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NHC Healthcare, Moulton

300 Hospital Street, Moulton, AL 35650 · Lawrence County · (256) 974-1146

136 certified beds, about 111 residents a day · For profit - Corporation · Medicare and Medicaid since 1977

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 015128 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 25, 2026, inspectors cited 2 health deficiencies (the Alabama average is 4, the national average 9.2).

None of its 6 health citations since September 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 3.80 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.78 of those hours.

50.8% of nursing staff left within the year CMS measured (Alabama average 46.9%).

CMS links it to National Healthcare Corporation, an affiliated group of 71 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 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
6D
0E
0F
Potential for minimal harm
0A
0B
0C
July 25, 2026Standard inspection · 2 citations
  1. 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 · deficient, provider has July 26, 2026
    Inspectors wroteBased on observation, interview, record review, and facility document and policy review, the facility failed to implement interventions to reduce the risk of fall related injuries for 1 (Resident #44) of 6 residents reviewed for accident hazards.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · deficient, provider has July 26, 2026
    Inspectors wroteBased on facility policy review, record review, observation, and interview, the facility failed to maintain an effective infection control and prevention program related to the use of enhanced barrier precautions (EBP) for 1 (Resident #4) of 6 residents reviewed for infection control.
November 6, 2019Standard inspection · 2 citations
  1. D
    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, isolated · Corrected (the home has a date of correction) December 6, 2019
    Inspectors wroteBased on observation, interviews and review of a facility policy titled, REFRIGERATOR AND FREEZER STORAGE, the facility failed to ensure three of seven honey thickened liquids in the walk-in cooler of the kitchen were labeled with a use by date. This failure had the potential to affect two residents who received honey thickened liquids out of 115 total residents who received meal trays from the kitchen. Findings Include: The facility policy titled, REFRIGERATOR AND FREEZER STORAGE, with a revised date of November 2017, included . OUTCOME: Refrigerated and frozen foods will be stored properly . items must be labeled with the use by date before properly storing . On 11/03/19 at 10:58 a.m., the surveyor observed food items in the walk-in cooler. [...]
  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) December 6, 2019
    Inspectors wroteBased on observation, interviews, record review, and review of facility policies titled HANDWASHING, and Hand Washing and Hand Sanitizer, the facility failed to ensure Employee Identifier (EI) #1, a Licensed Practical Nurse (LPN), washed her hands after after she attempted to give Resident Identifier (RI) #63's eye drop medication, prior to placing RI #63's eye drop medication in the drawer of the medication cart. This affected RI #63, one of five residents observed during the medication administration pass, and EI #1, one of five nurses, observed during medication pass. Findings Include: RI #63 was admitted to the facility on [DATE] and had a diagnosis of Unspecified Acute Conjunctivitis. A review of a facility policy titled HANDWASHING, with a revised date of 10/01/2008, revealed . PROCEDURE wash your hands before and after contact with each patient . and . after removal of gloves . [...]
September 19, 2018Standard inspection · 2 citations
  1. 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) October 20, 2018
    Inspectors wroteBased on observation, interview and a facility policy titled, Security of PHI (Protected Health Information) During Day To Day Operations, the facility failed to ensure RI (Resident Identifier) #34's Electronic Medication Administration Record (MAR) on the computer screen was not left up/unlocked and open for public view. This deficient practice affected RI #34, one of twenty-three sampled residents. Findings Include: A review of a facility policy titled, Security of PHI During Day to Day Operations, with a revised date of 09/01/2013, revealed: .personal health information is used in a manner which promotes the confidentiality of the information . MAR . should not be left on carts open . RI #34 was admitted to the facility on [DATE]. [...]
  2. D
    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, isolated · Corrected (the home has a date of correction) October 10, 2018
    Inspectors wroteBased on observations, review of the 2017 Food Code, review of the facility policy/procedure titled Safety & Sanitation Best Practice Guidelines and staff interviews, the facility failed to ensure staff air dried five plates and ten bowls. This had the potential to affect up to 15 out of the 110 residents who received meal trays from dining services.

Fire safety inspections

6 fire safety citations on file: 1 on July 25, 2026, 3 on November 6, 2019, 2 on September 19, 2018.

Every fire safety citation6 citations
  1. F
    Install an approved automatic sprinkler system.
    K 351 · July 25, 2026 · Corrected (the home has a date of correction)
  2. D
    Have horizontal exits used in accordance with safety requirements.
    K 226 · November 6, 2019 · Corrected (the home has a date of correction)
  3. D
    Provide properly protected cooking facilities.
    K 324 · November 6, 2019 · Corrected (the home has a date of correction)
  4. D
    Ensure proper usage of power strips and extension cords.
    K 920 · November 6, 2019 · Corrected (the home has a date of correction)
  5. E
    Ensure proper usage of power strips and extension cords.
    K 920 · September 19, 2018 · Corrected (the home has a date of correction)
  6. D
    Install an approved automatic sprinkler system.
    K 351 · September 19, 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.

MeasureThis homeAlabamaUnited States
All nursing staff (RN, LPN and aides)3.803.883.86
Registered nurses0.780.650.69
All nursing staff on weekends3.343.263.42
Nurse aides2.37
Licensed practical nurses0.65
Nursing staff turnover (share who left in a year)50.8%46.9%45.8%
Registered nurse turnover57.1%39.5%42.9%
Administrators who left0

CMS expects 4.01 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 3.99 on weekdays and 3.34 on weekends, 16% 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 3.73 in April to June 2025 to 3.80 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.800.783.993.34 0.0%0 of 90111
Oct to Dec 20253.880.674.063.40 0.0%0 of 92109
Jul to Sep 20253.540.613.673.20 0.0%0 of 92118
Apr to Jun 20253.730.733.953.20 0.0%0 of 91110
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
10.012.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
6.42.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.43.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.42.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.612.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.35.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.221.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
19.724.823.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.711.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.52.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.71.8

Owners and operators

Legal business name: NHC HEALTHCARE-MOULTON LLC. CMS links this home to National Healthcare Corporation, a group of 71 nursing homes averaging 4 stars overall.

NameRoleTypeShareSince
NHC/Delaware IncDirect ownership interestOrganization01/01/2001
Morgan Stanley Institutional Advisors LLCIndirect ownership interestOrganization11/08/2024
Bidwell, CharlesManaging control - governing bodyIndividual06/15/2021
Bidwell, CharlesCorporate officerIndividual06/15/2021
National Healthcare CorporationOperational/managerial controlOrganization01/01/2001
NHC-Op LPOperational/managerial controlOrganization01/01/2001
Bidwell, CharlesOperational/managerial controlIndividual06/15/2021
Dodson, VickiOperational/managerial controlIndividual06/01/2019
Hubbuch, JoshuaOperational/managerial controlIndividual05/06/2024
Kidd, BrianOperational/managerial controlIndividual01/01/2017
Shelly, TimothyOperational/managerial controlIndividual07/12/2024
Steien, LuciOperational/managerial controlIndividual07/16/2007
Tuckier, RexOperational/managerial controlIndividual06/06/2017
Ussery, RobertOperational/managerial controlIndividual01/01/2009
Blackrock IncAdp of the SNFOrganization01/20/2010
National Health CorporationAdp of the SNFOrganization03/31/2025
National Healthcare CorporationAdp of the SNFOrganization03/31/2025
Vanguard Group IncAdp of the SNFOrganization11/30/2006
Dodson, VickiAdp of the SNFIndividual06/01/2019
Hubbuch, JoshuaAdp of the SNFIndividual07/03/2025
Kidd, BrianAdp of the SNFIndividual01/01/2017
Tuckier, RexAdp of the SNFIndividual03/31/2025

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. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on July 25, 2026: "Provide and implement an infection prevention and control program."
  2. 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 November 6, 2019: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on July 25, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  4. 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 September 19, 2018: "Keep residents' personal and medical records private and confidential."

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 NHC Healthcare, Moulton's Medicare star rating?
CMS rates NHC Healthcare, Moulton 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 NHC Healthcare, Moulton get at its last inspection?
2 health deficiencies at the standard inspection on July 25, 2026. The Alabama average is 4.
Has NHC Healthcare, Moulton been fined?
CMS lists no fines in the last three years.
Does NHC Healthcare, Moulton 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 NHC Healthcare, Moulton?
CMS lists 22 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-MOULTON LLC.

Sources

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