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Meadowview Nursing Center

7300 Old Highway 78 East, Pell City, AL 35128 · St. Clair County · (205) 640-5212

59 certified beds, about 56 residents a day · For profit - Corporation · Medicare and Medicaid since 1988

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
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 015400 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 21, 2023, inspectors cited 1 health deficiency (the Alabama average is 4, the national average 9.2).

None of its 7 health citations since February 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 4.03 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.

46.6% of nursing staff left within the year CMS measured (Alabama average 46.9%).

CMS links it to Trinity Management, Inc., an affiliated group of 5 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 7 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
0E
1F
Potential for minimal harm
0A
0B
0C
June 21, 2023Standard inspection · 1 citation
  1. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 12, 2023
    Inspectors wroteBased on interviews, record review, and facility document review, the facility failed to transcribe physician's orders into the medical record for one (Resident #105) of 27 sampled residents
April 15, 2021Standard inspection · 4 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) May 20, 2021
    Inspectors wroteBased on observation, interview and facility policy review, the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. The sanitation concerns had the potential to affect all 56 residents who received meals from the kitchen.
  2. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 20, 2021
    Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to ensure that expired medications were removed from the supply on one (1) of two (2) medication carts.
  3. D
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    F773 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 20, 2021
    Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure laboratory services were provided as ordered by the physician for one (1) of 40 sampled residents (Resident #50).
  4. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 20, 2021
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, the facility failed to provide food that was palatable and at a safe and appetizing temperature. Residents #17, #29, and #52 complained that hot foods were served cold. Observation of a test tray from the dinner meal on 4/15/21 revealed point of service temperatures for hot foods were below one hundred thirty-five (135) degrees Fahrenheit (F) which was not in accordance with the facility's policy.
February 28, 2019Standard inspection · 2 citations
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2019
    Inspectors wroteBased on record review, interview, and review of a facility policy titled, Pharmacy Destroying Drugs, the facility failed to ensure the required signatures were on one of 16 Non-Controlled Medication Destruction Sheets for the month of September, 2018. This affected one of 10 months of Non-Controlled Medication Destruction Records reviewed. Findings Include: A review of a facility policy titled, Pharmacy Destroying Drugs, with a revised date of 7/14, revealed, . 1. Non-controlled medications must be destroyed or prepared for destruction in the presence of two (2) licensed nurses or one (1) licensed nurse and pharmacist . On 2/28/19 at 2:48 p.m., the surveyor reviewed the facility's Non-Controlled Medication Destruction sheets for the months of March 2018 through January 2019. [...]
  2. 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) April 4, 2019
    Inspectors wroteBased on observations, interviews, record review, review of a facility policy titled Infection Control Isolation Precautions, and review of the Centers for Disease Control and Prevention (CDC)'s 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings, CDC's Prevention Strategies for Seasonal Influenza in Healthcare Settings, and Fundamentals of Nursing, Ninth Edition, the facility failed to ensure: 1) staff wore gloves and a gown and performed proper hand washing while caring for Resident Identifier (RI) #49, a resident on Contact Precautions; further there was no isolation sign posted on RI #49's door and staff removed his/her personal cup from the room to fill it with ice from the hall; and 2) staff wore proper Personal Protective Equipment (PPE) and performed hand hygiene while caring for RI #11, a resident on Droplet Precautions. [...]

Fire safety inspections

6 fire safety citations on file: 3 on June 21, 2023, 1 on April 15, 2021, 2 on February 28, 2019.

Every fire safety citation6 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 21, 2023 · Corrected (the home has a date of correction)
  2. D
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · June 21, 2023 · Corrected (the home has a date of correction)
  3. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · June 21, 2023 · Corrected (the home has a date of correction)
  4. F
    Meet the requirements of an integrated health system.
    E 42 · April 15, 2021 · Corrected (the home has a date of correction)
  5. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 28, 2019 · Corrected (the home has a date of correction)
  6. D
    Have proper medical gas storage and administration areas.
    K 923 · February 28, 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)4.033.883.86
Registered nurses0.670.650.69
All nursing staff on weekends3.583.263.42
Nurse aides2.49
Licensed practical nurses0.87
Nursing staff turnover (share who left in a year)46.6%46.9%45.8%
Registered nurse turnover50.0%39.5%42.9%
Administrators who leftnot reported

CMS expects 3.40 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 4.21 on weekdays and 3.58 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.39 in April to June 2025 to 4.03 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.030.674.213.58 12.7%0 of 9056
Oct to Dec 20254.030.694.183.64 12.4%0 of 9256
Jul to Sep 20254.010.644.213.50 11.2%0 of 9255
Apr to Jun 20253.390.543.493.12 4.8%0 of 9156
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
7.512.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.80.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.92.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.43.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
4.72.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.312.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.55.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
20.721.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
38.424.823.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.011.312.0

Owners and operators

Legal business name: ST. CLAIR HEALTH & REHAB, INC.. CMS links this home to Trinity Management, Inc., a group of 5 nursing homes averaging 4 stars overall.

NameRoleTypeShareSince
Long, Bradley5% or greater direct ownership interestIndividual50%01/01/2006
Long, BradleyCorporate directorIndividual01/26/2011
Sims, MarkCorporate directorIndividual05/01/2022
Long, BradleyCorporate officerIndividual01/26/2011
Sims, MarkCorporate officerIndividual05/01/2022
Trintiy Management IncOperational/managerial controlOrganization10/01/2004
Long, BradleyOperational/managerial controlIndividual01/26/2011
Sims, MarkOperational/managerial controlIndividual05/01/2022

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. 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 April 15, 2021: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 15, 2021: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on June 21, 2023: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on April 15, 2021: "Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results."

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 Meadowview Nursing Center's Medicare star rating?
CMS rates Meadowview Nursing Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Meadowview Nursing Center get at its last inspection?
1 health deficiency at the standard inspection on June 21, 2023. The Alabama average is 4.
Has Meadowview Nursing Center been fined?
CMS lists no fines in the last three years.
Does Meadowview Nursing Center 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 Meadowview Nursing Center?
CMS lists 8 owners and managers, and links the home to Trinity Management, Inc.. Legal business name: ST. CLAIR HEALTH & REHAB, INC..

Sources

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