Nursing homes across Walker County, Alabama, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Shadescrest runs on more nursing hours than most homes, 4.04 per resident day against a national average of 3.86, and its staff turnover of 44.4% is right in line with the country as a whole, which is unusual in a good way for a for-profit home owned by an individual. The catch is inspections: a one-star health inspection rating, 16 deficiencies on the current record, including one tied to abuse, though none rose to the level of actual harm or jeopardy. The last full inspection was in February 2024, so that record is recent. Weekend staffing drops about a fifth below its own weekday level, which is worth asking about directly.
Ridgewood Health Services in Jasper runs 98 certified beds under individual for-profit ownership, and its staffing sits right at the national average, 3.89 nurse hours per resident day against 3.86 nationally. That headline number hides a real gap: weekends run about 19% leaner than weekdays, and annual turnover is 49.3%, higher than the 45.8% national figure. Inspections tell a quieter story. The home carries just two deficiencies on its current record, none involving harm or abuse, though the last full inspection was January 2020, over five years ago. Quality measures score well, staffing holds a solid rating, and there's nothing alarming in the record. The question worth asking is what that weekend coverage actually looks like on the floor.
Ridgeview Health Services runs 148 beds in Jasper, and the numbers behind its grade tell a mixed story. Nurse staffing sits at 3.79 hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 16% below what the home staffs on weekdays. Annual turnover of 52% is well above the 45.8% national figure, so the people caring for residents change often. Its inspection record shows 9 deficiencies, including one at the harm level and one abuse-related, plus a single fine of $8,788. The most recent inspection was August 2025. Families weighing this home should ask directly how weekend coverage is handled and what's changed since that abuse citation.
Cordova Health and Rehabilitation runs 114 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.05 hours per resident day, about 5% above the national average of 3.86. That looks good until you notice weekends drop roughly 25% below the home's own weekday coverage, and annual turnover hits 57.4% against a national 45.8%.
The inspection record is where the real trouble shows. Thirteen deficiencies are on file, including two at the harm or jeopardy level and three tied to abuse. CMS has fined the home once, for $76,242, and the most recent inspection was November 20, 2024. Strong quality and staffing stars don't offset that inspection history, ask direct questions about those abuse deficiencies before you visit.
Walker Rehabilitation Center is a for-profit home in Carbon Hill with 59 certified beds, and the numbers behind its record are worth walking through. Federal inspectors have cited 18 deficiencies, seven of them involving actual harm or jeopardy to residents and four tied to abuse, with a single fine reaching $235,127. Staff turnover sits at 68.8% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Nurse staffing runs slightly under the national average and drops about 22% on weekends. CMS has placed this home in its Special Focus Facility program, which is reserved for the country's most persistently troubled nursing homes, and its most recent inspection was November 30, 2024.