1945 Davis Drive, Gadsden, AL 35904 · Etowah County · (256) 547-4938
168 certified beds, about 135 residents a day · For profit - Individual · Medicare and Medicaid since 1977
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015180 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 15, 2021, inspectors cited 3 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 6 health citations since November 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 4.40 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.
57.7% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Preston Health Services, an affiliated group of 5 nursing homes.
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.
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 6 health citations on file.
Inspectors wroteBased on interview, record review and review of the Centers for Medicare & (and) Medicaid Services, Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, the facility failed to ensure a Significant Change Minimum Data Set (MDS) was completed when Resident Identifier (RI) #23 was discharged from hospice on 5/1/21. This affected one of two residents sampled for Hospice. Findings Include: A review of the Centers for Medicare & (and) Medicaid Services, Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, Version 1.17.1, dated October 2019, reveled . An SCSA (Significant Change in Status Assessment) is required to be performed when a resident is receiving hospice services and then decides to discontinue those services (known as revoking of hospice care). The ARD (Assessment Reference Date) must be within 14 days from one of the following; [...]
Inspectors wroteBased on interview, record review and review of the Centers for Medicare & (and) Medicaid Services, Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, the facility failed to ensure Resident Identifier (RI) #36's Quarterly Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 05/02/2021, did not code RI #36 as receiving an Anticoagulant medication during this assessment period. This deficient practice affected RI #36, one of 31 residents whose MDS assessments were reviewed.
Inspectors wroteBased on observations, record review, interviews, and review of [NAME] & [NAME] Fundamentals of Nursing, the facility failed to ensure Resident Identifier (RI) #99's tube feeding bottle and water bag were labeled. This affected one of five residents sampled for tube feeding. Findings Include: A review of [NAME] & [NAME] Fundamentals of Nursing, Ninth Edition, copyright 2017, Chapter 45 Nutrition, page 1082, revealed: . SAFETY GUIDELINES FOR NURSING SKILLS . When performing the skills in this chapter, remember the following points to ensure safe, individualized patient care. * Label enteral equipment with patient name and room number; formula name, rate, and date and time of initiation; and nurse initials . RI #99 was readmitted to the facility on [DATE] with a diagnosis of Dysphagia, oropharyngeal phase. [...]
Inspectors wroteBased on record reviews, interviews and the nursing manual titled, Fundamentals of Nursing, the facility failed to ensure the physician orders were followed for Resident Identifier (RI) #75 for stool specimens to be collected times three for Clostridium Difficile. The deficient practice affected one of the 39 sampled residents whose physician's orders were reviewed.
Inspectors wroteBased on observation, interviews and a review of the facility policy titled, Destruction of Unused Drugs, the facility failed to ensure one and one-half bottle of expired Bismuth (8 ounce) and an expired bottle of Simethicone 80 mg tablets were not left on medication carts beyond the expiration dates. This deficient practice was observed on two of nine total medication carts. Findings Include: A review of the facility policy's titled Destruction of Unused Drugs, dated 11/27/2017, revealed the following: . Policy Interpretation and Implementation . 3. Non-controlled medications will be audited and inspected for expiration dates on a monthly basis . if a medication is found to be expired the nurse will follow facility procedure on destruction of non-controlled medication. On 11/1/2018 at 11:34 AM, the surveyor conducted a medication cart review on the 800 Hall. [...]
Inspectors wroteBased on observation and interview, the facility failed to ensure a Certified Nursing Assistant (CNA) did not drop a carton of milk onto the floor, then return it to the refrigerator. This had the potential to affect all residents receiving supplements from the refrigerator at Station 2. Findings Include: On 10/31/18 at 2:59 PM Employee Identifier (EI) #5, a CNA, was observed to drop a container of milk on the floor, pick it up and then return it to the refrigerator at Station 2. The surveyor asked EI #5 what should be done if a container of milk is dropped on the floor. EI #5 said she should have disposed of it because placing the milk back into the refrigerator could cause contamination.
11 fire safety citations on file: 3 on July 15, 2021, 4 on December 5, 2019, 4 on November 1, 2018.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 4.40 | 3.88 | 3.86 |
| Registered nurses | 0.53 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.77 | 3.26 | 3.42 |
| Nurse aides | 2.48 | ||
| Licensed practical nurses | 1.39 | ||
| Nursing staff turnover (share who left in a year) | 57.7% | 46.9% | 45.8% |
| Registered nurse turnover | 47.1% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.83 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.66 on weekdays and 3.77 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.21 in April to June 2025 to 4.40 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 | 4.40 | 0.53 | 4.66 | 3.77 | 0.8% | 0 of 90 | 135 |
| Oct to Dec 2025 | 4.09 | 0.50 | 4.53 | 2.96 | 1.1% | 0 of 92 | 138 |
| Jul to Sep 2025 | 4.19 | 0.53 | 4.62 | 3.08 | 2.4% | 0 of 92 | 134 |
| Apr to Jun 2025 | 4.21 | 0.51 | 4.65 | 3.11 | 3.6% | 0 of 91 | 133 |
| 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
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. If you work here, your report helps start one.
| 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.
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 | 5.9 | 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 | 1.4 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 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 | 5.9 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.8 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.5 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.7 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Gadsden Health and Rehab Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.9% 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. 219 eligible stays.
15.0% this home
Worse than 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. 219 eligible stays.
8.5% 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. 138 eligible stays.
30.9% 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. 126 residents counted.
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. 219 residents counted.
0.7% 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. 219 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 3 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.
Legal business name: GADSDEN HC OPERATIONS LLC. CMS links this home to Preston Health Services, a group of 5 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Mbs Partners LLC | 5% or greater direct ownership interest | Organization | 5% | 11/20/2023 |
| Beckham, Nicholas | 5% or greater direct ownership interest | Individual | 5% | 11/20/2023 |
| Walker, James | 5% or greater direct ownership interest | Individual | 90% | 11/20/2023 |
| Reiland, Debora | Contracted managing employee | Individual | 01/11/2019 | |
| Weaver, Rachael | W-2 managing employee | Individual | 02/02/2024 | |
| Preston Health Services Inc | Operational/managerial control | Organization | 02/01/2024 |
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.
Chosen from this home's own inspection record.
These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.