Marengo Nursing Home
608 North Main Street, Linden, AL 36748 · Marengo County · (334) 295-8631
78 certified beds, about 64 residents a day · Non profit - Other · Medicare and Medicaid since 1971
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015330 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 6, 2022, inspectors cited 1 health deficiency (the Alabama average is 4, the national average 9.2).
None of its 6 health citations since April 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 4.07 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
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.
004/18
505/19
101/22
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 6 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
0E
1F
Potential for minimal harm
0A
0B
1C
January 6, 2022Standard inspection · 1 citation
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observations, interviews, record review and review of facility policies titled Nebulizer Therapy and SELF-ADMINISTRATION OF MEDICATIONS, the facility failed to ensure the licensed nurses remained with Resident Identifier (RI) #39, a resident not assessed to self-administer his/her nebulizer breathing treatment, when RI #39 received nebulizer treatments on 01/03/2022 and on 01/05/2022. This deficient practice affected RI #39; one of one sampled resident observed receiving a nebulizer breathing treatment. Findings Include: RI #39 was admitted to the facility on [DATE], and has diagnosis to include Shortness of Breath. Review of a facility policy titled Nebulizer Therapy, with an implemented date of 05/2020, revealed the following: Policy: It is the policy of this facility for nebulizer treatments, once ordered, to be administered by nursing staff as directed . [...]
May 8, 2019Standard inspection · 5 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 observation, interviews, the 2017 Food Code, review of the facility policies titled, MACHINE WAREWASHING, WASTE DISPOSAL and Cleaning of Ice Machine, the facility failed to ensure: (1) dust like particles were not present on the ice maker vents on two of four days of the survey, (2) staff did not move a meal tray in an up and down motion over the dishes/meal trays after rinsing in order to dry them; and (3) the area on the inside of the recycle bin was free of garbage and debris. This had the potential to affect 69 of the 73 residents who received the lunch meal from the kitchen on 05/07/19. Findings Include: (1) A review of the facility policy titled, Cleaning of Ice Machine with a revised date of 3/18, revealed: Purpose: To distribute clean ice to residents .by keeping the ice free of potential harmful microorganisms . Procedure: . [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observations, interviews, record review and review of a facility policy titled, Resident Assessment Using the MDS (Minimum Data Set), the facility failed to ensure: (1) Resident Identifier (RI) #16 was coded as having a Urinary Tract Infection (UTI) on his/her 04/18/19, Significant Change (SC) MDS assessment, (2) RI #34 was coded as being admitted with pressures ulcers on one area of his/her 11/21/18, admission MDS assessment; and (3) RI #42's Quarterly MDS assessment, dated 12/12/18, coded the resident as having a restraint. These deficient practices affected RI #'s 16, 34 and 42, three of 22 sampled residents whose MDS assessments were reviewed. Findings Include: (1) An undated facility policy titled, Resident Assessment Using the MDS revealed the following: [...]
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interviews, record review and review of a facility policy titled,THE CARE PLANNING TEAM, the facility failed to ensure: 1) Resident Identifier (RI) #34 had a Quarterly Minimum Data Set (MDS) assessment completed when the assessment was due; and 2) a Quarterly care plan meeting was scheduled for RI #34 when the meeting was due. These deficient practices affected RI #34, one of 22 sampled residents whose care plan meetings and MDS assessments were reviewed. Findings Include: A review of an undated facility policy titled THE CARE PLANNING TEAM revealed the following: . Residents will be evaluated by the team at ninety (90) day intervals and a quarterly MDS done to provide basis for care plan changes . Cognitive residents are invited to quarterly care plan meetings and informed of their medical condition . [...]
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observations, interviews, record review and a review of a facility policy titled, Destruction Of Medication, the facility failed to ensure all of the non-controlled medication drug sheets for the month of June 2018, had the required signatures. This deficient practice affected one of the 12 months of non-controlled drug sheets reviewed. Findings Include: An undated facility policy titled, Destruction Of Medication revealed the following: .(B) All permanently discontinued medications except control drugs, will be listed on a disposition form with the following information: . Signature of Director of Nursing or Assistant Director of Nursing and Pharmacist . The facility provided drug destruction binders containing non-controlled and controlled drug sheets for the surveyor to review from May 2018 until April 2019. [...]
- C Post nurse staffing information every day.
Inspectors wroteBased on observations, interview and review of a facility policy titled, Nurse Staffing Posting Information, the facility failed to ensure the DAILY STAFFING AND RESIDENT CENSUS form contained the name of the facility on four of four days of the survey. This deficient practice had the potential to affect all 73 residents residing in the facility. Findings Include: 05/05/19 at 5:21 p.m., the surveyor observed the DAILY STAFFING AND RESIDENT CENSUS form without the facility name on it. On 05/06/19 at 9:03 a.m., the DAILY STAFFING AND RESIDENT CENSUS form did not have the facility name on it. On 05/07/19 at 8:56 a.m., the DAILY STAFFING AND RESIDENT CENSUS form did not have the facility name on it. On 05/08/19 at 7:52 a.m., the DAILY STAFFING AND RESIDENT CENSUS form remained without the name of the facility on it. [...]
April 5, 2018Standard inspection · 0 citations
Fire safety inspections
9 fire safety citations on file: 1 on January 6, 2022, 4 on May 8, 2019, 4 on April 5, 2018.
Every fire safety citation9 citations
- D Implement emergency and standby power systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Install corridor and hallway doors that block smoke.
- D Ensure proper usage of power strips and extension cords.
- E Have properly installed hallway dispensers for alcohol-based hand rub.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Meet requirements for the use and maintenance of medical gas equipment.
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) | 4.07 | 3.88 | 3.86 |
| Registered nurses | 0.60 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.68 | 3.26 | 3.42 |
| Nurse aides | 2.61 | ||
| Licensed practical nurses | 0.86 | ||
| 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 | 1 |
CMS expects 3.34 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 4.23 on weekdays and 3.68 on weekends, 13% 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 4.68 in April to June 2025 to 4.07 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 | 4.07 | 0.60 | 4.23 | 3.68 | 0.0% | 0 of 90 | 64 |
| Oct to Dec 2025 | 4.72 | 0.65 | 4.97 | 4.10 | 0.0% | 0 of 92 | 62 |
| Jul to Sep 2025 | 5.62 | 0.68 | 5.96 | 4.74 | 0.0% | 0 of 92 | 52 |
| Apr to Jun 2025 | 4.68 | 0.58 | 5.02 | 3.82 | 0.0% | 0 of 91 | 63 |
| 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.
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 | 12.4 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 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 | 3.0 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.7 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.6 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 12.0 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.3 | 21.2 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 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 |
Owners and operators
Legal business name: LINDEN HOSPITAL BOARD.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Glass, Alison | W-2 managing employee | Individual | 01/01/2004 | |
| Glass, Alison | Corporate director | Individual | 01/01/2004 | |
| Hildreth, Barbara | Corporate director | Individual | 01/27/2014 | |
| Yeager, Joyce | Corporate director | Individual | 01/27/2014 | |
| Linden Hospital Board | Operational/managerial control | Organization | 01/27/2014 |
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 2 problems in this area, most recently on May 8, 2019: "Ensure each resident receives an accurate assessment."
- 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 January 6, 2022: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
- 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 May 8, 2019: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on May 8, 2019: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Woodhaven Manor Nursing Home Demopolis, 13.2 mi · 5 of 5 stars · 1 citation
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 Marengo Nursing Home's Medicare star rating?
- CMS rates Marengo Nursing Home 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Marengo Nursing Home get at its last inspection?
- 1 health deficiency at the standard inspection on January 6, 2022. The Alabama average is 4.
- Has Marengo Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Marengo Nursing Home 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 Marengo Nursing Home?
- CMS lists 5 owners and managers. Legal business name: LINDEN HOSPITAL BOARD.
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.