Diversicare of Arab
235 Third Street Se, Arab, AL 35016 · Marshall County · (256) 586-3111
87 certified beds, about 83 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1977
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015148 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 15, 2021, inspectors cited 6 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 10 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 2.97 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
41.2% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Diversicare Healthcare, an affiliated group of 44 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.
303/18
102/19
604/21
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 10 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
2E
3F
Potential for minimal harm
0A
0B
1C
April 15, 2021Standard inspection · 6 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, interview, record review, and policy review the facility failed to ensure the kitchen was maintained in a sanitary manner creating the risk for foodborne illness to 75 of 78 residents (three residents received nutrition from tube feeding) residing in the facility. Kitchen flooring, surfaces, and areas were not sanitary and were in need of cleaning and repairs.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, record review, policy review, and Center for Disease Control (CDC) guidance the facility failed to ensure infection control practices were implemented to prevent the potential spread of infection. The facility failed to enforce the practice that required staff and residents to wear a mask appropriately to cover the nose and mouth when in close contact with others and in general population areas of the facility. Resident Identifier (RI) #41, RI #5, RI #70, and RI #66 failed to follow guidance to wear a mask to cover both mouth and nose when out of their room. Eighteen of 25 Residents who resided on the secure unit ate meals in a dining room without maintaining social distance and staff failed to direct residents to wear a mask per guidance. All residents on the secure unit received the vaccine to protect them from the Coronavirus. [...]
- E 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 interview, observation, record review and facility policy review the facility failed to identify target behaviors, monitor for the target behaviors for antipsychotic medications, ensure a stop date for an as needed (PRN) anti-anxiety medication and provide indications for use for three of six residents (Residents (RI) #4, RI #41, and RI #131.) This failure had the potential to cause residents to receive psychotropic medications without proper indications for use or monitoring for effectiveness.
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to ensure the menus were followed. Ten residents prescribed pureed diets (Resident Identifiers (RI) #24, RI #75, RI #27, RI #7, RI #46, RI #38, RI #3, RI #25, RI #2, RI #43) were not served pureed bread as directed on the menu during two of two meals observed. In addition, condiments indicated on the menu such as salt, pepper, and margarine were not served to residents on the 300 Hall during two of two meals observed. Three of 22 residents who ate meals on the 300 Hall RI #67, RI#79, RI#56) stated they would like to be served salt, pepper, and/or margarine with their meals.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, record review and policy review, the facility failed to assess and implement interventions after one of three sampled resident reviewed for falls in sample of 20 residents (Resident Identifier (RI) #54) fell on [DATE] and sustained a laceration to her forehead. The facility failed to obtain vital signs, document in nurse's notes, and complete a thorough post fall assessment to determine the root cause of the fall, and determine if new interventions were necessary, putting the resident at risk for additional falls.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interview and policy review, the facility failed to store all drugs in locked compartments in one (100 Hallway) of three lockable medication carts. The facility reported 51 residents residing in the 100 and 300 hallways that had potential access to the unlocked medications.
February 6, 2019Standard inspection · 1 citation
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and review of a facility policy titled Handwashing/Hand Hygiene, the facility failed to ensure a Registered Nurse (RN) washed hands and changed gloves during wound care for Resident Identfier (RI) #64, between handling dirty and clean items. This affected one of two sampled residents for whom wound care was observed.
March 1, 2018Standard inspection · 3 citations
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, interview, a facility policy titled, Waste Control and the Food Code, the facility failed to ensure the top on one of two dumpsters was not broken and partially opened. This was observed on 2/28/18, and had the potential to affect all 76 residents in the facility. Findings Include: A review of a facility policy titled, Waste Control with an effective date of August 1, 2012, documented the following: .It is the policy of this facility to store garbage and trash in a sanitary manner until disposed of properly for infection control . A review of the Food Code 2013 documented the following: .5-501.13 (A) receptacles and waste handling units for REFUSE, shall be insect-and rodent-resistant .5-501.15 Outside Receptacles (A) Receptacles and waste handling units for REFUSE, .shall be designed and constructed to have tight-fitting lids, doors, or covers . [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, medical record review and review of a facility document titled, Infection Control Guide, the facility failed to ensure licensed staff: 1. did not place a glucometer in her pocket before obtaining a fingerstick blood sugar (FSBS) for Resident Identifier (RI) #54, 2. did not place gloves on an overbed table for use during RI #54's FSBS, 3. did not place a medication cup of liquid medication inside a medication cup of pill medications for RI #27, and 4. did not touch the handle of a scoop for protein powder with her bare hand and then place the scoop back into the container during medication administration for RI #174. These deficient practices affected RI #54, RI #27 and RI #174, three of seven residents and three of five nurses observed during medication pass observation. Findings Include: [...]
- C Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, an unnamed facility policy and the Food Code, the facility failed to ensure three cycles of dishwashing reached the required temperature of 150 degrees (F) Fahrenheit . This was observed on 2/28/18 and had the potential to affect all 76 residents in the facility. Findings Include: A review of an untitled, undated facility policy, documented the following: .Wash Temperature Minimum Wash 150 F . A review of the Food Code 2013 documented the following: .4-501.110 Mechanical Warewashing Equipment, Wash Solution Temperature. (A) The temperature of wash solution in spray type warewashers that use hot water to sanitize may not be less than: .(2) For a stationary rack, dual temperature machine .150 (degrees) F . 02/28/18 at 1:38 p.m. three cycles of dishwashing were observed with the following temperatures recorded: 143 F, 147 F and 149 degrees F . [...]
Fire safety inspections
3 fire safety citations on file: 1 on February 6, 2019, 2 on March 1, 2018.
Every fire safety citation3 citations
- D Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Have proper medical gas storage and administration areas.
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) | 2.97 | 3.88 | 3.86 |
| Registered nurses | 0.63 | 0.65 | 0.69 |
| All nursing staff on weekends | 2.49 | 3.26 | 3.42 |
| Nurse aides | 1.97 | ||
| Licensed practical nurses | 0.37 | ||
| Nursing staff turnover (share who left in a year) | 41.2% | 46.9% | 45.8% |
| Registered nurse turnover | 35.7% | 39.5% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.20 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 3.17 on weekdays and 2.49 on weekends, 21% 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 3.24 in April to June 2025 to 2.97 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 | 2.97 | 0.63 | 3.17 | 2.49 | 0.0% | 0 of 90 | 83 |
| Oct to Dec 2025 | 3.14 | 0.66 | 3.33 | 2.67 | 0.0% | 0 of 92 | 82 |
| Jul to Sep 2025 | 3.29 | 0.65 | 3.49 | 2.77 | 0.0% | 0 of 92 | 81 |
| Apr to Jun 2025 | 3.24 | 0.63 | 3.43 | 2.75 | 0.0% | 0 of 91 | 80 |
| 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 | 4.9 | 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 | 1.7 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.6 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.0 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.3 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.1 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.8 | 11.3 | 12.0 |
Owners and operators
Legal business name: DIVERSICARE OF ARAB LLC. CMS links this home to Diversicare Healthcare, a group of 44 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Diversicare Leasing Company III LLC | 5% or greater direct ownership interest | Organization | 100% | 07/01/2016 |
| Advocat Finance, LLC | 5% or greater indirect ownership interest | Organization | 07/01/2016 | |
| Dac Newcorp Inc | 5% or greater indirect ownership interest | Organization | 04/04/2022 | |
| Diversicare Healthcare Services LLC | 5% or greater indirect ownership interest | Organization | 05/10/1994 | |
| Diversicare Management Services LP. | 5% or greater indirect ownership interest | Organization | 07/01/2016 | |
| Shaddrix, Mandy | W-2 managing employee | Individual | 02/05/2024 | |
| Kellman, Franklin | Corporate director | Individual | 09/13/2024 | |
| Kohn, Brian | Corporate director | Individual | 11/19/2021 | |
| Ratner, Eran | Corporate director | Individual | 11/19/2021 | |
| Bodie, Rebecca | Corporate officer | Individual | 03/02/2020 | |
| Nee, Stephen | Corporate officer | Individual | 02/20/2023 | |
| Ratner, Eran | Corporate officer | Individual | 09/13/2024 | |
| Weishaar, Matthew | Corporate officer | Individual | 12/01/2003 | |
| Ratner, Eran | Operational/managerial control | Individual | 09/13/2024 | |
| Dms Gp LLC | General partnership interest | Organization | 04/04/2022 | |
| Diversicare Healthcare Services LLC | Limited partnership interest | Organization | 04/04/2022 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on April 15, 2021: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 April 15, 2021: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 15, 2021: "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 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 15, 2021: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.49 hours per resident per day, below the Alabama average of 3.26.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Marshall Manor Nursing Home Guntersville, 10.3 mi · 3 of 5 stars · 3 citations
- Barfield Health Care Guntersville, 15.2 mi · 5 of 5 stars · 3 citations
- Albertville Nursing Home Albertville, 16.7 mi · 5 of 5 stars · 9 citations
- South Hampton Nursing & Rehabilitation Center Owens Cross Roads, 19.1 mi · 3 of 5 stars · 7 citations
- Diversicare of Boaz Boaz, 20 mi · 2 of 5 stars · 11 citations
- Fairview at Redstone Village Huntsville, 20.5 mi · 4 of 5 stars · 3 citations
- Altoona Health & Rehab Altoona, 21.6 mi · 3 of 5 stars · 5 citations
- Cullman Health Care Center Cullman, 21.9 mi · 2 of 5 stars · 6 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 Diversicare of Arab's Medicare star rating?
- CMS rates Diversicare of Arab 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Diversicare of Arab get at its last inspection?
- 6 health deficiencies at the standard inspection on April 15, 2021. The Alabama average is 4.
- Has Diversicare of Arab been fined?
- CMS lists no fines in the last three years.
- Does Diversicare of Arab 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 Diversicare of Arab?
- CMS lists 16 owners and managers, and links the home to Diversicare Healthcare. Legal business name: DIVERSICARE OF ARAB 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.