3 of 5 stars · 8 citations
- The Healthcare Center of Eastview Birmingham, 7.5 mi · 2 of 5 stars · 8 citations
- St. Martin's in the Pines Irondale, 8.7 mi · 2 of 5 stars · 13 citations
- Pine Hill Rehabilitation and Wellness Center Birmingham, 9.1 mi · 1 of 5 stars · 16 citations
- Fair Haven Birmingham, 9.2 mi · 3 of 5 stars · 11 citations
- Magnolia Ridge Gardendale, 11.2 mi · 1 of 5 stars · 43 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 Cavalier Healthcare of Trussville's Medicare star rating?
- CMS rates Cavalier Healthcare of Trussville 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cavalier Healthcare of Trussville get at its last inspection?
- 2 health deficiencies at the standard inspection on May 13, 2021. The Alabama average is 4.
- Has Cavalier Healthcare of Trussville been fined?
- Yes. CMS lists 6 fines totaling $40,486 in the last three years.
- Does Cavalier Healthcare of Trussville 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 Cavalier Healthcare of Trussville?
- CMS lists 5 owners and managers, and links the home to Cavalier Healthcare. Legal business name: CAVALIER HEALTHCARE OF TRUSSVILLE 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.