ElderGrade
B

82.5/100

Above average

Mitchell-Hollingsworth Nursing & Rehabilitation

805 Flagg Circle, Florence, AL 35631

CMS 3/5 stars #3 of 5 in Lauderdale County (256) 740-5400
Certified beds
222
Occupancy
89%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

18.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.96 total nurse hours per resident per day (national median 3.77)
  • 0.69 RN hours per resident per day
  • Weekend staffing drops 16% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 37% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.38 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.69 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.84 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 36.60%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 11 citations

Last standard health inspection: September 18, 2025 (11 months ago).

D Sep 18, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

D Sep 18, 2025 F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

No actual harm, potential for more than minimal harm

D Sep 18, 2025 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

D Sep 18, 2025 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Sep 18, 2025 F0700

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Cor...

No actual harm, potential for more than minimal harm

D Sep 18, 2025 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

D Sep 5, 2019 F0635

Resident Assessment and Care Planning Deficiencies

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

No actual harm, potential for more than minimal harm

F Aug 2, 2018 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of PRESTON HEALTH SERVICES, which operates 5 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
ROSE, KENNETH Individual CONTRACTED MANAGING EMPLOYEE
WALKER, JAMES Individual OPERATIONAL/MANAGERIAL CONTROL
WALKER, JAMES Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Mitchell-Hollingsworth Nursing & Rehabilitation

What is the ElderGrade for Mitchell-Hollingsworth Nursing & Rehabilitation? +

Mitchell-Hollingsworth Nursing & Rehabilitation holds an ElderGrade of B (82.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Mitchell-Hollingsworth Nursing & Rehabilitation? +

Residents receive an average of 3.38 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Mitchell-Hollingsworth Nursing & Rehabilitation been cited for harming residents? +

No. None of the 11 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Mitchell-Hollingsworth Nursing & Rehabilitation accept Medicaid? +

Yes, Mitchell-Hollingsworth Nursing & Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.