Home / Alabama / Muscle Shoals
Cypress Cove Care Center
200 Alabama Avenue, Muscle Shoals, AL 35661 · Colbert County · (256) 381-4330
90 certified beds, about 79 residents a day · For profit - Corporation · Medicare and Medicaid since 1987
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015392 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 9, 2020, inspectors cited 1 health deficiency (the Alabama average is 4, the national average 9.2).
None of its 4 health citations since March 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 3.33 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 1.07 of those hours.
38.0% 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.
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 4 health citations on file.
January 9, 2020Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews, medical record review, and review of a facility policy titled, Hand Hygiene, the facility failed to ensure: 1) a Registered Nurse (RN), Employee Identifier (EI) #1, washed her hands or used hand sanitizer after she checked Resident Identifier (RI) #34's oxygen saturation, prior to putting on gloves to administer RI #34's oral inhaler. Further, EI #1 did not wash hands or remove her gloves, prior to administering RI #34's inhalation medication via breathing pipe; and 2) a Certified Nursing Assistant (CNA), EI #3, washed or sanitized her hands while feeding two residents, RI #26 and RI #66, at the same time during a lunch observation on 1/9/2020. This affected one of four Licensed Nurses observed during medication administration pass, one of four residents observed during medication administration pass, and one of five dining room observations.
December 13, 2018Standard inspection · 0 citations
March 22, 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 observation, interviews and record review, the facility failed to ensure staff: 1) labeled commercially prepared milkshakes with a use-by date after thawed; 2) labeled thickened juice after opening with a use-by date, and discarded each in a timely manner; and 3) were able to accurately calibrate food thermometers prior to use. These findings had the potential to affect 82 residents who received meals and/or supplements from the facility at the time the survey. Findings Include: The facility policy regarding Labeling and Dating provides the following guidelines: All foods should be dated upon receipt before being stored. Food labels must include: The food item name The date of preparation/receipt/removal from freezer Items that are removed from a labeled case in the freezer and placed in the refrigerator for thawing should be labeled with the date of removal from the freezer. [...]
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and review of the Task List Report, the facility failed to ensure nail care was provided as needed for Resident Identifier (RI) #187. This affected one of 20 sampled residents, dependent upon staff for the provision of nail and hygiene care. Findings Include: RI #187 was admitted to the facility on [DATE] with diagnoses including Cerebral Infarction, Ataxia, Dysphagia, and Unspecified Dementia without Behavioral Disturbance. The admission Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 03/09/18, identified RI #187 as being in need of supervision with the support of one staff member for personal hygiene needs, including hand care. The resident was acknowledged in the 03/02/18 care plan to require assistance with or/total dependence upon staff for care in personal hygiene due to generalized weakness and dementia. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, medical record reviews and reviews of facility policies titled, Standard Precautions and Hand Hygiene, the facility failed to ensure licensed staff: 1. washed hands before applying gloves for Resident Identifier (RI) #22, 2. washed hands before applying gloves for RI #180, 3. did not turn off faucet with bare hands after handwashing for RI #46, and 4. washed hands before applying gloves during RI #62's wound care and did not return a bottle of wound cleanser to the treatment cart that was placed on RI #62's bathroom sink. These deficient practices affected RI #22, RI #46, RI #180, three of six residents observed during the medication administration observation and RI #62, one of one residents observed during wound care. Findings Include: 1.) A review of a facility policy titled, Standard Precautions with a revision date of 11/28/17, revealed: .3. [...]
Fire safety inspections
12 fire safety citations on file: 3 on January 9, 2020, 4 on December 13, 2018, 5 on March 22, 2018.
Every fire safety citation12 citations
- D Install corridor and hallway doors that block smoke.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have proper medical gas storage and administration areas.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Meet requirements for the use and maintenance of medical gas equipment.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Provide properly protected cooking facilities.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 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) | 3.33 | 3.88 | 3.86 |
| Registered nurses | 1.07 | 0.65 | 0.69 |
| All nursing staff on weekends | 2.83 | 3.26 | 3.42 |
| Nurse aides | 1.74 | ||
| Licensed practical nurses | 0.52 | ||
| Nursing staff turnover (share who left in a year) | 38.0% | 46.9% | 45.8% |
| Registered nurse turnover | 25.0% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.53 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 3.53 on weekdays and 2.83 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.28 in April to June 2025 to 3.33 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 | 3.33 | 1.07 | 3.53 | 2.83 | 0.5% | 0 of 90 | 79 |
| Oct to Dec 2025 | 3.25 | 1.05 | 3.43 | 2.80 | 0.0% | 0 of 92 | 76 |
| Jul to Sep 2025 | 3.27 | 0.99 | 3.48 | 2.73 | 0.2% | 0 of 92 | 74 |
| Apr to Jun 2025 | 3.28 | 0.89 | 3.47 | 2.79 | 0.0% | 0 of 91 | 74 |
| 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 | 10.3 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.2 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 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 | 6.3 | 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 | 19.0 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.1 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 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 | 02/02/2015 | |
| 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 | |
| Morris, Diane | Operational/managerial control | Individual | 04/01/2024 | |
| Mostafavi Naeini, Bardya | Operational/managerial control | Individual | 06/01/2024 | |
| Quigley, Mary | Operational/managerial control | Individual | 02/27/2023 | |
| Mostafavi Naeini, Bardya | Adp of the SNF | Individual | 04/01/2024 | |
| Quigley, Mary | Adp of the SNF | Individual | 02/18/2025 |
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 January 9, 2020: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 22, 2018: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on March 22, 2018: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.83 hours per resident per day, below the Alabama average of 3.26.
Other nursing homes nearby
- Cottage of the Shoals Tuscumbia, 2.6 mi · 4 of 5 stars · 5 citations
- Keller Landing Tuscumbia, 3.9 mi · 5 of 5 stars · 3 citations
- El Reposo Nursing Facility Florence, 4.5 mi · 3 of 5 stars · 4 citations
- Mitchell-Hollingsworth Nursing & Rehabilitation Florence, 5.3 mi · 3 of 5 stars · 11 citations
- Glenwood Center Florence, 6.3 mi · 1 of 5 stars · 15 citations
- Florence Nursing and Rehabilitation Ctr, LLC Florence, 6.5 mi · 3 of 5 stars · 10 citations
- Lauderdale Christian Nursing Home Killen, 14.1 mi · 5 of 5 stars · 3 citations
- Terrace Manor Nursing & Rehabilitation Center, Inc Russellville, 16.6 mi · 5 of 5 stars · 4 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 Cypress Cove Care Center's Medicare star rating?
- CMS rates Cypress Cove Care Center 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cypress Cove Care Center get at its last inspection?
- 1 health deficiency at the standard inspection on January 9, 2020. The Alabama average is 4.
- Has Cypress Cove Care Center been fined?
- CMS lists no fines in the last three years.
- Does Cypress Cove Care 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 Cypress Cove Care Center?
- 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.