380 Woods Cove Road, Scottsboro, AL 35768 · Jackson County · (256) 218-3708
50 certified beds, about 45 residents a day · Government - County · Medicare and Medicaid since 1967
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015012 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 24, 2022, inspectors cited 0 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 6 health citations since May 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 4.80 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 1.13 of those hours.
CMS links it to Huntsville Hospital Health System, an affiliated group of 3 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 observation, interview and review of a facility Policy Titled, Food Storage, the facility failed to ensure that expired food items and undated food items were not present in the food storage area and walk-in cooler during the initial tour of the kitchen. Further, the facility failed to ensure expired Juven was not stored in a cabinet at the nurse's station. This deficient practice had the potential to affect 45 out of 45 residents who received meals from the kitchen.
Inspectors wroteBased on observations, interviews, medical record reviews and review of facility policies titled, Universal Precautions and Hand Hygiene, the facility failed to ensure: 1) a licensed nurse washed her hands when removing gloves after obtaining Resident Identifier (RI) # 9's fingerstick blood sugar (FSBS) and before leaving RI #9's room to return to the medication cart. Further, the nurse failed to use a barrier when laying an insulin syringe with RI #9's insulin and alcohol wipe on the bathroom sink; and 2) a licensed nurse did not place a medication cup containing medication for RI #23 inside another medication cup containing the remainder of RI #23's medication. Further, the nurse did not use a barrier before placing RI #23's Salonpas patches and Nitroglycerin patch on the top of the medication cart, computer and a shelf in RI #23's room. [...]
Inspectors wroteBased on observations, interviews, and a review of a facility policy titled, Ice Handling of Ice Scoops and the 2017 Food Code U.S. (United States) Public Health Service FDA (Food and Drug Administration), the facility failed to ensure: (1) the ice scoop was not stored on top of the ice machine, on three of four days of the survey; (2) a dark brown colored dust like substance was not on the pipes above the deep fryer, on three of four days of the survey; (3) dust was not on the pipes above the conventional oven, on three of four days of the survey; and (4) the meat slicer did not have food debris on it, on three of fours days of the survey. These deficient practices had the potential to affect all 44 residents receiving meals from the dietary department. Findings Include: (1) A review of an undated facility policy titled, Ice Handling/Cleaning of Ice Scoops, documented: POLICY: . [...]
Inspectors wroteBased on observation and interview, the facility failed to ensure the above ground grease receptacle did not have grease and leaves on top of the receptacle, and on the ground in front of the receptacle. This was observed on 04/30/18, during the initial tour of the facility. This has the potential to affect all 45 residents residing at the facility. Findings Include: On 04/30/18 at 4:35 p.m., the surveyor observed the above ground grease receptacle. There were leaves and grease observed on top of the grease receptacle, and on the area on the ground in front of the grease receptacle. At this time, the surveyor conducted an interview with Employee Identifier (EI) #6, the Food Service Director. The surveyor asked EI #6, what did she see on the top of the grease receptacle, and on the ground in front of the grease receptacle. EI #6 said it looked like leaves and grease to her. [...]
Inspectors wroteBased on observations, interview, record review and review of a facility policy titled, Care of Urinary Catheter, the facility failed to ensure Resident Identifier (RI) #29's Foley catheter bag was in a privacy bag and not visible from the hallway on 05/02/18. This deficient practice affected RI #29, one of one resident sampled with a Foley catheter. Findings Include: A review of a facility policy titled, Care of Urinary Catheter, with an effective date of 12/09/04, and a revision date of 1/12, documented: . PROCEDURE: . 10. Assure the drainage bag is placed in a privacy bag. RI #29 was admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses to include Quadriplegia and Neuromuscular Dysfunction of Bladder. RI #29's Foley catheter care plan, with a problem onset date of 03/10/10, documented the following approach: . * privacy bag . [...]
Inspectors wroteBased on observations, interviews, medical record review and review of facility policies titled, Medication Administration and nebulizer use, the facility failed to ensure: 1) licensed staff did not place Resident Identifier (RI) #21's container of eye drops in her pocket after instilling the drops; this was observed on 05/01/18; 2) licensed staff did not place a container of glucometer strips in her pocket, remove them to check a finger stick blood sugar for RI #146, return them to her pocket and place the container on the medication cart; this was observed on 05/01/18; and 3) RI #3's nebulizer mask was stored in a covering on two of four days of the survey. These deficient practices affected RI # 3, one of two residents observed with nebulizer masks, RI #21 one of one resident observed receiving eye drop medication; [...]
4 fire safety citations on file: 4 on June 6, 2019.
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) | 4.80 | 3.88 | 3.86 |
| Registered nurses | 1.13 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.84 | 3.26 | 3.42 |
| Nurse aides | 2.79 | ||
| Licensed practical nurses | 0.88 | ||
| Nursing staff turnover (share who left in a year) | not reported | 46.9% | 45.8% |
| Registered nurse turnover | not reported | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.71 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 5.18 on weekdays and 3.84 on weekends, 26% 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 4.56 in April to June 2025 to 4.80 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 | 4.80 | 1.13 | 5.18 | 3.84 | 0.0% | 0 of 90 | 45 |
| Oct to Dec 2025 | 4.71 | 0.86 | 4.98 | 4.01 | 0.0% | 0 of 92 | 45 |
| Jul to Sep 2025 | 4.50 | 0.93 | 4.83 | 3.66 | 0.0% | 0 of 92 | 46 |
| Apr to Jun 2025 | 4.56 | 0.99 | 4.82 | 3.90 | 0.0% | 0 of 91 | 45 |
| 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 | 18.6 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 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 | 7.7 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 24.7 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.6 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 1.4 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.9 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.7 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Highlands Health and Rehab's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (53.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
53.9% 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. 167 eligible stays.
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. 198 eligible stays.
7.6% 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. 111 eligible stays.
61.0% 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. 123 residents counted.
1.9% 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. 154 residents counted.
2.1% 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. 154 residents counted.
100.0% 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. 37 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: HH HEALTH SYSTEM - JACKSON LLC. CMS links this home to Huntsville Hospital Health System, a group of 3 nursing homes averaging 3.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| The Health Care Authority of the City of Huntsville | 5% or greater direct ownership interest | Organization | 10/01/2021 | |
| Anderson, John | W-2 managing employee | Individual | 10/01/2021 | |
| Carrier, John | W-2 managing employee | Individual | 12/01/2021 | |
| Samz, Jeffrey | W-2 managing employee | Individual | 10/01/2021 | |
| Anderson, John | Corporate officer | Individual | 10/01/2021 | |
| Bentley, Philip | Corporate officer | Individual | 10/01/2021 | |
| Carrier, John | Corporate officer | Individual | 12/01/2021 | |
| Carter, Clinton | Corporate officer | Individual | 10/01/2021 | |
| Matthews Jr, Robert | Corporate officer | Individual | 10/01/2020 | |
| Samz, Jeffrey | Corporate officer | Individual | 10/01/2021 | |
| Anderson, John | Operational/managerial control | Individual | 10/01/2021 | |
| Carrier, John | Operational/managerial control | Individual | 12/01/2021 |
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.