Has Mitchell-Hollingsworth Nursing & Rehabilitation been fined?

CMS lists no fines in the last three years.

Does Mitchell-Hollingsworth Nursing & Rehabilitation 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 Mitchell-Hollingsworth Nursing & Rehabilitation?

CMS lists 3 owners and managers, and links the home to Preston Health Services. Legal business name: MITCHELL-HOLLINGSWORTH NURSING & REHAB CENTER.

Mitchell-Hollingsworth Nursing & Rehabilitation: Inspections

The record in brief

At its most recent standard inspection, on September 18, 2025, inspectors cited 6 health deficiencies (the Alabama average is 4, the national average 9.2).

None of its 11 health citations since August 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 3.38 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.

36.6% of nursing staff left within the year CMS measured (Alabama average 46.9%).

CMS links it to Preston Health Services, 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.

408/18

109/19

609/25

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 11 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

10D

Potential for minimal harm

September 18, 2025Standard inspection, Complaint inspection · 6 citations

D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 5, 2025

Inspectors wroteBased on record review, interviews, document review, and policy review, the facility failed to ensure that one of six residents (Resident (R) 137) reviewed for abuse, was free from abuse of 38 sample residents. This failure had the potential to affect resident safety.
D

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 5, 2025

Inspectors wroteBased on record review, interview, and policy review, the facility failed to ensure one of five residents (Resident (R) 7) reviewed for unnecessary medications had an appropriate diagnosis for the use of an atypical antipsychotic medication with dementia of 38 sample residents.
D

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 5, 2025

Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to ensure two of three residents (Resident (R) 3 and R12) Resident Representative (RR) or Family Member (FM) reviewed for facility initiated emergent transfer to the hospital received a written notice of transfer and/or a written bed hold notice from a sample of 38 residents. This failure had the potential to affect the resident and their Resident Representative by not having the knowledge of where and why a resident was transferred and/or how to appeal the transfer, if desired, and contribute to the possibility of denial of re-admission and loss of the resident's home following a hospitalization for residents transferred to the hospital.
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 5, 2025

Inspectors wroteBased on record review, interviews, and facility policy review, facility failed to conduct a thorough falls root cause analysis for two of eight residents (Residents(R) 137 and R3) reviewed for falls of 38 sample residents. This failure could result in the facility's inability to discover the reason behind the resident's fall and put the appropriate interventions in place based on the reason for the fall.
D

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 5, 2025

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure alternatives were attempted prior to the use of side rails for two of two residents (Resident (R) 7 and R12) reviewed for side rails out of 38 sample residents. This failure had the potential to increase accidental entrapment or injury from bed rail usage when an alternate assistive device may have been effective.
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) November 5, 2025

Inspectors wroteBased on observation, interview, product review, and policy review, the facility failed to ensure expired medications were not available for resident use in the medication room refrigerator for one of three medication rooms (200-hall) reviewed for medications. This had the potential to affect any of the 37 people residing on the 200 hall.

September 5, 2019Standard inspection · 1 citation

D

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

F635 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 8, 2019

Inspectors wroteBased on observation, interviews, record review, and review of a facility policy titled, admission Orders, the facility failed to ensure an order for the use and care of a urinary foley catheter was obtained for Resident Identifier (RI) #222 upon admission to the facility on 8/28/2019. This affected RI #222, one of two residents for whom admission orders were reviewed. Findings Include: A review of a facility policy titled, admission Orders, with a reviewed/revised date of 6/23/2018 revealed the following: Policy: . A physician . must provide orders for the residents' immediate care and needs .Policy . Compliance Guidelines: 1. The written orders should include at a minimum . c. Routine care orders . 2. The orders should . provide essential care to the resident . on admission. [...]

August 2, 2018Standard inspection · 4 citations

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) September 4, 2018

Inspectors wroteBased on observation, interview and review of the 2017 U.S. Food & Drug Administration Food Code reference to When to Wash, Temperature and Time Control Frozen Food, Person In Charge and a facility Policy/Procedures , titled, Clean Dishes - Manual Dishwashing, the facility failed to: 1. prevent potential cross-contamination as evidenced by: a. staff not practicing appropriate hand hygiene and glove use when necessary after potential contamination by using the left gloved hand to push against a wall while leaning in to pull dish racks from the dishmachine and resting the right gloved hand on the ledge of the dish apron continuing to sort, stack, and store clean/sanitized dishes and utensil, b. the cook's failure to practice appropriate hand hygiene and glove use when necessary after potential glove contamination by touching the handle of a push cart, c. [...]
D

Keep residents' personal and medical records private and confidential.

F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 4, 2018

Inspectors wroteBased on observation, interviews, medical record review and a review of facility's policies titled Administering Medications and Workstation Use and Security, the facility failed to ensure the MAR (Medication Administration Record) screen for Resident Identifier ( RI) #93 was not left up/unlocked and open for public view. This affected RI #93 one of 22 sampled residents. Findings Include: RI #93 was admitted to the facility on [DATE]. A review of a facility policy titled, Administering Medications, with a revised date of 5/19/2017 revealed: .Highlights . Safety of Medication Cart 11. During administration of medications, . Employees will log-off/lock screen of applications containing electronic record . A review of a facility policy titled, Workstation Use and Security, with a revised date of 6/15/17 revealed: Policy: [...]
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 4, 2018

Inspectors wroteBased on an observation, interview, medical record review, and review of a facility policy titled Smoking- (name of facility), the facility failed to ensure a care plan was revised for a resident that smoked. This deficient practice affected Resident Identifier (RI) #76, one of three residents sampled for smoking. Findings Include: RI #76 was admitted to the facility on [DATE]. A review of a facility policy titled Smoking- (name of facility) with a revision date of 9/21/2017 revealed: .5. All residents that smoke will have a smoking care plan in place that outlines any smoking-related privileges, restrictions, and concerns . A review of RI #76 s Smoking Assessments dated 9/28/2017 revealed: .F .2. Team Decision: 1. Safe to smoke without supervision . A review RI #76's Annual Minimum Data Set (MDS) dated [DATE] revealed the resident used tobacco. [...]
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) September 4, 2018

Inspectors wroteBased on observation, interviews, medical review, Potter and [NAME], Fundamentals of Nursing, Ninth Edition, and a facility policy titled Administration of Eye Drops, the facility failed to ensure a licensed nurse did not put on gloves from the right pocket of the uniform top, prior to administering an eye drop medication. This deficient practice affected Resident Identifier (RI) #4, one of one resident observed receiving an eye drop medication and one of five licensed nurses observed during medication administration. Findings Include: RI #4 was admitted to the facility on [DATE] and readmitted [DATE], with diagnoses including Dry Eye Syndrome of Unspecified Lacrimal Gland. A review of a facility policy titled, Administration of Eye Drops with an implemented date of 11/28/2016 and a revision date of 08/02/2018 revealed: .Wear clean gloves during administration . [...]

Fire safety inspections

7 fire safety citations on file: 1 on September 18, 2025, 3 on September 5, 2019, 3 on August 2, 2018.

Every fire safety citation7 citations

E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · September 18, 2025 · Corrected (the home has a date of correction)
E
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

K 343 · September 5, 2019 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · September 5, 2019 · Corrected (the home has a date of correction)
D
Have proper medical gas storage and administration areas.

K 923 · September 5, 2019 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · August 2, 2018 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · August 2, 2018 · Corrected (the home has a date of correction)
D
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · August 2, 2018 · 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.

Measure	This home	Alabama	United States
All nursing staff (RN, LPN and aides)	3.38	3.88	3.86
Registered nurses	0.69	0.65	0.69
All nursing staff on weekends	2.84	3.26	3.42
Nurse aides	1.81
Licensed practical nurses	0.89
Nursing staff turnover (share who left in a year)	36.6%	46.9%	45.8%
Registered nurse turnover	17.2%	39.5%	42.9%
Administrators who left	0

CMS expects 3.28 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 3.60 on weekdays and 2.84 on weekends, 21% 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 3.49 in April to June 2025 to 3.38 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	3.38	0.69	3.60	2.84	0.0%	0 of 90	198
Oct to Dec 2025	3.45	0.72	3.65	2.94	0.0%	0 of 92	192
Jul to Sep 2025	3.67	0.77	3.91	3.07	0.0%	0 of 92	193
Apr to Jun 2025	3.49	0.68	3.73	2.88	0.0%	1 of 91	190
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. If you work here, your report helps start one.

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.

How staff pay reports work · CNA pay by state

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	10.7	12.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	1.3	0.9	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	1.4	2.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.4	3.3	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	4.1	2.0	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	15.9	12.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	4.8	5.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	19.3	21.2	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	23.1	24.8	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	5.4	11.3	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.4	2.0	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.3	1.7	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Mitchell-Hollingsworth Nursing & Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (57.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

57.4% this home

Better than 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. 491 eligible stays.

Potentially preventable readmissions

11.3% 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. 490 eligible stays.

Infections that led to a hospital stay

8.7% 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. 281 eligible stays.

Self-care and mobility at discharge

38.9% 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. 175 residents counted.

Falls with major injury

1.6% 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. 306 residents counted.

New or worsened pressure ulcers

4.2% 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. 305 residents counted.

Medication list given at discharge

95.7% 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. 141 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.

Owners and operators

Legal business name: MITCHELL-HOLLINGSWORTH NURSING & REHAB CENTER. CMS links this home to Preston Health Services, a group of 5 nursing homes averaging 3.2 stars overall.

Name	Role	Type	Share	Since
Walker, James	5% or greater direct ownership interest	Individual	100%	07/01/2002
Rose, Kenneth	Contracted managing employee	Individual		01/01/2023
Walker, James	Operational/managerial control	Individual		07/01/2002

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.

How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on September 18, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on September 18, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on September 18, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on September 5, 2019: "Provide doctor's orders for the resident's immediate care at the time the resident was admitted."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.84 hours per resident per day, below the Alabama average of 3.26.

Other nursing homes nearby

El Reposo Nursing Facility
Florence, 0.9 mi · 3 of 5 stars · 4 citations
Florence Nursing and Rehabilitation Ctr, LLC
Florence, 2.9 mi · 3 of 5 stars · 10 citations
Glenwood Center
Florence, 3.6 mi · 1 of 5 stars · 15 citations
Keller Landing
Tuscumbia, 4.7 mi · 5 of 5 stars · 3 citations
Cypress Cove Care Center
Muscle Shoals, 5.3 mi · 5 of 5 stars · 4 citations
Cottage of the Shoals
Tuscumbia, 5.6 mi · 4 of 5 stars · 5 citations
Lauderdale Christian Nursing Home
Killen, 12.8 mi · 5 of 5 stars · 3 citations
Burns Nursing Home, Inc.
Russellville, 20.5 mi · 2 of 5 stars · 7 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 Mitchell-Hollingsworth Nursing & Rehabilitation's Medicare star rating?: CMS rates Mitchell-Hollingsworth Nursing & Rehabilitation 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Mitchell-Hollingsworth Nursing & Rehabilitation get at its last inspection?: 6 health deficiencies at the standard inspection on September 18, 2025. The Alabama average is 4.
Has Mitchell-Hollingsworth Nursing & Rehabilitation been fined?: CMS lists no fines in the last three years.
Does Mitchell-Hollingsworth Nursing & Rehabilitation 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 Mitchell-Hollingsworth Nursing & Rehabilitation?: CMS lists 3 owners and managers, and links the home to Preston Health Services. Legal business name: MITCHELL-HOLLINGSWORTH NURSING & REHAB CENTER.

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.