Washington County Nursing Home
14600 St. Stephens Avenue, Chatom, AL 36518 · Washington County · (251) 847-6412
88 certified beds, about 76 residents a day · Government - County · Medicare and Medicaid since 1975
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015123 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 10, 2021, inspectors cited 0 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 1 health citation 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 4.61 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.
25.3% of nursing staff left within the year CMS measured (Alabama average 46.9%).
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 1 health citation on file.
June 10, 2021Standard inspection · 0 citations
February 28, 2019Standard inspection · 0 citations
February 15, 2018Standard inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on a facility policy titled ABUSE, NEGLECT AND EXPLOITATION PREVENTION, REPORTING AND INVESTIGATING and a review of a facility document titled,Grievance report record review and interviews, the facility failed to ensure an allegation of abuse was reported to the State Survey Agency. This affected RI (Resident Identifier) #122, one of one sampled residents reviewed for abuse reporting.
Fire safety inspections
3 fire safety citations on file: 1 on February 28, 2019, 2 on February 15, 2018.
Every fire safety citation3 citations
- D Install a fire alarm system that can be heard throughout the facility.
- E Have properly installed hallway dispensers for alcohol-based hand rub.
- D Have exits that are accessible at all times.
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) | 4.61 | 3.88 | 3.86 |
| Registered nurses | 0.71 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.86 | 3.26 | 3.42 |
| Nurse aides | 2.90 | ||
| Licensed practical nurses | 1.01 | ||
| Nursing staff turnover (share who left in a year) | 25.3% | 46.9% | 45.8% |
| Registered nurse turnover | 0.0% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.56 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 4.92 on weekdays and 3.86 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.40 in April to June 2025 to 4.61 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 | 4.61 | 0.71 | 4.92 | 3.86 | 0.3% | 0 of 90 | 76 |
| Oct to Dec 2025 | 4.38 | 0.66 | 4.67 | 3.65 | 0.5% | 0 of 92 | 78 |
| Jul to Sep 2025 | 4.27 | 0.68 | 4.56 | 3.55 | 1.0% | 0 of 92 | 81 |
| Apr to Jun 2025 | 4.40 | 0.67 | 4.74 | 3.56 | 1.6% | 0 of 91 | 77 |
| 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 | 4.7 | 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 | 2.3 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.0 | 3.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.0 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.4 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.9 | 21.2 | 15.4 |
| 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 | 1.9 | 1.7 | 1.8 |
Owners and operators
Legal business name: WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Washington County Healthcare Authority, Inc | 5% or greater direct ownership interest | Organization | 10/01/2007 | |
| Donald, James | Contracted managing employee | Individual | 06/24/2024 | |
| Barnes, Joanne | Corporate director | Individual | 01/26/2021 | |
| Crouch, Harold | Corporate director | Individual | 10/01/2007 | |
| Dean, Sherry | Corporate director | Individual | 03/24/2020 | |
| Gant, Billy | Corporate director | Individual | 10/11/2022 | |
| Gibbs, Mary | Corporate director | Individual | 10/01/2007 | |
| Grimes, Randy | Corporate director | Individual | 03/26/2024 | |
| Mosley, Emory | Corporate director | Individual | 10/01/2007 | |
| Onderdonk, Bonnie | Corporate director | Individual | 04/16/2024 | |
| Savage, Virginia | Corporate director | Individual | 04/24/2018 | |
| Schultz, Arnold | Corporate director | Individual | 10/01/2007 | |
| Thornton, Carl | Corporate director | Individual | 03/22/2016 | |
| Turner, Betsy | Corporate director | Individual | 10/01/2007 | |
| Williams, Sylvia | Corporate director | Individual | 10/01/2007 | |
| Grimes, Teresa | Corporate officer | Individual | 06/20/2016 | |
| Grimes, Teresa | Operational/managerial control | Individual | 06/20/2016 |
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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on February 15, 2018: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
Other nursing homes nearby
- Jackson Health Care Facility Jackson, 21.1 mi · 3 of 5 stars · 9 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 Washington County Nursing Home's Medicare star rating?
- CMS rates Washington County Nursing Home 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 Washington County Nursing Home get at its last inspection?
- 0 health deficiencies at the standard inspection on June 10, 2021. The Alabama average is 4.
- Has Washington County Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Washington County Nursing Home 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 Washington County Nursing Home?
- CMS lists 17 owners and managers. Legal business name: WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC.
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.