212 Ellen Street, Oneonta, AL 35121 · Blount County · (205) 625-3520
103 certified beds, about 91 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015422 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 2, 2026, inspectors cited 5 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 8 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 3.79 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.68 of those hours.
23.1% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Trinity Management, Inc., an affiliated group of 5 nursing homes.
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 8 health citations on file.
Inspectors wroteBased on interviews, record review, review of facility policies titled, Controlled Substances, Identifying Exploitation, Theft and Misappropriation of Resident Property, and Administering Medications, review of a Facility Reported Incident (FRI) received by the State Agency (SA) and review of the facility's investigative file, the facility failed to ensure Licensed Practical Nurse (LPN) #4 did not misappropriate resident property when she failed to follow facility procedures related to handling, storage, disposal, and documentation of controlled substances designed to prevent drug diversion and protect resident safety. [...]
Inspectors wroteBased on interviews, record review, review of a facility policy titled Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating, and review of a Facility Reported Incident (FRI) received by the State Agency (SA) on 10/01/2025 at 1:19 PM, the facility's Administrator (ADM) failed to ensure an allegation of misappropriation of resident property was reported to the SA in the required timeframe of 24 hours, when he was made aware on 09/11/2025 that Licensed Practical Nurse (LPN) #4 was falsifying residents' Controlled Drug Records (CDR) and failing to follow facility procedures related to handling, storage, disposal, and documentation of controlled substances designed to prevent drug diversion and protect resident safety. [...]
Inspectors wroteBased on interviews, record review, review of Resident Identifier (RI) #81's hospital records, and review of a facility policy titled Medication Therapy, the facility failed to provide RI #81 care and treatment based on RI #81's hospital discharge orders, plan of care, and medications necessary to treat existing conditions and address significant risk. During record review surveyors discovered that on 02/20/2026 RI #81 was discharged from the hospital to the facility with discharge medications to include aspirin, 81 milligrams (mg) to be administered twice a day, recommended upon discharge for six weeks per orthopedic surgical consult following right femoral neck fracture and hemiarthroplasty (partial hip replacement). There was not any evidence that RI #81 received the aspirin as recommended. [...]
Inspectors wroteBased on interviews, record review and review of facility policies titled Medical Director and Medication Therapy, the facility failed to ensure Resident Identifier (RI) #81's attending physician/MD (Medical Director) provided orders to meet RI #81's medical needs upon discharge from the hospital post arthroplasty with partial hip replacement. On 02/20/2026, the facility's attending physician was notified that RI #81 was allergic to aspirin which had been ordered by the Orthopedic surgeon. The attending physician failed to provide an order for RI #81 to receive alternate anticoagulant therapy or follow-up to ensure the prescribing surgeon was notified of RI #81's allergy to aspirin and the need for alternate therapy. Because of this failure RI #81 did not receive aspirin or anticoagulant therapy for 20 days after readmission, from 02/20/2026 until 03/12/2026 during the survey. [...]
Inspectors wroteBased on interviews, record review and review of facility policies titled, Discontinued Medication and Charting and Documentation, the facility failed to maintain Resident Identifier (RI) #81's medical records in a manner to ensure the record was complete and accurately reflected RI #81's condition and consultation of RI #81's attending physician. Licensed Practical Nurse (LPN) #9 failed to document in RI #81's medical record when she notified the attending physician of RI #81's allergy to aspirin after RI #81 was readmitted on [DATE] from the hospital with an order for aspirin to be administered for six weeks. The facility failed to identify in RI #81's medical record what would be provided in place of the aspirin. This deficient practice affected RI #81, one of 18 residents for whom records were reviewed. [...]
Inspectors wroteBased on observation, interview, the 2017 Food Code, the facility's policy titled, Cleaning Dishes/Dish Machine, and a review of the Low Temp (temperature) Dish Machine Temp, log, the facility failed to: 1. prevent potential cross-contamination by staff during dishwashing (staff going from the dirty side to the clean side without washing hands) and by not ensuring the dishwashing sanitizer was checked before washing breakfast dishes on 9/11/18; 2. ensure accurate documentation on the dishwasher sanitizer log for breakfast dishwashing during September 2018; 3. prevent potential cross-contamination by not ensuring air gaps existed between the floor drains and the drain pipes for the pot and pan sinks, the dishmachine, and the food preparation sinks and 4. prevent potential cross-contamination by allowing a build-up of dust on the ceiling and fan unit of the walk-in cooler. [...]
Inspectors wroteBased on interview, record review and a review of the facility's policy titled, Resident Rights, the facility failed to ensure the business office staff did not open a letter addressed to RI (Resident Identifier) #35. This affected RI #35, one of one sampled resident whose mail was received opened by the facility. Findings Include: A review of an undated facility policy titled, Resident Rights revealed: 7. Information and communication. .i. The resident has the right to .receive mail, and to receive letters .including the right to: i. Privacy of such communications . RI #35 was admitted to the facility on [DATE], with diagnoses to include Femur Fracture, Wheezing and Restless Leg Syndrome. [...]
Inspectors wroteBased on observation, interview, medical record review, and the facility's menu, the facility failed to ensure the pork chops served to residents for lunch on 9/11/18, were not hard and dry. This affected Resident Identifier (RI) #65, RI #241, and RI #35, three of 94 residents receiving lunch meal trays from the Dietary department on 9/11/18. Findings Include: The facility's lunch menu for Tuesday on Week #2 indicated a 3-ounce Pork Cutlet was to be served on the Regular diet trays. 1) RI #65 was admitted to the facility on [DATE], with diagnoses of Adjustment Disorder with Anxiety and Malignant Carcinoid Tumor. On the quarterly Minimum Data Set (MDS), dated [DATE], RI #65's Brief Interview for Mental Status (BIMS) score was 15, which indicated RI #65 was cognitively intact. RI #65's Physician Orders for September 2018, included: . 5/02/18 . DIET: [...]
11 fire safety citations on file: 7 on April 2, 2026, 4 on October 24, 2019.
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) | 3.79 | 3.88 | 3.86 |
| Registered nurses | 0.68 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.45 | 3.26 | 3.42 |
| Nurse aides | 2.37 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 23.1% | 46.9% | 45.8% |
| Registered nurse turnover | 15.4% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.36 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 3.93 on weekdays and 3.45 on weekends, 12% 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 3.56 in April to June 2025 to 3.79 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 | 3.79 | 0.68 | 3.93 | 3.45 | 0.0% | 0 of 90 | 91 |
| Oct to Dec 2025 | 3.67 | 0.69 | 3.76 | 3.44 | 0.0% | 0 of 92 | 96 |
| Jul to Sep 2025 | 3.88 | 0.61 | 4.10 | 3.33 | 0.0% | 0 of 92 | 92 |
| Apr to Jun 2025 | 3.56 | 0.60 | 3.77 | 3.05 | 0.0% | 0 of 91 | 96 |
| 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. If you work here, your report helps start one.
| 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 | 7.6 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 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 | 7.5 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.5 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.4 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.8 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.0 | 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 | 0.8 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Tlc Nursing Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
52.6% this home
No different from 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. 123 eligible stays.
12.3% 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. 145 eligible stays.
6.8% 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. 72 eligible stays.
28.8% 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. 132 residents counted.
0.0% 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. 140 residents counted.
0.0% 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. 140 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 3 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: DHS OF BLOUNT COUNTY, LLC. CMS links this home to Trinity Management, Inc., a group of 5 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sims, Mark | Direct ownership interest | Individual | 12/31/2024 | |
| Trintiy Management Inc | 5% or greater indirect ownership interest | Organization | 100% | 01/01/2002 |
| Sims, Mark | Managing control - governing body | Individual | 01/27/2022 | |
| Sims, Mark | Corporate director | Individual | 05/01/2022 | |
| Sims, Mark | Corporate officer | Individual | 05/01/2022 | |
| Quality Care Rehab Inc | Operational/managerial control | Organization | 01/10/2023 | |
| Trintiy Management Inc | Operational/managerial control | Organization | 01/01/2002 | |
| Smith, John | Operational/managerial control | Individual | 01/10/2018 | |
| White, Madison | Operational/managerial control | Individual | 04/09/2023 | |
| Yeomans, Martin | Operational/managerial control | Individual | 07/15/2019 | |
| Trintiy Management Inc | Adp of the SNF | Organization | 05/05/2025 | |
| Smith, John | Adp of the SNF | Individual | 04/09/2025 | |
| Yeomans, Martin | Adp of the SNF | Individual | 07/15/2019 |
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.
These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.