Nursing homes across Morgan County, Alabama, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
River City Center runs 183 beds in Decatur under corporate ownership, and its last full health inspection was in April 2021, more than four years ago. The current record shows 12 deficiencies, including one that caused actual harm or put residents in jeopardy, plus two tied to abuse. Staffing sits at 3.45 nurse hours per resident day, roughly 11% under the national average, and weekends dip about 10% below the home's own weekday coverage. Annual turnover is 51.9%, higher than the 45.8% national figure. The quality and staffing scores look strong on paper, but a single-star inspection history and that long gap since the last survey are the numbers worth weighing.
Decatur Health & Rehab Center runs 119 certified beds under corporate for-profit ownership, and its nurse staffing sits just above the national average at 3.97 hours per resident day. That margin is thin, and weekends drop roughly 15% below the home's own weekday coverage, so the hours your relative actually gets may depend on which day of the week it is. Annual turnover of 61.8% is well above the 45.8% national figure, meaning caregivers cycle through quickly. The inspection record is the bigger concern: 16 deficiencies, four at harm or jeopardy level and one abuse-related, with $25,367 in fines across four events. The most recent inspection was February 2025.
Summerford runs 216 certified beds in Falkville under individual for-profit ownership, and its last full health inspection was in September 2023. The record shows 14 deficiencies, two of them serious enough to cause harm or put residents in jeopardy, and two tied to abuse. Nurse staffing sits at 3.36 hours per resident per day, roughly 13 percent under the national average, and weekends run about 11 percent thinner than weekdays. Annual turnover is 59 percent against a national 45.8, nearly six in ten staff leaving each year. Three fines total $25,568. The staffing star comes in at 3, but inspections and quality measures both land at 2.
Falkville Rehabilitation and Healthcare Center is a 116-bed for-profit home in Morgan County, and the inspection record is the part that should give you pause. CMS has cited 33 deficiencies on its current record, 14 of them at the harm or jeopardy level and 7 tied to abuse, enough that the agency has placed the home in its Special Focus Facility program, which is reserved for the worst performers in the country. Two fines total $146,615. Staffing sits slightly under the national average at 3.79 hours per resident day, but the bigger issue is consistency: weekends run about 13% thinner than weekdays, and turnover is 55.2% against a national 45.8%. A September 2025 inspection is recent, but recent isn't the same as clean.