Timberland Health and Wellness Center
1406 East Pushmataha Street, Butler, AL 36904 · Choctaw County · (205) 459-5506
120 certified beds, about 67 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1977
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015164 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 25, 2021, inspectors cited 0 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 5 health citations since March 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 3.63 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.91 of those hours.
64.2% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Arabella Healthcare Management, an affiliated group of 12 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 5 health citations on file.
March 25, 2021Standard inspection · 0 citations
March 6, 2019Standard inspection · 0 citations
March 1, 2018Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, and review of facility polices titled Meal Temperature Log, Meal Temperature Record, Sanitation and Leftovers, the facility failed to ensure: 1) the temperature of carrots were taken and recorded after being placed back on the steam table; 2) food debris was not in a sectional plate; and 3) orange juice and cranberry juice in the refrigerator was labeled with an open and use by date. This had the potential to affect 85 of 89 residents who received meals from the kitchen. Findings Include: 1) A review of a facility policy titled Meal Temperature Log with no revised date revealed: Policy Temperature of all potentially hazardous foods being served to the residents and staff will be recorded on a meal by meal basis to ensure food are served in a safe and sanitary manner . 1. [...]
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation and interview, the facility failed to ensure a Certified Nursing Assistant (CNA) did not stand while feeding Resident Identifier (RI) #33 the lunch meal on 02/28/18. This affected RI #33, one of one residents observed being fed during the survey. Findings Include: RI #33 was admitted to the facility on [DATE], and readmitted on [DATE], with a diagnosis to include Unspecified Dementia without Behavior Disturbance. A review of RI #33's Quarterly Minimum Data Set with an Assessment Reference Date of 01/10/18, revealed RI #33 had a Brief Interview for Mental Status (BIMS) score of 6 indicating severely impaired cognitive status and was totally dependant on staff for eating. On 02/28/18 at 12:20 p.m., Employee Identifier (EI) #4, a CNA was observed feeding RI #33 the lunch meal. EI #4 was standing on the left side of the bed. [...]
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview, record review, review of a facility policy titled ABUSE/REPORTING and review of the Alabama Department of Public Health Online Incident Reporting System, the facility failed to ensure an allegation of physical abuse was reported to the State Survey Agency within a two hour time frame when RI #76 hit RI #41 on 12/27/17. This deficient practice affected Resident Identifier (RI) #41 and RI #76, two of two residents reviewed for Facility Reported Incidents. Finding Include: A facility policy titled ABUSE/REPORTING, dated December 2017, documented . Reporting/Documentation Requirements Ensure that all alleged violations involving abuse . are reported to the administrator of the center and to other officials (including to the State Survey Agency .) in accordance with State law through established procedures in these timeframes: [...]
- 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.
Inspectors wroteBased on observation and interview, the facility failed to ensure the controlled box containing the refrigerated Lorazepam (Ativan) in the Station 2 Medication Room was permanently affixed to the refrigerator. This was observed on 03/01/18, during the medication room observation and affected one of two medication rooms observed. Findings Include: On 03/01/18 at 11:30 a.m., the surveyor and Employee Identifier (EI) #3, a Licensed Practical Nurse, did an observation of the Medication Room on station 2. The medications in the room were checked for availability and expiration dates. EI #3 was asked to open the refrigerator for observation of the medications inside the refrigerator. After unlocking the refrigerator and verifying the temperature the surveyor asked if there was a secured box for controlled refrigerated medications. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and review of a facility policy titled Linen and Laundry Orientation Checklist, the facility failed to ensure: 1) clean laundry was covered as it was delivered to the unit; and 2) Employee Identifier (EI) #6 and EI #7 did not have clean linen and resident clothes touching their uniforms. This was observed on 02/27/18 at 3:30 p.m., during the initial tour of the facility, and affected one of six units in the facility. Findings Include: A review of a facility policy titled Linen with a effective date of Nov (November) 2017 revealed: . Purpose The purpose of this procedure is to provide guidelines for the proper handling, washing, transporting, . Procedure Guidelines In resident rooms 1. Do not allow . to touch uniform. An undated facility document titled Laundry Orientation Checklist revealed: . [...]
Fire safety inspections
5 fire safety citations on file: 4 on March 6, 2019, 1 on March 1, 2018.
Every fire safety citation5 citations
- E Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure proper usage of power strips and extension cords.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Inspect, test, and maintain automatic sprinkler systems.
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) | 3.63 | 3.88 | 3.86 |
| Registered nurses | 0.91 | 0.65 | 0.69 |
| All nursing staff on weekends | 2.88 | 3.26 | 3.42 |
| Nurse aides | 2.22 | ||
| Licensed practical nurses | 0.50 | ||
| Nursing staff turnover (share who left in a year) | 64.2% | 46.9% | 45.8% |
| Registered nurse turnover | 50.0% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.01 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 3.93 on weekdays and 2.88 on weekends, 27% 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 3.74 in April to June 2025 to 3.63 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 | 3.63 | 0.91 | 3.93 | 2.88 | 0.0% | 0 of 90 | 67 |
| Oct to Dec 2025 | 3.61 | 0.79 | 3.86 | 2.97 | 0.0% | 0 of 92 | 68 |
| Jul to Sep 2025 | 3.42 | 0.80 | 3.65 | 2.84 | 0.0% | 0 of 92 | 67 |
| Apr to Jun 2025 | 3.74 | 0.97 | 4.04 | 3.00 | 0.0% | 0 of 91 | 68 |
| 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 | 4.4 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 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 | 2.5 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.6 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.5 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.3 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.7 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 24.5 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 1.7 | 1.8 |
Owners and operators
Legal business name: ARABELLA HEALTH & WELLNESS OF BUTLER OPCO LLC. CMS links this home to Arabella Healthcare Management, a group of 12 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Arabella Health & Wellness of Butler Propco LLC | 5% or greater mortgage interest | Organization | 08/25/2023 | |
| Hertzel, Chaim | Corporate officer | Individual | 08/25/2023 | |
| Arabella Healthcare Management LLC | Operational/managerial control | Organization | 08/25/2023 | |
| Armistead, Daniel | Operational/managerial control | Individual | 02/01/2025 | |
| Hertzel, Chaim | Operational/managerial control | Individual | 08/25/2023 | |
| Jenkins, Leigh | Operational/managerial control | Individual | 08/14/2023 | |
| Fein, Miriam | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/17/2025 | |
| Zlotowitz, Eliyahu | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/17/2025 | |
| Arabella Health & Wellness of Butler Propco LLC | Adp of the SNF | Organization | 08/25/2023 | |
| Arabella Healthcare Management LLC | Adp of the SNF | Organization | 03/17/2025 | |
| Arco Kano Irrv Tr | Adp of the SNF | Organization | 03/04/2024 | |
| Gnh Irrv Tr | Adp of the SNF | Organization | 03/04/2024 | |
| Hwood Partners LLC | Adp of the SNF | Organization | 03/04/2024 | |
| Armistead, Daniel | Adp of the SNF | Individual | 02/01/2025 | |
| Hertzel, Chaim | Adp of the SNF | Individual | 08/25/2023 | |
| Jenkins, Leigh | Adp of the SNF | Individual | 08/14/2023 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 1, 2018: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 March 1, 2018: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- 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 March 1, 2018: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on March 1, 2018: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.88 hours per resident per day, below the Alabama average of 3.26.
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 Timberland Health and Wellness Center's Medicare star rating?
- CMS rates Timberland Health and Wellness Center 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Timberland Health and Wellness Center get at its last inspection?
- 0 health deficiencies at the standard inspection on March 25, 2021. The Alabama average is 4.
- Has Timberland Health and Wellness Center been fined?
- CMS lists no fines in the last three years.
- Does Timberland Health and Wellness 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 Timberland Health and Wellness Center?
- CMS lists 16 owners and managers, and links the home to Arabella Healthcare Management. Legal business name: ARABELLA HEALTH & WELLNESS OF BUTLER OPCO 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.