Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
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.
Merry Wood Lodge runs 3.24 nurse hours per resident day, about 16% under the national average, and weekends dip roughly 11% below its own weekday staffing. That shortfall matters because the home carries 17 deficiencies, 6 of them at the harm or jeopardy level and 4 related to abuse, plus a single fine of $182,968. Annual turnover sits at 51.9%. CMS has placed it in the Special Focus Facility program, and its last inspection was September 2024.
Magnolia Ridge runs 4.49 nurse hours per resident day, about 16% above the national average, and that number looks good on paper until you notice weekends drop roughly 20% below the home's own weekday staffing. Annual turnover sits at 63.2% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record is where it gets serious: 43 deficiencies, 19 of them at harm or jeopardy level, 6 abuse-related, and one $392,125 fine. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care.
Cumberland Health and Rehab is a 100-bed nonprofit home in Bridgeport, and its numbers pull in two directions. The care side looks strong on paper: a 5/5 staffing star rating, a 5/5 quality measure rating, and turnover at 35.6%, well below the national average of 45.8%. But the inspection record is where the story turns. Eighteen deficiencies, six of them serious enough to cause harm or jeopardy, one tied to abuse, plus a $238,745 fine and a spot in CMS's Special Focus Facility program. Total nurse staffing sits slightly under the national average, and weekends run about 12% thinner than weekdays. That last inspection was June 2024, so the record is current.
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.
Knollwood Healthcare runs 71 certified beds in Mobile under for-profit limited liability ownership, and the numbers behind its record are hard to read any other way. Nurse staffing sits at 3.42 hours per resident day against a national average of 3.86, and weekends drop roughly 17% below the home's own weekday level, so the thinnest coverage lands when families visit most. Staff turnover of 74.2% means most of the people caring for residents this year likely won't be there next year. Forty-six deficiencies are on the current record, twelve at harm or jeopardy level and ten abuse-related, with four CMS fines totaling $318,070. CMS has placed it in the Special Focus Facility program, its last inspection was September 11, 2025, and you should ask pointed questions before considering it.
Bellway runs lean on the floor: 2.87 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than most homes. Weekends dip even further below its own weekday levels, and nearly half the staff turns over each year, so the people caring for your relative may often be new. Twelve deficiencies sit on the current record, including one at the harm level and three tied to abuse, with a $203,450 fine. The last inspection was July 2024. Ownership is a for-profit corporation, and the staffing and health inspection ratings both land at 2 out of 5.
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.
Nhc Healthcare, Anniston runs 151 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.47 hours per resident day, about 10% under the national average of 3.86. Weekends dip roughly another 10% below its own weekday levels, so coverage gets thinnest exactly when families tend to visit. The current inspection record shows 10 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with one fine of $11,057 and a survey completed in October 2024. Staff turnover is 46%, essentially matching the national rate of 45.8%. Note the split in the federal stars: quality measures earn 4 out of 5, staffing earns 4, but health inspections earn only 2, the direct-care record is where the problems concentrate.
Crowne Health Care of Eufaula runs 180 certified beds under corporate ownership, and its nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average, with weekend coverage dropping about 19% below what it manages on weekdays. Turnover is the brighter spot at 34.4%, well under the national 45.8%. The inspection record is where the concerns pile up: 15 deficiencies, one at harm or jeopardy level and five tied to abuse, plus a $42,884 fine. That last inspection was November 2022, so the picture is dated. Families weighing this one should ask what's changed since.
Birmingham Nursing and Rehabilitation Center runs 132 certified beds under for-profit LLC ownership, and the numbers show a building stretched thin on the floor. Nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average, and weekends drop about 24% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Staff turnover is 63.2%, well above the 45.8% national figure, so the people caring for your relative are likely to change often. Its inspection record is the harder read: 20 deficiencies, four at harm or jeopardy level, five tied to abuse, plus $74,848 in fines and a June 2024 inspection. Strong quality-measure scores don't offset that.
Enterprise Health & Rehabilitation Center runs 257 certified beds as a nonprofit corporation, and its nurse staffing of 5.19 hours per resident day sits well above the national average of 3.86, roughly a third more hands-on care. Weekend coverage, though, drops about 16% below its own weekday level, and annual turnover of 40.5% is only slightly better than the 45.8% national figure. The trouble here isn't the payroll, it's the record: a 1-star inspection rating, 12 deficiencies including 3 at harm or jeopardy level, 3 tied to abuse, and an $85,230 fine. Staffing can't offset that pattern, and a January 2026 inspection makes the findings recent.
Lighthouse runs a solid staffing operation on paper, 4.29 nurse hours per resident day, about eleven percent above the national average, and turnover at 29.7% is well below the 45.8% national figure, suggesting people actually stay. That's the strong part. The concern is oversight: fourteen deficiencies on record, including two at the harm or jeopardy level and two tied to abuse, against a health inspection rating of 2 out of 5. The last inspection was January 2020, so the record is years old and may not reflect current conditions either way. Weekend staffing drops roughly 20% below weekday levels, which matters for a 68-bed for-profit home. Good staffing numbers don't cancel out a thin inspection history.
The Health Center at Research Park runs about 3.46 nurse hours per resident day, roughly 10% under the national average, and weekend coverage falls nearly a fifth below its own weekday level, so the gap between a Tuesday and a Sunday is real. Staff turnover sits at 54.7% against a national 45.8%, which means more than half the nursing staff leaves each year. Its current record carries 20 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus one fine of $69,011; the last inspection was June 2024. Ownership is a for-profit corporation.