Health Care Inc
38286 Us Highway 231, Ashville, AL 35953 · St. Clair County · (205) 594-5148
53 certified beds, about 48 residents a day · For profit - Individual · Medicare and Medicaid since 1990
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015407 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 24, 2022, inspectors cited 3 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 6 health citations since August 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 3.27 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.
78.3% of nursing staff left within the year CMS measured (Alabama average 46.9%).
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.
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 6 health citations on file.
August 24, 2022Standard 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, review of the 2017 Food Code of the United States (U.S.) Public Health Service and the U.S. Food and Drug Administration (FDA), a review of facility policies titled, Hand Washing, Bare Hand Contact with Food and Use of Plastic Gloves and Cleaning Dishes/Dish Machine, the facility failed to ensure Employee Identifier (EI) #2 washed their hands and changed their gloves after handling dirty dishes and before handling clean dishes. This had the potential to affect 46 of residents receiving meals from the kitchen. Findings Include: The 2017 Food Code of the U.S. Public Health Service and the FDA included the following: . 2-301.14 When to Wash. FOOD EMPLOYEES shall clean their hands and exposed portions of their arms . immediately before engaging in FOOD preparation including working with . clean EQUIPMENT and UTENSILS, . and: . [...]
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interviews, record review and review of a facility policy titled, Comprehensive Care Plans Health Care Inc, the facility failed to ensure a care plan was developed/implemented for: 1) Resident Identifier (RI) #131's use of a Foley Catheter; and 2) RI #7's hearing aide usage. These deficient practices affected RI #'s 7 and 131, two of 14 residents whose care plans were reviewed. Findings Include: Review of a facility policy titled,Comprehensive Care Plans Health Care Inc., with a revised/reviewed date of 01/2022, revealed the following: . Policy: It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with . measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs . [...]
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interviews, record review and review of a facility policy titled Documentation of Wound Treatments Health Care Inc., the facility failed to ensure licensed staff consistently documented treatment was provided to the surgical incision on Resident Identifier (RI) #181's nose. This deficient practice affected RI #181, one of one residents sampled for documentation of treatment being provided to a resident's surgical incision. Findings Include: Review of an undated facility policy titled, Documentation of Wound Treatments Health Care Inc. revealed the following: Policy: The facility completes accurate documentation of wound assessments and treatments, including response to treatment, change in condition, and changes in treatment. 2. a. Type of wound (pressure injury, surgical, etc.) . 3. Wound treatments are documented at the time of each treatment. [...]
August 12, 2021Standard inspection · 0 citations
August 8, 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, interviews, and review of facility policies titled, Food Safety and Sanitation and Employee Sanitary Practices, the facility failed to ensure: 1) open food items were covered and labeled with a use by date prior to storage in the reach-in refrigerator, and 2) a dietary manager and dietary aide wore a hair net to completely cover all hair on their head while serving residents' food for the supper meal on the tray line in the kitchen area. This had a potential to affect 44 of 45 residents in the facility receiving meals from the kitchen. Findings Include: 1) A review of a facility policy titled, Food Safety and Sanitation, with no date, revealed . 4. All leftovers are labeled, covered, and dated when stored . [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, interview, and a review of a facility document titled Resident Assessment Instrument User Manual, the facility failed to ensure Resident Identifier (RI) #1's Minimum Data Set (MDS) assessments were accurately coded for the use of an anticoagulant. This affected one of two sampled residents for whom MDS assessments were reviewed for coding of an anticoagulant. Findings Include: RI #1 was admitted to the facility on [DATE] with the diagnosis of History of Deep Vein Thrombosis Left Lower Extremity. A review of a facility document titled Resident Assessment Instrument User Manual, Version 3.0, revised October/November 2012, revealed .Steps for Assessment 1. Review the resident's medical record for documentation that any of these medications were received by the resident during the 7-day look-back period . ND410E Anticoagulant . [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews, and review of a facility policy titled, Policy and Procedure For Hand-Washing, the facility failed to ensure Employee Identifier (EI) #1, a Licensed Practical Nurse, washed her hands during a medication pass for Resident Identifier (RI) #26: EI #1 did not wash hands after she cleaned the top of the medication cart with her ungloved hands, and prior to putting on her gloves to pick up RI #26's cup of oral medications. Further, EI #1 touched the top of RI #26's right and left foot with both of her gloved hands, then gave oral medications without first washing her hands. After administering the oral medications, EI #1 changed gloves without washing hands to administer RI #26's eye drops, and again changed gloves without washing hands to administer inhalation medication. [...]
Fire safety inspections
7 fire safety citations on file: 5 on August 24, 2022, 2 on August 8, 2019.
Every fire safety citation7 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 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.
- D Have properly located and lighted "Exit" signs.
- D Provide properly protected cooking facilities.
- D Provide properly protected cooking facilities.
- D Inspect, test, and maintain automatic sprinkler systems.
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) | 3.27 | 3.88 | 3.86 |
| Registered nurses | 0.31 | 0.65 | 0.69 |
| All nursing staff on weekends | 2.53 | 3.26 | 3.42 |
| Nurse aides | 2.16 | ||
| Licensed practical nurses | 0.80 | ||
| Nursing staff turnover (share who left in a year) | 78.3% | 46.9% | 45.8% |
| Registered nurse turnover | 100.0% | 39.5% | 42.9% |
| Administrators who left | 1 |
CMS expects 2.71 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 3.57 on weekdays and 2.53 on weekends, 29% 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 3.36 in April to June 2025 to 3.27 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 | 3.27 | 0.31 | 3.57 | 2.53 | 0.0% | 0 of 90 | 48 |
| Oct to Dec 2025 | 3.18 | 0.27 | 3.38 | 2.67 | 0.0% | 1 of 92 | 50 |
| Jul to Sep 2025 | 3.32 | 0.33 | 3.54 | 2.77 | 0.0% | 4 of 92 | 50 |
| Apr to Jun 2025 | 3.36 | 0.35 | 3.65 | 2.64 | 0.0% | 0 of 91 | 50 |
| 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 | 6.1 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.0 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.5 | 3.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 1.3 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 62.5 | 21.2 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 1.7 | 1.8 |
Owners and operators
Legal business name: HEALTH CARE, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Penland, Pam | 5% or greater direct ownership interest | Individual | 100% | 12/18/1996 |
| Penland, Pam | W-2 managing employee | Individual | 12/18/1996 | |
| Penland, Pam | Corporate director | Individual | 12/18/1996 | |
| Penland, Pam | Corporate officer | Individual | 12/18/1996 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on August 24, 2022: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 24, 2022: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 8, 2019: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.53 hours per resident per day, below the Alabama average of 3.26.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Tlc Nursing Center Oneonta, 10.9 mi · 4 of 5 stars · 8 citations
- Diversicare of Oneonta Oneonta, 11 mi · 3 of 5 stars · 10 citations
- Altoona Health & Rehab Altoona, 11.1 mi · 3 of 5 stars · 5 citations
- Attalla Rehabilitation and Nursing Center Attalla, 13.3 mi · 2 of 5 stars · 26 citations
- McGuffey Health & Rehabilitation Center Gadsden, 17.3 mi · 4 of 5 stars · 7 citations
- Gadsden Health and Rehab Center Gadsden, 17.4 mi · 4 of 5 stars · 6 citations
- Diversicare of Pell City Pell City, 19.3 mi · 2 of 5 stars · 9 citations
- Village at Cook Springs Skilled Nursing Facility Pell City, 19.7 mi · 1 of 5 stars · 12 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 Health Care Inc's Medicare star rating?
- CMS rates Health Care Inc 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Health Care Inc get at its last inspection?
- 3 health deficiencies at the standard inspection on August 24, 2022. The Alabama average is 4.
- Has Health Care Inc been fined?
- CMS lists no fines in the last three years.
- Does Health Care Inc 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 Health Care Inc?
- CMS lists 4 owners and managers. Legal business name: HEALTH CARE, INC..
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.