Cottage of the Shoals
500 John Aldridge Drive, Tuscumbia, AL 35674 · Colbert County · (256) 383-4541
103 certified beds, about 91 residents a day · For profit - Corporation · Medicare and Medicaid since 1972
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015067 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 5, 2021, inspectors cited 3 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 5 health citations since August 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 3.29 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.
58.8% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Genesis Healthcare, an affiliated group of 184 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.
108/18
105/19
308/21
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 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
5D
0E
0F
Potential for minimal harm
0A
0B
0C
August 5, 2021Standard inspection · 3 citations
- D Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Inspectors wroteBased on interviews, medical record review and a review of a facility policy titled, .Authorization for Release of Information, the facility failed to ensure RI (Resident Identifier) #80's representative was allowed access to the entire requested medical records. This deficient practice affected RI #80, one of two sampled residents. Findings Include: A review of a facility policy titled, .Authorization for Release of Information, with a revision date of [DATE], revealed: .PROCESS 1. REQUESTS BY .LEGAL REPRESENTATIVE: 1.1 Provide access to . all records . pertaining to a .resident . as soon as possible . 1.2 Provide copies of records to . legal representative in the form or format requested, . within two (2) working days of a request. RI #80 was admitted to the facility on [DATE] and expired in the facility on [DATE]. [...]
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interviews, medical record review and a review of a facility policy titled, .Authorization for Release of Information, and a facility document titled, HEALTH INFORMATION RECORD DOCUMENTS LIST, the facility failed to ensure RI (Resident Identifier) #80's ADL (Activity of Daily Living) documentation was in the medical record when requested by RI#80's representative. This deficient practice affected RI #80 one of two residents sampled for medical record release. Findings Include: A review of a facility policy titled, .Authorization for Release of Information, with a revision date of [DATE], revealed: .PROCESS 1. REQUESTS BY PATIENT/RESIDENT/LEGAL REPRESENTATIVE: 1.1 Provide access to . all records . pertaining to a .resident . as soon as possible . 1.2 Provide copies of records to . legal representative in the form or format requested, . within two (2) working days of a request. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, medical record review and a review of facility policies titled, IC203 Hand Hygiene, Fingerstick Glucose Measurement, and Medication Administration: Injectable (IM, Sub-Q, Z-Track), the facility failed to ensure Employee Identifier (EI) #3, an Licensed Practical Nurse (LPN): 1. washed or sanitized (used an alcohol based hand rub) her hands before applying gloves to obtain Resident Identifier (RI) #63's fingerstick blood sugar (FSBS); 2. applied gloves before cleaning a glucometer used to obtain RI #63's FSBS, and; 3. did not pull-down RI #63's clothing and adjust his/her covers wearing the same gloves worn during an insulin injection. These deficient practices affected RI #63, one of eight residents observed during medication administration by EI #3, one of three nurses observed.
May 14, 2019Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews, record review and review of a facility policy titled, Hand Hygiene, the facility failed to ensure a licensed nurse did not turn off the faucet with her left bare hand prior to putting on gloves to remove a transdermal medication patch, and prior to putting on gloves to administer a transdermal medication patch to Resident Identifier (RI) #43. This deficient practice affected one of eight residents and one of five licensed nurses observed during medication administration pass. Findings Include: A review of a facility policy titled, Hand Hygiene, with a review date of 11/15/2018, revealed, . Process . 2. Hand hygiene techniques: 2.1 To wash hands with soap and water: .Rinse hands with warm water and dry thoroughly with a disposable towel. Use clean, dry, disposable towel to turn off faucet . RI #43 was admitted to the facility on [DATE]. [...]
August 2, 2018Standard inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed to ensure an allegation of physical abuse was reported to the State Agency within two hours. This affected one of two abuse records reviewed during the survey and Resident Identifier (RI) #66. Findings Include: On 8/2/18 at 9:46 a.m. the surveyor reviewed the online incident report involving an allegation of physical abuse concerning RI #66. This incident involved an allegation that a visitor was witnessed to forcibly pull on RI #66's arm and then speak loudly to the resident. The incident was witnessed on 6/23/18 at 9:00 a.m., but was not reported to the State Agency until 6/25/18 at 1:24 p.m. On 8/2/18 at 11:16 a.m. an interview was completed with Employee Identifier (EI) #2, Administrator/Abuse Coordinator. EI # 2 stated the allegation of abuse concerning RI #66 occurred on 6/23/18 at 9:00 a.m. [...]
Fire safety inspections
3 fire safety citations on file: 2 on May 14, 2019, 1 on August 2, 2018.
Every fire safety citation3 citations
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure proper usage of power strips and extension cords.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
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) | 3.29 | 3.88 | 3.86 |
| Registered nurses | 0.79 | 0.65 | 0.69 |
| All nursing staff on weekends | 2.75 | 3.26 | 3.42 |
| Nurse aides | 1.79 | ||
| Licensed practical nurses | 0.71 | ||
| Nursing staff turnover (share who left in a year) | 58.8% | 46.9% | 45.8% |
| Registered nurse turnover | 60.0% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.00 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 3.51 on weekdays and 2.75 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.94 in April to June 2025 to 3.29 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 | 3.29 | 0.79 | 3.51 | 2.75 | 5.6% | 0 of 90 | 91 |
| Oct to Dec 2025 | 3.35 | 0.78 | 3.56 | 2.81 | 5.0% | 0 of 92 | 84 |
| Jul to Sep 2025 | 3.13 | 0.75 | 3.29 | 2.72 | 4.6% | 0 of 92 | 82 |
| Apr to Jun 2025 | 2.94 | 0.76 | 3.10 | 2.55 | 8.7% | 0 of 91 | 86 |
| 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 | 7.8 | 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 | 2.5 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.5 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.1 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.7 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.1 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.7 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 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: SUNBRIDGE HEALTHCARE LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Genesis Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 02/02/2015 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Gen Operations I LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Gen Operations II LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Whitman, Arnold | 5% or greater indirect ownership interest | Individual | 12/01/2012 | |
| Berg, Michael | Corporate officer | Individual | 12/01/2012 | |
| Bridgeford, Laura | Corporate officer | Individual | 06/01/2024 | |
| Mendelson, Avi | Corporate officer | Individual | 06/01/2024 | |
| Davis, Christine | Operational/managerial control | Individual | 03/01/2024 | |
| Grimes, David | Operational/managerial control | Individual | 03/01/2024 | |
| Morris, Diane | Operational/managerial control | Individual | 04/01/2024 | |
| Davis, Christine | Adp of the SNF | Individual | 01/27/2025 | |
| Grimes, David | Adp of the SNF | Individual | 01/27/2025 |
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.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on August 5, 2021: "Provide and implement an infection prevention and control program."
- 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 August 5, 2021: "Let each resident or the resident's legal representative access or purchase copies of all the resident's records."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on August 5, 2021: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- 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 August 2, 2018: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.75 hours per resident per day, below the Alabama average of 3.26.
Other nursing homes nearby
- Keller Landing Tuscumbia, 1.9 mi · 5 of 5 stars · 3 citations
- Cypress Cove Care Center Muscle Shoals, 2.6 mi · 5 of 5 stars · 4 citations
- El Reposo Nursing Facility Florence, 5 mi · 3 of 5 stars · 4 citations
- Mitchell-Hollingsworth Nursing & Rehabilitation Florence, 5.6 mi · 3 of 5 stars · 11 citations
- Florence Nursing and Rehabilitation Ctr, LLC Florence, 7.8 mi · 3 of 5 stars · 10 citations
- Glenwood Center Florence, 7.8 mi · 1 of 5 stars · 15 citations
- Terrace Manor Nursing & Rehabilitation Center, Inc Russellville, 15 mi · 5 of 5 stars · 4 citations
- Burns Nursing Home, Inc. Russellville, 15 mi · 2 of 5 stars · 7 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 Cottage of the Shoals's Medicare star rating?
- CMS rates Cottage of the Shoals 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cottage of the Shoals get at its last inspection?
- 3 health deficiencies at the standard inspection on August 5, 2021. The Alabama average is 4.
- Has Cottage of the Shoals been fined?
- CMS lists no fines in the last three years.
- Does Cottage of the Shoals 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 Cottage of the Shoals?
- CMS lists 16 owners and managers, and links the home to Genesis Healthcare. Legal business name: SUNBRIDGE HEALTHCARE 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.