What is Diversicare of Big Springs's Medicare star rating?

CMS rates Diversicare of Big Springs 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Diversicare of Big Springs get at its last inspection?

2 health deficiencies at the standard inspection on January 27, 2022. The Alabama average is 4.

Has Diversicare of Big Springs been fined?

CMS lists no fines in the last three years.

Does Diversicare of Big Springs 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 Big Springs?

CMS lists 17 owners and managers, and links the home to Diversicare Healthcare. Legal business name: DIVERSICARE OF BIG SPRINGS LLC.

Diversicare of Big Springs: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on January 27, 2022, inspectors cited 2 health deficiencies (the Alabama average is 4, the national average 9.2).

None of its 9 health citations since July 2019 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 3.12 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.56 of those hours.

47.1% 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.

607/19

103/21

201/22

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

Actual harm

Potential for more than minimal harm

Potential for minimal harm

January 27, 2022Standard inspection · 2 citations

D

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 1, 2022

Inspectors wroteBased on interviews, record review, a review of the, Grievance Log and a facility policy titled, Customer Concern (Grievance) Policy, the facility failed to ensure the grievance process was followed when RI (Resident Identifier) #149's sponsor filed a grievance on 07/30/21. This deficient practice affected RI #149 one of three residents whose grievances were reviewed.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 1, 2022

Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure Resident Identifier (RI) #45's 02 (Oxygen) tubing/humidifier water bottle was dated and labeled; and the resident's nebulizer mask was stored in a covering on three of three days of survey. These deficient practices affected RI #'s 45 one of four residents sampled for oxygen therapy.

March 26, 2021Standard inspection · 1 citation

D

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2021

Inspectors wroteBased on interviews and facility documents titled Team Member In-Service Record the facility failed to include DementiaTraining in the required 12 hour annual training for CNAs (Certified Nursing Assistants), Employee Identifiers' (EI) EI #1 and EI #2. This deficient practice affected 2 of 9 CNA's whose training records were reviewed for Dementia Training. Findings Include: Review of EI #1 and EI #2 Team Member In-Service Record revealed the CNAs had not received Dementia Training as required to be included in their annual training for the year 2020. EI #1 was hired 01/04/2018. EI #2 was hired 01/07/2020. On 03/26/21 at 10:40 AM, an interview was conducted with EI #9, Director of Clinical Operations. EI #9 was asked what Dementia Training have EI #1 and EI #2 received. EI #9 said they had not received any. [...]

July 18, 2019Standard inspection · 6 citations

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 22, 2019

Inspectors wroteBased on observations, interviews, and the Food and Drug Administration (FDA) 2017 Food Code, the facility failed to ensure: 1. the three-compartment sink and the food preparation sink drain pipes did not extend into the floor drains to create potential for backflow; 2. condensation from an air conditioning ventilation duct did not drip onto the surface of a food assembly area and onto individually wrapped ready-to-eat food; and 3. milk in the milk cooler was not expired. This had the potential to affect 108 residents receiving meals from the kitchen, 108 of 112 residents. Findings Include: 1. A review of the FDA 2017 Food Code revealed: . 5-402.11 Backflow Prevention. (A) . a direct connection may not exist between the SEWAGE system and a drain originating from EQUIPMENT in which FOOD, portable EQUIPMENT, or UTENSILS are placed. [...]
D

Assure that each resident’s assessment is updated at least once every 3 months.

F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2019

Inspectors wroteBased on record review, interview, and review of the document titled, Resident Assessment Instrument User's Manual Version 3.0,the facility failed to ensure a timely Minimal Data Set (MDS) quarterly assessment was completed for Resident Identifier (RI) #2. This affected one of twenty-four sampled residents. Findings Include: A review of a document titled, Facility Resident Assessment Instrument (RAI) 3.0 User's Manual Version 1.16 , with a revised date of October 2018, page 2-17, revealed: RAI OBRA (Omnibus Budget Reconciliation Act)-required Assessment Summary .Quarterly (Non-comprehensive) . Assessment Reference Date (ARD) .No later than .ARD of Previous OBRA assessment of any type + 92 calendar days .Regulatory Requirement .(every 3 months) . RI #2 was admitted to the facility on [DATE] with a diagnosis of heart failure, unspecified. [...]
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2019

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that Oxygen cannula tubing was provided with a date when changed out by nursing. This affected Resident Identifier (RI) #6, one of two residents who were observed with utilizing oxygen therapy.
D

Ensure that residents are free from significant medication errors.

F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2019

Inspectors wroteBased on medical record review, interview and review of a facility document titled, Medication error, the facility failed to ensure Resident Identifier (RI) #107's order for Eliquis 5 milligrams (MG) by mouth (PO) twice a day (BID) with no end date was not discontinued in error by a licensed nurse on 07/08/19. The medication error was significant due to the drug's classification as an anticoagulant. This affected RI #107, one of 24 sampled residents whose medications were reviewed. Findings Included: A review of a facility document titled, Medication error, with the Date: 7/17/2019, documented: .Incident Description Nursing Description: Resident's eliquis was discontinued in error by nursing caring for (him/her) on 7/8/19 . Immediate Action Taken Description: [...]
D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2019

Inspectors wroteBased on interview, and review of Resident Identifier (RI) #260's medical record, the facility failed to ensure that the Code Status for RI #260 matched through-out the medical record. This deficiency affected one of one resident reviewed for accurate code status.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2019

Inspectors wroteBased on observations, interviews, medical record reviews and review of a facility policy titled, Handwashing/Hand Hygiene, the facility failed to ensure: 1. a Certified Nursing Assistant (CNA) changed gloves after providing incontinence care for Resident Identifier (RI) #107 before touching the resident's bed covers and washed her hands after removing her gloves before leaving RI #107's room; and 2. a CNA washed her hands after removing her gloves and applying clean gloves during incontinence care for RI #34. These deficient practices affected RI #107 and #34, two of 24 sampled residents. Findings Included: A review of a facility policy titled, Handwashing/Hand Hygiene, with an Effective Date: November 1, 2017, documented: . Policy Interpretation And Implementation . 2. [...]

Fire safety inspections

7 fire safety citations on file: 1 on March 26, 2021, 6 on July 18, 2019.

Every fire safety citation7 citations

F
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · March 26, 2021 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · July 18, 2019 · Corrected (the home has a date of correction)
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.

K 222 · July 18, 2019 · Corrected (the home has a date of correction)
D
Install a fire alarm system that can be heard throughout the facility.

K 341 · July 18, 2019 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · July 18, 2019 · Corrected (the home has a date of correction)
D
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

K 361 · July 18, 2019 · Corrected (the home has a date of correction)
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · July 18, 2019 · Corrected (the home has a date of correction)

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)	3.12	3.88	3.86
Registered nurses	0.56	0.65	0.69
All nursing staff on weekends	2.57	3.26	3.42
Nurse aides	2.04
Licensed practical nurses	0.53
Nursing staff turnover (share who left in a year)	47.1%	46.9%	45.8%
Registered nurse turnover	52.9%	39.5%	42.9%
Administrators who left	0

CMS expects 3.01 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 3.35 on weekdays and 2.57 on weekends, 23% 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 3.08 in April to June 2025 to 3.12 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	3.12	0.56	3.35	2.57	0.0%	0 of 90	124
Oct to Dec 2025	3.03	0.62	3.22	2.54	0.0%	0 of 92	127
Jul to Sep 2025	2.95	0.58	3.10	2.54	0.0%	0 of 92	127
Apr to Jun 2025	3.08	0.57	3.29	2.55	0.0%	0 of 91	121
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.

How staff pay reports work · CNA pay by state

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	4.8	12.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	1.0	0.9	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.5	2.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	0.8	3.3	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.9	2.0	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	4.5	12.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	3.8	5.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	17.0	21.2	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	28.4	24.8	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	16.4	11.3	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.1	2.0	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	3.7	1.7	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Diversicare of Big Springs's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

51.5% this home

No different from the national rate

US median of homes 51.5% · Alabama: 41 better, 10 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 152 eligible stays.

Potentially preventable readmissions

11.4% this home

No different from the national rate

US median of homes 10.7% · Alabama: 1 better, 3 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 188 eligible stays.

Infections that led to a hospital stay

7.7% this home

No different from the national rate

US median of homes 7.1% · Alabama: 0 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 81 eligible stays.

Self-care and mobility at discharge

50.6% this home

Median of homes: Alabama50.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 79 residents counted.

Falls with major injury

0.0% this home

Median of homes: Alabama0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 109 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Alabama2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 108 residents counted.

Medication list given at discharge

93.9% this home

Median of homes: Alabama100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 33 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: DIVERSICARE OF BIG SPRINGS 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 II LLC	5% or greater direct ownership interest	Organization	100%	01/13/2014
Advocat Finance, LLC	5% or greater indirect ownership interest	Organization		01/13/2014
Dac Newcorp Inc	5% or greater indirect ownership interest	Organization		04/04/2022
Diversicare Management Services LP.	5% or greater indirect ownership interest	Organization		10/10/1996
Gaspar, Enrico	Contracted managing employee	Individual		06/05/2021
Cox, Beverly	W-2 managing employee	Individual		10/27/2023
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
Dms Gp LLC	General partnership interest	Organization		04/04/2022
Diversicare Healthcare Services LLC	Limited partnership interest	Organization		04/04/2022
Cox, Beverly	Adp of the SNF	Individual		12/10/2024
Gaspar, Enrico	Adp of the SNF	Individual		12/10/2024

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.

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 January 27, 2022: "Provide safe and appropriate respiratory care for a resident when needed."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 18, 2019: "Assure that each resident’s assessment is updated at least once every 3 months."
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 January 27, 2022: "Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances."
How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on March 26, 2021: "Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.57 hours per resident per day, below the Alabama average of 3.26.

Other nursing homes nearby

Rocket City Rehabilitation and Healthcare Center
Huntsville, 1.9 mi · 1 of 5 stars · 20 citations
Windsor House
Huntsville, 2.5 mi · 1 of 5 stars · 20 citations
Brookshire Healthcare Center
Huntsville, 2.6 mi · 3 of 5 stars · 8 citations
Regency Health Care and Rehabilitation Center
Huntsville, 2.7 mi · 1 of 5 stars · 18 citations
Huntsville Health & Rehabilitation, LLC
Huntsville, 3 mi · 1 of 5 stars · 19 citations
Willowbrooke Ct Skilled Care Ctr at Magnolia Trace
Huntsville, 3.9 mi · 5 of 5 stars · 4 citations
The Health Center at Research Park
Huntsville, 4.9 mi · 1 of 5 stars · 20 citations
Fairview at Redstone Village
Huntsville, 8.2 mi · 4 of 5 stars · 3 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 Big Springs's Medicare star rating?: CMS rates Diversicare of Big Springs 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Diversicare of Big Springs get at its last inspection?: 2 health deficiencies at the standard inspection on January 27, 2022. The Alabama average is 4.
Has Diversicare of Big Springs been fined?: CMS lists no fines in the last three years.
Does Diversicare of Big Springs 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 Big Springs?: CMS lists 17 owners and managers, and links the home to Diversicare Healthcare. Legal business name: DIVERSICARE OF BIG SPRINGS 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.