30 Roundtree Drive, Piedmont, AL 36272 · Calhoun County · (256) 447-8258
91 certified beds, about 82 residents a day · Government - City · Medicare and Medicaid since 1977
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015194 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 15, 2021, inspectors cited 0 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 3 health citations since February 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 4.92 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
47.7% of nursing staff left within the year CMS measured (Alabama average 46.9%).
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 3 health citations on file.
Inspectors wroteBased on observation, interview and a policy titled, Personal Hygiene Training, the facility failed to ensure dietary workers' hair was contained inside of hair restraints while working in the kitchen. This was observed on two of three days in the kitchen, and had the potential to affect all 83 residents who were served meals from the kitchen. According to the RESIDENT CENSUS AND CONDITIONS OF RESIDENTS form,the census was 84. Findings Include: A review of a undated policy, titled, Personal Hygiene Training, revealed: .4. Keep hair neat and clean. Wear a hair restraint when around exposed foods, in the kitchen or food service areas including dining areas. [...]
Inspectors wroteBased on observation, interview and the Food Code U.S. Public Health Service and FDA (Food and Drug Administration)2013, the facility failed to ensure that the grease trap grill was free from excessive debris and trash, which had the potential to attract rodents and pests. This was observed on one of three days and had the potential to affect all 84 residents who reside in the facility. Findings Include: A review of an undated facility policy titled, POLICY FOR USED COOKING OIL, revealed: ALL DISCARDED COOKING OIL WILL BE MAINTAINED IN OUTSIDE CONTAINER FOR PICKUP BY DESIGNATED COMPANY, . .MAINTENANCE WILL KEEP AREA AROUND FREE OF DEBRI (DEBRIS) . A review of a contract with the designated waste company revealed: .b. Remove and replace containers of cooking oil from Client's premises on a regular schedule agreed upon by the parties or upon notification . A review of the Food Code U.S. [...]
Inspectors wroteBased on record review, interview, a document titled, CODE OF ALABAMA 1975 .ALABAMA STATE BOARD OF PHARMACY and review of a facility policy titled, Medication-Destruction Controlled Drugs, the facility failed to ensure three required signatures were obtained for controlled drug destruction for July 2017. This affected one of thirteen months of medication destruction records reviewed. Findings Include: Review of CODE OF ALABAMA 1975 .Practice of Pharmacy Act 205 Legislature 1966 ALABAMA STATE BOARD OF PHARMACY revealed the following: .7. For destruction of controlled substances, there shall be a third witness who may be a law enforcement official, management or supervisory personnel, i.e.(for example), administrator, LPN (Licensed Practical Nurse) charge nurse, etc (and so on) . [...]
2 fire safety citations on file: 2 on February 15, 2018.
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) | 4.92 | 3.88 | 3.86 |
| Registered nurses | 0.69 | 0.65 | 0.69 |
| All nursing staff on weekends | 4.22 | 3.26 | 3.42 |
| Nurse aides | 3.36 | ||
| Licensed practical nurses | 0.88 | ||
| Nursing staff turnover (share who left in a year) | 47.7% | 46.9% | 45.8% |
| Registered nurse turnover | 26.7% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.41 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 5.20 on weekdays and 4.22 on weekends, 19% 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 4.93 in April to June 2025 to 4.92 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 | 4.92 | 0.69 | 5.20 | 4.22 | 0.0% | 0 of 90 | 82 |
| Oct to Dec 2025 | 4.89 | 0.73 | 5.16 | 4.22 | 0.0% | 0 of 92 | 83 |
| Jul to Sep 2025 | 4.53 | 0.71 | 4.75 | 3.98 | 0.0% | 0 of 92 | 84 |
| Apr to Jun 2025 | 4.93 | 0.82 | 5.23 | 4.17 | 0.0% | 0 of 91 | 80 |
| 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.
| 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 | 17.1 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.7 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.6 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.2 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.3 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.8 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.5 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.3 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.9 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Piedmont Health Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (58.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
58.9% 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. 179 eligible stays.
11.9% 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. 185 eligible stays.
7.1% 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. 120 eligible stays.
61.3% 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. 80 residents counted.
0.9% 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. 109 residents counted.
2.4% 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. 109 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. 43 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: PIEDMONT HEALTH CARE CENTER.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Piedmont Health Care Center | 5% or greater direct ownership interest | Organization | 01/03/1992 | |
| Keener, Sandra | W-2 managing employee | Individual | 01/03/1992 |
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.
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