Terrace Manor Nursing & Rehabilitation Center, Inc
390 Underwood Road, Russellville, AL 35653 · Franklin County · (256) 332-3826
63 certified beds, about 54 residents a day · For profit - Corporation · Medicare and Medicaid since 1976
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015066 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 26, 2021, inspectors cited 0 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 4 health citations since June 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 4.01 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.
37.3% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Advanced Health Care Management, an affiliated group of 6 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.
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 4 health citations on file.
August 26, 2021Standard inspection · 0 citations
July 11, 2019Standard inspection · 0 citations
June 8, 2018Standard inspection · 4 citations
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on interview, record review, and a review of facility policies titled, ABUSE AND NEGLECT: RECOGNIZING AND REPORTING and NEW HIRE POLICY, the facility failed to ensure their policies contained information or direction to staff on how they would implement each of the Seven (7) Components of Abuse per State and Federal Regulations as well as ensure that systems for timely registry, licensure and background checks were completed. This deficient practice was evident through one of nine personnel files reviewed.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, medical record review and a review of the facility's monitoring document titled, Incontinent Care Monitoring,, the facility failed to ensure a Certified Nursing Assistant/CNA separated Resident Identifier (RI) #48's perineal area to visualize the perineal opening, wiped from front to back, changed gloves after cleaning the resident and before applying a clean brief This deficient practice affected one of two residents observed during incontinent care. Findings Include: A review of the facility monitoring document titled, Incontinent Care Monitoring without a date, revealed the following: . 12. Removed and clean BM (Bowel Movement) if present . 13. Removed gloves 14. Washed hands . 15. Clean gloves applied . 18. Area wiped only once using the same wipe . 19. Cleaned from front to back 20. Remove gloves and dispose properly 21. Wash hands 22. [...]
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and medical record review, the facility failed to ensure Resident Identifier (RI) #45's Oxygen (02) concentrator humidifier water bottle was not empty during the administration of oxygen and that the filter did not have an accumulation of dust. This affected one of four residents observed with oxygen. Findings Include: RI #45 was admitted to the facility on [DATE] with diagnoses including: Chronic Obstructive Pulmonary Disease Exacerbations and Cardiovascular Disease with Diastolic Heart Failure. A review of RI #45's current Significant Change Minimum Data Set (MDS) dated [DATE] revealed RI #45's Brief Interview for Mental Status score of 6, indicating cognition severely impaired. The MDS also documented RI #45 was short of breath/trouble breathing with exertion, sitting at rest and lying flat. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews, medical record review and a review of the facility's policy title, OXYGEN ADMINISTRATION PER SIMPLE MASK, as well as procedure for incontinence care, this facility failed to ensure staff implemented infection control measures during incontinence care and the placement of oxygen on a resident (RI #48) after the oxygen tubing was on the floor. This affected one of four residents observed during incontinence care and oxygen administration. Findings Include: A review of the facility's monitoring document titled, Incontinent Care Monitoring without a date, revealed the following: . 20. Remove gloves and dispose properly 21. Wash hands 22. Apply clean gloves . A review of the facility's policy titled, OXYGEN ADMINISTRATION PER SIMPLE MASK with a revised date of 03/24/16, revealed the following: POLICY . Oxygen tubing must be kept off of the floor . [...]
Fire safety inspections
7 fire safety citations on file: 1 on August 26, 2021, 3 on July 11, 2019, 3 on June 8, 2018.
Every fire safety citation7 citations
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Develop and maintain an Emergency Preparedness Program (EP).
- E Inspect, test, and maintain automatic sprinkler systems.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Meet other general requirements that are deficient.
- C Conduct testing and exercise requirements.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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) | 4.01 | 3.88 | 3.86 |
| Registered nurses | 0.73 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.25 | 3.26 | 3.42 |
| Nurse aides | 2.31 | ||
| Licensed practical nurses | 0.97 | ||
| Nursing staff turnover (share who left in a year) | 37.3% | 46.9% | 45.8% |
| Registered nurse turnover | 10.0% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.42 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 4.31 on weekdays and 3.25 on weekends, 25% 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 4.09 in April to June 2025 to 4.01 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 | 4.01 | 0.73 | 4.31 | 3.25 | 0.0% | 0 of 90 | 54 |
| Oct to Dec 2025 | 3.72 | 0.71 | 3.96 | 3.11 | 0.0% | 0 of 92 | 55 |
| Jul to Sep 2025 | 3.94 | 0.76 | 4.30 | 3.05 | 0.0% | 0 of 92 | 52 |
| Apr to Jun 2025 | 4.09 | 0.86 | 4.40 | 3.30 | 0.0% | 0 of 91 | 48 |
| 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 | 15.9 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.7 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.8 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.5 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.4 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 2.5 | 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 | 1.1 | 1.7 | 1.8 |
Owners and operators
Legal business name: FRANKLIN LTC, LLC. CMS links this home to Advanced Health Care Management, a group of 6 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Dt Investments LLC | Direct ownership interest | Organization | 01/01/2016 | |
| Providence Holdings LLC | Direct ownership interest | Organization | 01/01/2016 | |
| Cain, Brian | Direct ownership interest | Individual | 01/01/2016 | |
| Hubbard, Brien | 5% or greater indirect ownership interest | Individual | 8% | 01/01/2016 |
| Hubbard, Gene | 5% or greater indirect ownership interest | Individual | 25% | 01/01/2016 |
| Griffin, Troy | Indirect ownership interest | Individual | 01/01/2016 | |
| Griffin, Troy | Corporate officer | Individual | 01/01/2016 | |
| Hubbard, Gene | Corporate officer | Individual | 01/01/2016 | |
| Advanced Healthcare Management, Inc | Operational/managerial control | Organization | 01/01/2016 | |
| Forsythe, Dennis | Operational/managerial control | Individual | 09/04/2024 | |
| Advanced Healthcare Management, Inc | Adp of the SNF | Organization | 04/29/2026 | |
| Dt Investments LLC | Adp of the SNF | Organization | 01/01/2016 | |
| Paradigm Healthcare Consultants, Inc. | Adp of the SNF | Organization | 01/01/2016 | |
| Providence Holdings LLC | Adp of the SNF | Organization | 01/01/2016 | |
| Cain, Brian | Adp of the SNF | Individual | 01/01/2016 | |
| Forsythe, Dennis | Adp of the SNF | Individual | 05/14/2026 | |
| Griffin, Troy | Adp of the SNF | Individual | 01/01/2016 | |
| Hubbard, Brien | Adp of the SNF | Individual | 01/01/2016 | |
| Hubbard, Gene | Adp of the SNF | Individual | 11/20/2015 | |
| Kelly, Kevin | Adp of the SNF | Individual | 05/14/2026 |
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 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 June 8, 2018: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on June 8, 2018: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on June 8, 2018: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.25 hours per resident per day, below the Alabama average of 3.26.
Other nursing homes nearby
- Everstead Health and Rehabilitation Center Russellville, 0.2 mi · 2 of 5 stars · 4 citations
- Burns Nursing Home, Inc. Russellville, 1 mi · 2 of 5 stars · 7 citations
- Cottage of the Shoals Tuscumbia, 15 mi · 4 of 5 stars · 5 citations
- Keller Landing Tuscumbia, 15.8 mi · 5 of 5 stars · 3 citations
- Cypress Cove Care Center Muscle Shoals, 16.6 mi · 5 of 5 stars · 4 citations
- El Reposo Nursing Facility Florence, 20 mi · 3 of 5 stars · 4 citations
- Haleyville Health Care Center Haleyville, 20.4 mi · 5 of 5 stars · 1 citation
- Mitchell-Hollingsworth Nursing & Rehabilitation Florence, 20.5 mi · 3 of 5 stars · 11 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 Terrace Manor Nursing & Rehabilitation Center, Inc's Medicare star rating?
- CMS rates Terrace Manor Nursing & Rehabilitation Center, Inc 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Terrace Manor Nursing & Rehabilitation Center, Inc get at its last inspection?
- 0 health deficiencies at the standard inspection on August 26, 2021. The Alabama average is 4.
- Has Terrace Manor Nursing & Rehabilitation Center, Inc been fined?
- CMS lists no fines in the last three years.
- Does Terrace Manor Nursing & Rehabilitation Center, Inc 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 Terrace Manor Nursing & Rehabilitation Center, Inc?
- CMS lists 20 owners and managers, and links the home to Advanced Health Care Management. Legal business name: FRANKLIN LTC, LLC.
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.