Federal inspection record · CMS data as of October 1, 2026
Gadsden Health And Rehab Center
1945 Davis Drive, Gadsden, AL · (256) 547-4938
- Certified beds
- 168
- Residents per day
- 136
- Ownership
- For-Profit
- Chain
- Preston Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1977
1
How this home got 4 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Alabama.
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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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Alabama homes
Gadsden Health And Rehab Center carries 10 inspection points. That is fewer than 70% of Alabama's 223 rated homes.
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
6 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 Planning3D
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care1D
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Pharmacy Service1D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2021-07-15
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2019-12-05
1 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2018-11-01
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 18 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
4 h 18 min
Alabama average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 44% of registered nurses left in the past year.
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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 2.1 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 0.7 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 99.8% | 92.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.7 pts better | 99.1% | 95.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same | 3.2% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.5 pts better | 0.0% | 1.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts better | 3.7% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11 pts better | 13.3% | 24.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.7 pts better | 7.6% | 21.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.5 pts better | 0.0% | 0.5% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.3 pts better | 6.7% | 11.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.2 pts better | 6.3% | 11.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.7% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.1 pts better | 3.1% | 12.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts worse | 6.4% | 5.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.7 pts better | 99.3% | 85.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2 pts better | 9.7% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 1.9% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.7 pts better | 95.9% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.5 pts worse | 32.9% | 24.4% | 23.4% |
·
Who owns and runs it
6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Walker, James | 5% Or Greater Direct Ownership Interest · Individual | 90% | 5 facilities |
| Beckham, Nicholas | 5% Or Greater Direct Ownership Interest · Individual | 5% | 1 facilities |
| Mbs Partners LLC | 5% Or Greater Direct Ownership Interest · Organization | 5% | 1 facilities |
| Preston Health Services Inc | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Reiland, Debora | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Weaver, Rachael | W-2 Managing Employee · Individual | 0% | 1 facilities |
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Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4D
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- D
Inspect, test, and maintain automatic sprinkler systems.
Egress2D
- D
Have properly located and lighted "Exit" signs.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous2D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems1E
- E
Have proper medical gas storage and administration areas.
Services1E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
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Other homes nearby
-
Mcguffey Health & Rehabilitation Center
Gadsden, AL
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 35 min
- Fines
- $0
-
Attalla Rehabilitation And Nursing Center
Attalla, AL
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 15 min
- Fines
- $0
-
Northside Health Care
Gadsden, AL · Venza Care Management
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 35 min
- Fines
- $221,520