Falkville Rehabilitation and Healthcare Center
10 West 3rd Street, Falkville, AL 35622 · Morgan County · (256) 784-5291
116 certified beds, about 98 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1976
Special Focus Facility candidate Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015136 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 2, 2025, inspectors cited 20 health deficiencies (the Alabama average is 4, the national average 9.2).
Of 33 health citations since August 2018, 14 were rated as actual harm or immediate jeopardy to residents (12 immediate jeopardy).
CMS lists 2 fines totaling $146,615 in the last three years; the largest was $90,143, and the latest is dated September 2, 2025.
Nurses and nurse aides worked 3.79 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
55.2% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Venza Care Management, an affiliated group of 26 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
309/19
905/24
2009/25
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 33 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
6J
5K
1L
Actual harm
2G
0H
0I
Potential for more than minimal harm
12D
2E
4F
Potential for minimal harm
0A
0B
1C
September 2, 2025Standard inspection, Complaint inspection · 20 citations
- K Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review, interview, facility policy review, and review of Alabama Administrative Code, Chapter 420-5-19, Advance Directives the facility failed to ensure an effective process was developed and implemented to ensure resident's end-of-life decisions were validly recorded and honored. Specifically, the facility failed to ensure do not resuscitate (DNR) forms were filled out completely and accurately, including signatures of those authorized to sign the form, and dates. The facility failed to ensure all the necessary Power of Attorney (POA), Living Will, or Surrogate paperwork to support the DNR forms were included in the residents' medical records. The facility further failed to ensure facility staff were aware of the process to follow to rescind a DNR in an emergent situation. [...]
- J Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on record review, interview, facility policy review, and a review of the American Heart Association's Summary of High-Quality CPR [cardiopulmonary resuscitation] Components for BLS [Basic Life Support] Providers, the failed to ensure staff provided BLS in accordance with accepted guidelines. Specifically, the facility failed to ensure rescue breaths were provided while performing CPR to Resident #104 on [DATE]. Failure of the facility to provide high-quality CPR that included chest compressions and rescue breaths during an attempted resuscitation created the likelihood of failed resuscitation efforts and death. Continued failure created the likelihood that the CPR attempts would be unsuccessful, which could cause serious harm, injury, impairment, or death to other residents. Further the facility failed to ensure staff verified Resident #104's code status before initiating CPR. [...]
- J 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, facility policy review, and review of Occupational Safety and Health Administration (OSHA) guidelines, the facility failed to provide adequate supervision and an environment free of potential fire hazards by failing to ensure a resident complied with the facility's vaping policy for 1 (Resident #3) of 6 residents reviewed for smoking/vaping safety. The failure had the likelihood to create a fire hazard or explosion, leading to serious harm/injury/impairment or death. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, serious harm, serious impairment, or death to residents. The Immediate Jeopardy (IJ) was related to 42 CFR 483.25, Quality of Care. [...]
- J Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to address repeated resident behaviors of violating the facility's vaping policy, to include developing and implementing interventions to address a resident's known behaviors of vaping in their room in the bed and hiding vape paraphernalia from staff, and failed to provide education to staff on the appropriate actions to take when they observed the resident vaping in the resident's room or saw vape paraphernalia in the resident's room for 1 (Resident #3) of 6 residents reviewed for smoking safety. [...]
- J Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on record review, interview, facility policy review, facility document review, and a review of Alabama State Committee of Public Health Administrative Code, the facility's administration failed to:1) address ongoing resident non-compliance with the facility's vaping policy. Administration had created a quality assurance performance improvement (QAPI) plan on [DATE] for vaping non-compliance without any further action being taken to address ongoing non-compliance with the vaping policy for 1 (Resident #3) of 6 residents reviewed for smoking safety. Resident #3 continued vaping in his/her room. The failure had the likelihood to place all residents in the facility at risk for serious harm/injury/impairment or death related to fire hazards and the risk of injury related to battery explosion. [...]
- J Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Inspectors wroteBased on record review, interview, facility policy review, and a review of Alabama State Committee of Public Health Administrative Code, the Medical Director failed to provide oversight to ensure residents' end-of-life wishes were honored, including completion of the Alabama portable physician do not resuscitate (DNR) form and oversight of the development and implementation of a facility process for rescinding a DNR order in emergent situations. The failure created the likelihood of cardiopulmonary resuscitation (CPR) being incorrectly provided or withheld. It was determined the facility's non-compliance with one or more requirements of participation had caused or was likely to cause, serious injury, serious harm, serious impairment, or death to residents. The Immediate Jeopardy (IJ) was related to 42 CFR 483.70(g), F841, Medical Director. [...]
- J Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on record review, interview, facility document review, facility policy review, and a review of Alabama State Committee of Public Health Administrative Code, the facility failed to ensure a Quality Assurance Performance Improvement (QAPI) plan that was developed, implemented, and monitored for effectiveness following adverse events. Specifically,1) The facility failed to ensure a QAPI plan created by the facility's administration on [DATE] was executed and audited for effectiveness related to a resident being non-compliant with the facility vaping policy by vaping in their room unsupervised, creating a potential risk of fire and battery explosion. The failure had the likelihood for serious harm/injury/impairment or death related to the fire risks and risk of explosion when the resident continued vaping in bed. [...]
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to implement a water management program to minimize risk of water-borne illnesses. Specifically, the facility did not identify areas of its water system that would be vulnerable to legionella growth. The facility also failed to fit-test employees for N95 respirators per Centers for Disease Control (CDC) guidelines. These failures had the potential to affect all residents. Per the Midnight Census report, dated [DATE], the current census was 93.
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview, record review, facility document review, and facility policy review, the facility failed to report abuse allegations within the required timeframes for 2 (Resident #34 and Resident #107) of 5 residents reviewed for abuse. Specifically, the facility failed to report an incident to the state involving Resident #34 and Resident #85. The facility also failed to report an allegation of abuse involving Resident #107 to the state within the mandated two-hour timeframe.
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure residents' records were complete, accurately documented, and readily accessible for 6 (Residents #91, #29, #11, #8, #36, and #4) of 19 residents reviewed.
- D Give residents a notice of rights, rules, services and charges.
Inspectors wroteBased on interview, record review, facility document review, and facility policy review, the facility failed to provide notification of the rights and rules of the facility for 1 (Resident #34) of 3 residents. Specifically, neither Resident #34 nor the resident's representative signed the facility's notification of the rights and rules at the facility on the resident's admission.
- 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, record review, facility document review, and a review of the facility's policy, the facility failed to protect a resident's right to be free from physical abuse by another resident. This failure affected 1 (Resident #91) of 5 residents reviewed for abuse. Specifically, Resident #106 hit Resident #91 in the back on 06/29/2025.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on interview, record review, facility document review, and facility policy review, the facility failed to implement the facility abuse policies and procedures related to identifying, reporting, and investigating abuse for 2 (Resident #91 and Resident #85) of 5 residents reviewed for abuse. Specifically, the facility failed to identify a resident-to-resident altercation as abuse when Resident #91 was physically abused by Resident #106 and failed to follow up on a comment Resident #91 made to the nurse practitioner (NP) about having jaw pain due to having allegedly been sucker punched. Additionally, the facility failed to ensure staff identified and reported abuse when Resident #85 was aggressively pushed in their wheelchair by Resident #34.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on interview and record review, the facility failed to provide bed-hold notification to 2 (Resident #101 and Resident #36) of 4 residents reviewed for hospitalization; and failed to notify the ombudsman of a resident's discharge to the hospital for 1 (Resident #101) of 4 residents reviewed for hospitalization.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to resubmit a Level 1 Pre-admission Screening and Resident Review (PASARR) following the addition of new qualifying psychiatric diagnoses. Specifically, Resident #34 and Resident #59 were diagnosed with new significant mental illnesses (SMIs) after their admission, but no new PASARR was completed.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure a PASARR (Pre-admission Screening and Resident Review) assessment was completed prior to admission to the facility for 1 (Resident #59) of 3 residents screened for PASARR.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review, interview, facility document review, and facility policy review, the facility failed to revise and update a baseline care plan following an incident of abuse, which affected 1 (Resident #91) of 5 residents reviewed for abuse. Specifically, Resident #91 rummaged through their roommate's closet, and their roommate hit them in response. The facility did not revise the care plan to include the rummaging behavior or include interventions to prevent future abuse of the resident.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to provide necessary services to maintain grooming and personal hygiene for 1 (Resident #3) of 3 residents reviewed for showers, who was unable to carry out activities of daily living (ADLs) for themselves.
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on interview, observation, record review, and facility policy review, the facility failed to ensure they honored residents' food preferences, which affected 1 (Resident #9) of 7 residents reviewed for the dining task.
- C Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observation, interview, and facility document review, the facility failed to ensure the survey results were posted in a location accessible to all residents and representatives. Specifically, the survey results were posted behind the first floor nurses' station, and the signage indicated that people were to request access. This had the potential to affect all residents. Per the Midnight Census report, dated 07/21/2025, the current census was 93.
May 2, 2024Complaint inspection · 9 citations
- L Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on interviews, record review, review of the Job Description of the Administrator and review of the facility's Abuse Policy, the facility's Administrator failed to provide oversight to ensure the facility's abuse policies were implemented, including reporting suspected abuse, investigating documented allegations of abuse, and implementing protective measures for residents. Facility staff documented occurrences of potential abuse in Resident Identifier (RI)#13's medical record beginning 01/03/2024 through 01/12/2024; however, there was no evidence the occurrences were reported, investigated or that protective measures for residents were implemented. [...]
- K Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interviews, record review, review of a facility policy titled Abuse, Neglect Misappropriation of Resident Property, Suspicious Injuries of Unknown Source, Exploitation , and review of a third-party complaint received by the Alabama Department of Public Health, the facility failed to protect the residents' right to be free from sexual and verbal abuse by a resident. The facility failed to implement protective measures and provide supervision to residents on the Memory Care Secured Unit (MCSU) after identifying Resident Identifier (RI) #13, a resident with dementia, was exhibiting sexual inappropriate behaviors towards other residents. No residents on the MCSU had been assessed for the capacity to consent to sexual activity. [...]
- K Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on interviews, medical record reviews, review of a facility policy titled, Abuse, Neglect, Misappropriation of Resident Property, Suspicious Injuries of Unknown Source, Exploitation, and documents titled SUPPLEMENTAL QUESTIONS FOR DETERMINATION OF CAPACITY RELATED TO SEXUAL DECISIONS the facility failed to ensure policies and protocols were established to prevent sexual abuse including a protocol to identify when, how, and by whom determinations of capacity to consent to a sexual contact would be made. Further the facility failed to ensure residents on the Memory Care Secured Unit (MCSU) were protected after allegations of sexual abuse were documented in Resident Identifier #13's medical record. RI #13 resided in the facility's MCSU. RI #13's medical record indicated he/she had a history of sexual behaviors which began to escalate on 01/03/2024. [...]
- K Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interviews, record review and review of a facility policy titled, Abuse, Neglect, Misappropriation of Resident Property, Suspicious Injuries of Unknown Source, Exploitation, the facility failed to immediately report incidents of suspected abuse by Resident Identifier (RI) #13 to the Administrator (ADM) which resulted in failure of the facility to investigate and protect residents residing on the Memory Care Secured Unit (MCSU). On 01/03/2024, RI #13 exhibited inappropriate sexual behavior toward residents; on 01/04/2024, RI #13 had behavior of talking inappropriate with female residents; on 01/08/2024, RI #13 continued to make sexual comments and actions towards female residents; on 01/11/2024, RI #13 was observed touching a female resident's upper thigh; on 01/12/2024 RI #13 entered a female resident's room making sexual comments. [...]
- K Respond appropriately to all alleged violations.
Inspectors wroteBased on interviews, record review and review of facility polices titled, Abuse, Neglect, Misappropriation of Resident Property, Suspicious Injuries of Unknown Source, Exploitation and Incidents and Accidents, the facility failed to thoroughly investigate incidents of abuse by Resident Identifier (RI) #13 to prevent further occurrences. Per RI #13's medical record, on 01/03/2024, RI #13 exhibited inappropriate sexual behavior toward residents; on 01/04/2024, RI #13 had behavior of talking inappropriate with female residents; on 01/08/2024, RI #13 continued to make sexual comments and actions towards female residents; on 01/11/2024, RI #13 was observed touching a female resident's thigh; on 01/12/2024 RI #13 entered a female resident's room making sexual comments. Licensed Practical Nurse (LPN) #10 reported she reported the 01/03/2024 and 01/08/2024 incidents to the ADM; [...]
- G Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interviews, record review and review of facility policies titled, Pain Management and Assessment, Incidents and Accidents, Change in Medical Condition of Residents, and review of a facility form titled Pain Assessment, the facility failed to ensure: 1) Resident Identifier (RI) #14's physician was notified when RI #14 exhibited facial grimaces when moved on 11/26/2023; and continued to exhibit facial grimaces and complained of pain on 11/27/2024, 2) RI #14's physician was notified when RI #14 did not have a physician's order for pain management; and 3) RI #14's family was notified when RI #14 was ordered x-rays on 11/27/2024 after complaining of pain. This deficient practice affected RI #14, one of five residents sampled for falls. This deficiency was cited as a result of the investigation of complaint/report #AL00046832.
- G Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on interviews, record review and review of a facility policy titled, Pain Management and Assessment, the facility failed to ensure Resident Identifier (RI) #14's pain was assessed on a daily basis, especially after RI #14 fell on [DATE]. According to the facility's policy, an ongoing assessment of pain utilizing either a numerical scale of 0-10 or a verbal descriptor scale should be conducted daily and documented on the Medication Administration Record (MAR). Upon review of RI #14's MAR, there was no evidence RI #14's pain was being assessed daily; nor was there a physician's order for pain management. The facility further failed to medicate RI #14 for his/her complaint of pain. According to a facility form titled, Pain Assessment, facial grimacing was considered to be a symptom of pain. [...]
- F 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, the facility's Diet Type Report, the facility's Supper menus for 2023-2024 Fall/Winter, Week 3 on Wednesday and Thursday, and the facility's policies for Menus and Adequate Nutrition and Nourishment; the facility failed to ensure 6-ounce portions of Pureed Lasagna were served to residents receiving a Pureed Diet for Supper on 04/24/2024 and the facility further failed to ensure 3-ounce portions of hot dog meat were served to residents receiving Regular, Mechanical Soft, and Pureed diets for Supper on 04/25/2024. This had the potential to affect all residents receiving meals from the facility's kitchen, 84 of 84 residents. This tag is a result of the investigation for Complaint/report #AL00047631.
- D Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Inspectors wroteBased on observations, interview and record review, the facility failed to ensure Resident Identifier (RI) #15 received whole milk at each meal as ordered by the physician. This deficient practice was observed on 04/24/2024 at the dinner meal and on 04/25/2025 at the lunch meal; and affected RI #15, one of three sampled residents observed during mealtime.
September 26, 2019Standard 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 observations, interview and review of the 2017 U.S. (United States) Public Health Service Food Code, the facility failed to ensure the following items in the Reach in Refrigerator had an open/use by date on the items: 1) a five pound container of chicken salad, 2) a five pound container of cottage cheese, 3) a five pound container of tuna salad, 4) a five pound bag of shredded cheese, 5) a one gallon container of barbeque sauce, 6) a one gallon container of ranch dressing, 7) a one gallon container of sliced dill pickles; and 8) a one gallon container of lemon juice. These observations were made during the initial tour of the kitchen on 09/24/19. These deficient practices had the potential to affect all 106 residents receiving meals from the kitchen. Findings Include: A review of the 2017 U.S. Public Health Service Food Code revealed: . [...]
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, interview, review of a facility policy titled, Waste Disposal and review of the 2017 U.S. (United States) Public Health Service Food Code, the facility failed to ensure the grounds around the dumpsters were free of four gloves, a plastic spoon, a small empty drink can, an empty drink bottle and pieces of paper. This had the potential to attract rodents and pests and affect all 108 residents living in the facility. Findings Include: A review of the the 2017 U.S. (United States) Public Health Service Food Code revealed: . 5-501.110 Storing Refuse, Recyclables, and Returnables. REFUSE, . shall be stored in receptacles or waste handling units so that they are inaccessible to insects and rodents . 5-501.115 Maintaining Refuse Areas and Enclosures. A storage area and enclosure for REFUSE, . shall be maintained free of unnecessary items . and clean . [...]
- 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 observations, interviews and record review, the facility failed to ensure Employee Identifier (EI) #4, a medication nurse, did not leave Resident Identifier (RI) #52's medications on top of the medication cart when she left the medication cart on 09/25/19. This deficient practice affected RI #52, one of three residents observed during the medication pass administration, and EI #4, one of three nurses observed administering medications. Findings Include: RI #52 was admitted to the facility on [DATE] and readmitted on [DATE], with diagnoses of Anorexia, Parkinson's Disease, Constipation and Hypokalemia. RI #52's September 2019 Physician Orders revealed the following: . POTASSIUM CL (Chloride) ER (Extended Relief) 10 MEQ (Milliequivalents) TABLET GIVE ONE TAB (Tablet) BY MOUTH TWICE DAILY . COLACE 100 MG (Milligrams) CAPSULE GIVE ONE CAP (CAPSULE) BY MOUTH TWICE DAILY . [...]
August 30, 2018Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews, and review of a facility policy titled Medication - Administration, the facility failed to ensure licensed staff did not half a tablet and place it in a medication cup with bare hands. This affected Resident Identifier (RI) #41, one of seven residents observed during medication pass.
Fire safety inspections
12 fire safety citations on file: 10 on September 2, 2025, 2 on August 30, 2018.
Every fire safety citation12 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have horizontal exits used in accordance with safety requirements.
- D Install an approved automatic sprinkler system.
- D Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D Install corridor and hallway doors that block smoke.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 2, 2025 | Fine | $56,472 |
| May 2, 2024 | Fine | $90,143 |
| May 2, 2024 | Payment Denial | 7 days from May 31, 2024 |
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) | 3.79 | 3.88 | 3.86 |
| Registered nurses | 0.64 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.30 | 3.26 | 3.42 |
| Nurse aides | 2.45 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | 55.2% | 46.9% | 45.8% |
| Registered nurse turnover | 57.1% | 39.5% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.63 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 3.98 on weekdays and 3.30 on weekends, 17% 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 4.32 in April to June 2025 to 3.79 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 | 3.79 | 0.64 | 3.98 | 3.30 | 0.5% | 0 of 90 | 98 |
| Oct to Dec 2025 | 4.21 | 0.65 | 4.40 | 3.71 | 2.3% | 0 of 92 | 98 |
| Jul to Sep 2025 | 4.19 | 0.55 | 4.38 | 3.70 | 4.8% | 0 of 92 | 95 |
| Apr to Jun 2025 | 4.32 | 0.60 | 4.64 | 3.50 | 4.3% | 0 of 91 | 88 |
| 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 | 10.8 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.4 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.5 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.4 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 44.9 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 12.8 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.3 | 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 | 1.5 | 1.7 | 1.8 |
Owners and operators
Legal business name: FALKVILLE SNF OPERATIONS LLC. CMS links this home to Venza Care Management, a group of 26 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Alabama SNF Operations Holdings LLC | Direct ownership interest | Organization | 03/24/2023 | |
| Al SNF Associates LLC | Indirect ownership interest | Organization | 03/25/2026 | |
| Al SNF Associates Trust | Indirect ownership interest | Organization | 03/25/2026 | |
| Al SNF Holdings LLC | Indirect ownership interest | Organization | 03/25/2026 | |
| Al SNF Holdings Trust | Indirect ownership interest | Organization | 03/25/2026 | |
| Ch Alabama Holdings LLC | Indirect ownership interest | Organization | 03/25/2026 | |
| Cw Alabama Holdings LLC | Indirect ownership interest | Organization | 03/25/2026 | |
| M Melb Opco LLC | Indirect ownership interest | Organization | 12/01/2025 | |
| M Melb Opco Trust | Indirect ownership interest | Organization | 12/01/2025 | |
| Ms Alabama Holdings LLC | Indirect ownership interest | Organization | 03/24/2023 | |
| S Melb Opco LLC | Indirect ownership interest | Organization | 12/01/2025 | |
| S Melb Opco Trust | Indirect ownership interest | Organization | 12/01/2025 | |
| Ss Alabama Holdings LLC | Indirect ownership interest | Organization | 03/24/2023 | |
| Goodman, Menucha | Managing control - governing body | Individual | 12/01/2025 | |
| Goodman, Menucha | Corporate director | Individual | 12/01/2025 | |
| Alabama Opco Manager LLC | Operational/managerial control | Organization | 03/24/2023 | |
| Melb Opco Manager LLC | Operational/managerial control | Organization | 12/01/2025 | |
| Vertex Financial Services LLC | Operational/managerial control | Organization | 01/01/2025 | |
| Azzam, Mohannad | Operational/managerial control | Individual | 11/01/2025 | |
| Goodman, Menucha | Operational/managerial control | Individual | 12/01/2025 | |
| Scrivner, Melissa | Operational/managerial control | Individual | 04/28/2025 | |
| Herzka, Yisroel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/22/2026 | |
| Strauss, Susan | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 12/25/2025 | |
| Vertex Financial Services LLC | Adp of the SNF | Organization | 12/25/2025 | |
| Azzam, Mohannad | Adp of the SNF | Individual | 11/01/2025 | |
| Scrivner, Melissa | Adp of the SNF | Individual | 04/28/2025 |
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.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 7 problems in this area, most recently on September 2, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on September 2, 2025: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on September 2, 2025: "Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on September 2, 2025: "Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Summerford Health and Rehab, LLC Falkville, 1.1 mi · 2 of 5 stars · 14 citations
- Cullman Health Care Center Cullman, 12.7 mi · 2 of 5 stars · 6 citations
- Folsom Rehabilitation and Healthcare Center Cullman, 14 mi · 4 of 5 stars · 8 citations
- Decatur Health & Rehab Center Decatur, 15 mi · 1 of 5 stars · 16 citations
- Woodland Village Rehabilitation and Healthcare Cen Cullman, 15.4 mi · 4 of 5 stars · 3 citations
- River City Center Decatur, 15.4 mi · 1 of 5 stars · 12 citations
- Hanceville Nursing & Rehab Center, Inc Hanceville, 22.6 mi · 2 of 5 stars · 8 citations
- NHC Healthcare, Moulton Moulton, 22.9 mi · 5 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 Falkville Rehabilitation and Healthcare Center's Medicare star rating?
- CMS rates Falkville Rehabilitation and Healthcare Center 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Falkville Rehabilitation and Healthcare Center get at its last inspection?
- 20 health deficiencies at the standard inspection on September 2, 2025. The Alabama average is 4.
- Has Falkville Rehabilitation and Healthcare Center been fined?
- Yes. CMS lists 2 fines totaling $146,615 in the last three years.
- Does Falkville Rehabilitation and Healthcare 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 Falkville Rehabilitation and Healthcare Center?
- CMS lists 26 owners and managers, and links the home to Venza Care Management. Legal business name: FALKVILLE SNF OPERATIONS 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.