Tuscumbia, AL

Cottage Of The Shoals

3-star overall rating with 4-star inspections with 3 recent health deficiencies

500 John Aldridge Drive, Tuscumbia, AL

(256) 383-4541

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

103

Certified beds

Average residents

82

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Genesis Healthcare

Operator or chain grouping

Approved since

1972-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.75

Registered nurse staffing

LPN hours / resident day

0.62

Licensed practical nurse staffing

Aide hours / resident day

1.76

Nurse aide staffing

Weekend hours

2.72

Weekend nurse staffing

RN turnover

74%

Annual RN turnover

Total nurse turnover

71%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.2
2.0
0.8 pts better
1.9
0.7 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.0
1.8
0.2 pts worse
1.8
0.2 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
91.3%
8.4 pts better
93.4%
6.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.8%
94.8%
4 pts better
95.5%
3.3 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.1%
3.4%
0.7 pts worse
3.3%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 9.3%
1.3%
8 pts worse
11.4%
2.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.9%
5.3%
1.6 pts worse
5.4%
1.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 30.8%
24.9%
5.9 pts worse
19.6%
11.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 8.9%
22.8%
13.9 pts better
16.7%
7.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.6%
0.6 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 7.9%
14.8%
6.9 pts better
16.3%
8.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 8.2%
13.4%
5.2 pts better
14.9%
6.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
1.3%
1 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 2.5%
2.6%
0.1 pts better
1.7%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 15.1%
13.5%
1.6 pts worse
19.8%
4.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.0%
5.7%
1.7 pts better
5.1%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.0%
84.3%
14.7 pts better
81.7%
17.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 17.2%
11.5%
5.7 pts worse
12.0%
5.2 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.4%
2.1%
1.7 pts better
1.6%
1.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96.4%
80.3%
16.1 pts better
79.7%
16.7 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.6%
24.5%
5.9 pts better
23.9%
5.3 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2021-08-05 · Fire 2021-08-05

3 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2019-05-14 · Fire 2019-05-14

1 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2018-08-02 · Fire 2018-08-02

1 health deficiencies

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

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2019-05-14

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2019-06-10

D · Potential for more than minimal harm 2019-05-14

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-06-10

E · Potential for more than minimal harm 2018-08-02

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2018-08-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2021-08-05

F573 · Resident Rights Deficiencies

Health

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2021-09-09

D · Potential for more than minimal harm 2021-08-05

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2021-09-09

D · Potential for more than minimal harm 2021-08-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-09-09

D · Potential for more than minimal harm 2019-05-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-06-10

D · Potential for more than minimal harm 2018-08-02

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2018-08-25

Penalties and ownership

What sits behind the stars

Ownership

Genesis Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 169 facilities 2015-02-02
Berg, Michael

Corporate Officer · Individual

0% 175 facilities 2012-12-01
Bridgeford, Laura

Corporate Officer · Individual

0% 150 facilities 2024-06-01
Davis, Christine

Operational/Managerial Control · Individual

0% 5 facilities 2024-03-01
Fc-Gen Operations Investment LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 171 facilities 2012-12-01
Fishman, Steven

5% Or Greater Indirect Ownership Interest · Individual

0% 161 facilities 2012-12-01
Gen Operations I LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 183 facilities 2012-12-01
Gen Operations Ii LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 183 facilities 2012-12-01
Genesis Healthcare Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 180 facilities 2015-02-02
Genesis Healthcare LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 181 facilities 2012-12-01
Grimes, David

Operational/Managerial Control · Individual

0% 1 facilities 2024-03-01
Hccf Management Group Xi LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 184 facilities 2012-12-01
Mendelson, Avi

Corporate Officer · Individual

0% 149 facilities 2024-06-01
Morris, Diane

Operational/Managerial Control · Individual

0% 62 facilities 2024-04-01
Sun Healthcare Group Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 174 facilities 2012-12-01
Sundance Rehabilitation Holdco Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 163 facilities 2016-01-01
Welltower Op LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 197 facilities 2024-03-01
Whitman, Arnold

5% Or Greater Indirect Ownership Interest · Individual

0% 170 facilities 2012-12-01
Zac Properties Xi LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 175 facilities 2012-12-01

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Fines
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Staffing
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Fines
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