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Hartford Health Care

217 Toro Road, Hartford, AL 36344 · Geneva County · (334) 588-3842

86 certified beds, about 79 residents a day · For profit - Corporation · Medicare and Medicaid since 1992

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 015419 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 14, 2023, inspectors cited 5 health deficiencies (the Alabama average is 4, the national average 9.2).

None of its 5 health citations since October 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 3.28 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.

47.9% 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.

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 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
0E
0F
Potential for minimal harm
0A
0B
2C
December 14, 2023Standard inspection · 5 citations
  1. 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) January 18, 2024
    Inspectors wroteBased on observations, interviews, resident record review, and review of a facility policy Oxygen Administration, the facility failed to ensure respiratory care, specifically the provision of oxygen therapy, was not provided without a physician order for Resident Identifier (RI) #39. This had the potential to affect RI #39, one resident reviewed for respiratory care.
  2. D
    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, isolated · Corrected (the home has a date of correction) January 18, 2024
    Inspectors wroteBased on observation, interview, and review of a facility policy titled Labeling and Dating, the facility failed to label and date a bag of ground chicken observed in the refrigerator on 12/12/2023 during the initial tour of the kitchen. This had the potential to affect 18 of 76 residents who received Dysphagia Mechanical Soft (Dys Mech) and Dysphagia Advanced (Dys Adv) diet texture meals from the kitchen.
  3. 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) January 18, 2024
    Inspectors wroteBased on observations, interviews, and review of a facility policy titled, Infection Control Guide and a facility document titled, Standard Precautions, the facility failed to ensure: a staff member implemented Airborne Isolation Precautions in a manner to prevent the spread of infection. Airborne Isolation Precautions were clearly identified for Resident Identifier (RI) #278 the use of Personal Protection Equipment upon entering the room of , a resident for whom Airborne Isolation Precautions were clearly identified, This deficient practice affected RI #278, 1 of 3 residents reviewed for transmission based precautions. Findings Include: A review of a facility policy titled, Infection Control Guide, with no date, revealed: .use .personal protective equipment (PPE) .gloves, gowns and eye protection in situations where exposure . RI #278 was admitted to the facility on [DATE]. [...]
  4. C
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) January 18, 2024
    Inspectors wroteBased on observations, interviews, and review of a facility document titled Alabama Your Resident Rights and Protection Under State and Federal Law, and review of a facility policy titled Dining and Meal Service, the facility failed to ensure residents were offered the opportunity to eat meals in the dining room. Residents were only eating the lunch meals in the dining room Monday through Friday. A review of the mealtimes did not specify service for the dining room. This was observed on two days of the survey and had the potential to affect 78 of the 80 residents receiving meals from the kitchen.
  5. C
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) January 18, 2024
    Inspectors wroteBased on record review, interview, and Payroll Based Journal (PBJ) Report, the facility failed to report accurate staffing data from July 01, 2023 - September 30, 2023, to Centers for Medicare & Medicaid Services (CMS). This affected one quarter of data reviewed during the survey.
June 17, 2022Standard inspection · 0 citations
October 31, 2019Standard inspection · 0 citations

Fire safety inspections

9 fire safety citations on file: 2 on December 14, 2023, 2 on June 17, 2022, 5 on October 31, 2019.

Every fire safety citation9 citations
  1. F
    Install an approved automatic sprinkler system.
    K 351 · December 14, 2023 · Corrected (the home has a date of correction)
  2. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 14, 2023 · Corrected (the home has a date of correction)
  3. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 17, 2022 · Corrected (the home has a date of correction)
  4. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 17, 2022 · Corrected (the home has a date of correction)
  5. D
    Install an approved automatic sprinkler system.
    K 351 · October 31, 2019 · Corrected (the home has a date of correction)
  6. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 31, 2019 · Corrected (the home has a date of correction)
  7. D
    Install properly constructed windows in hallway walls or doors.
    K 364 · October 31, 2019 · Corrected (the home has a date of correction)
  8. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · October 31, 2019 · Corrected (the home has a date of correction)
  9. D
    Ensure proper usage of power strips and extension cords.
    K 920 · October 31, 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.

MeasureThis homeAlabamaUnited States
All nursing staff (RN, LPN and aides)3.283.883.86
Registered nurses0.610.650.69
All nursing staff on weekends2.823.263.42
Nurse aides1.96
Licensed practical nurses0.71
Nursing staff turnover (share who left in a year)47.9%46.9%45.8%
Registered nurse turnover33.3%39.5%42.9%
Administrators who left1

CMS expects 3.19 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 3.47 on weekdays and 2.82 on weekends, 19% 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 3.16 in April to June 2025 to 3.28 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.280.613.472.82 0.0%0 of 9079
Oct to Dec 20253.180.613.382.66 0.0%0 of 9280
Jul to Sep 20253.240.673.492.59 0.0%0 of 9279
Apr to Jun 20253.160.653.432.47 0.0%0 of 9180
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Alabama, Jan to Mar 20263.880.634.133.270.9%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.

MeasureThis homeAlabamaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
7.312.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.82.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.33.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.12.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.012.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.55.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.921.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
31.124.823.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.611.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.72.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.71.8

Owners and operators

Legal business name: DIVERSICARE HARTFORD, LLC. CMS links this home to Diversicare Healthcare, a group of 44 nursing homes averaging 2.5 stars overall.

NameRoleTypeShareSince
Diversicare Leasing LP5% or greater direct ownership interestOrganization100%02/09/2005
Advocat Finance, LLC5% or greater indirect ownership interestOrganization02/04/1987
Dac Newcorp Inc5% or greater indirect ownership interestOrganization04/04/2022
Diversicare Healthcare Services LLC5% or greater indirect ownership interestOrganization05/10/1994
Diversicare Management Services LP.5% or greater indirect ownership interestOrganization12/10/1996
Clark, CarlosContracted managing employeeIndividual07/01/2020
Kellman, FranklinCorporate directorIndividual09/13/2024
Kohn, BrianCorporate directorIndividual11/19/2021
Ratner, EranCorporate directorIndividual11/19/2021
Bodie, RebeccaCorporate officerIndividual03/02/2020
Nee, StephenCorporate officerIndividual02/20/2023
Ratner, EranCorporate officerIndividual09/13/2024
Weishaar, MatthewCorporate officerIndividual12/31/2003
Owen, SharonOperational/managerial controlIndividual10/19/2015
Ratner, EranOperational/managerial controlIndividual09/13/2024
Clark, CarlosAdp of the SNFIndividual11/25/2024

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on December 14, 2023: "Provide safe and appropriate respiratory care for a resident when needed."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on December 14, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on December 14, 2023: "Provide and implement an infection prevention and control program."
  4. 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 December 14, 2023: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.82 hours per resident per day, below the Alabama average of 3.26.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Alabama contacts for a concern about a nursing home

These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.

Common questions

What is Hartford Health Care's Medicare star rating?
CMS rates Hartford Health Care 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Hartford Health Care get at its last inspection?
5 health deficiencies at the standard inspection on December 14, 2023. The Alabama average is 4.
Has Hartford Health Care been fined?
CMS lists no fines in the last three years.
Does Hartford Health Care 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 Hartford Health Care?
CMS lists 16 owners and managers, and links the home to Diversicare Healthcare. Legal business name: DIVERSICARE HARTFORD, LLC.

Sources

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