Federal inspection record · CMS data as of October 1, 2026

Brookshire Healthcare Center

4320 Judith Lane, Huntsville, AL · (256) 837-1730

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
129
Residents per day
118
Ownership
For-Profit
Chain
Venza Care Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
November 1, 1975

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Alabama.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Alabama homes

Brookshire Healthcare Center carries 17 inspection points. That is fewer than 56% of Alabama's 223 rated homes.

5★4★3★2★1★+7 homes above 29905102550100200inspection points → fewer is better on the leftThis home · 17 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Alabama: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–3 pts
  • 4★ 3–12 pts
  • 3★ 12–23 pts
  • 2★ 23–46 pts
  • 1★ over 46 pts

Bars show every rated home in Alabama by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

8 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 8 4 pts
E 0 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning4D
  1. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    March 17, 2022 · Standard · F655 · Corrected April 19, 2022

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 17, 2022 · Standard · F656 · Corrected April 19, 2022

  3. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    March 17, 2022 · Standard · F657 · Corrected April 19, 2022

  4. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    May 24, 2018 · Standard · F656 · Corrected June 23, 2018

Resident Rights1D
  1. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    March 17, 2022 · Standard · F623 · Corrected April 19, 2022

Pharmacy Service1D
  1. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    March 17, 2022 · Standard · F758 · Corrected April 19, 2022

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    May 21, 2019 · Standard · F609 · Corrected June 22, 2019

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    May 21, 2019 · Standard · F880 · Corrected June 22, 2019

Inspection history

  1. 2022-03-17

    5 health deficiencies · 5 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  2. 2019-05-21

    2 health deficiencies · 3 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

  3. 2018-05-24

    1 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 6 min of nursing staff time a day, 52 min of it from a registered nurse.

This home

4 h 6 min

Alabama average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 59% of nursing staff and 39% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1.4 pts worse3.31.91.8
Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse2.71.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts better95.8%92.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts worse89.1%95.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1 pts better2.2%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms0.5 pts worse2.0%1.5%13.5%
Percentage of long-stay residents who lose too much weight1.2 pts worse6.6%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication11.2 pts better13.1%24.3%19.5%
Percentage of long-stay residents who received an antipsychotic medication11.4 pts worse32.7%21.3%15.4%
Percentage of long-stay residents who were physically restrained0.5 pts better0.0%0.5%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.8 pts worse13.8%11.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6 pts worse17.5%11.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better0.0%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection1.7 pts better0.5%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.2 pts worse15.4%12.2%18.3%
Percentage of long-stay residents with pressure ulcers2.3 pts better2.9%5.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts better95.1%85.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit7 pts worse18.7%11.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better1.5%1.9%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.7 pts better87.9%82.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.5 pts better23.9%24.4%23.4%

·

Who owns and runs it

17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Aop SNF Operations Holdings LLC5% Or Greater Direct Ownership Interest · Organization100%4 facilities
Ch Aop Holdings LLC5% Or Greater Indirect Ownership Interest · Organization48%4 facilities
Ms Aop Holdings LLC5% Or Greater Indirect Ownership Interest · Organization23%4 facilities
Ss Aop Holdings LLC5% Or Greater Indirect Ownership Interest · Organization23%4 facilities
Aop Opco Manager LLCOperational/Managerial Control · Organization0%4 facilities
Cody, BrendaOperational/Managerial Control · Individual0%1 facilities
Cody, BrendaAdp Of The SNF · Individual0%1 facilities
Goodman, MenuchaManaging Control - Governing Body · Individual0%27 facilities
Goodman, MenuchaCorporate Officer · Individual0%27 facilities
Goodman, MenuchaOperational/Managerial Control · Individual0%27 facilities
Melb Opco Manager LLCOperational/Managerial Control · Organization0%17 facilities
Melb Opco Manager LLCAdp Of The SNF · Organization0%17 facilities
Strauss, SusanIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%26 facilities
Vertex Financial Services LLCOperational/Managerial Control · Organization0%18 facilities
Vertex Financial Services LLCAdp Of The SNF · Organization0%18 facilities
Wagner, JohnOperational/Managerial Control · Individual0%8 facilities
Wagner, JohnAdp Of The SNF · Individual0%8 facilities

·

Fire safety

10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke4E
  1. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    March 17, 2022 · K372 · Corrected April 4, 2022

  2. D

    Install an approved automatic sprinkler system.

    March 17, 2022 · K351 · Corrected April 4, 2022

  3. D

    Install corridor and hallway doors that block smoke.

    March 17, 2022 · K363 · Corrected April 4, 2022

  4. D

    Install an approved automatic sprinkler system.

    May 21, 2019 · K351 · Corrected June 28, 2019

Services3F
  1. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    March 17, 2022 · K521 · Corrected April 4, 2022

  2. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    May 21, 2019 · K521 · Corrected May 30, 2019

  3. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    May 24, 2018 · K521 · Corrected June 30, 2018

Egress2E
  1. D

    Have properly located and lighted "Exit" signs.

    May 21, 2019 · K293 · Corrected June 10, 2019

  2. E

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    May 24, 2018 · K222 · Corrected June 30, 2018

Miscellaneous1D
  1. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    March 17, 2022 · K741 · Corrected April 4, 2022

·

Other homes nearby

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