Cycle 1
Health 2025-12-12 · Fire 2025-12-12
7 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Hanceville, AL
Hanceville Nursing & Rehab Center, Inc
2-star overall rating with 1-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
420 Main Street Ne, Hanceville, AL
(256) 352-6481
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
208
Certified beds
Average residents
190
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-03-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.66
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.98
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.46
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.85
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.71
CMS adjusted RN staffing hours
Adjusted total hours
4.81
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,706
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.98
Composite VBP score used to determine payment impact.
Payment multiplier
0.9852
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.70% · Performance 24.38% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.29% · Performance 7.86% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.26
Baseline 40.94% · Performance 38.09% · Measure score 6.26 · Achievement 6.26 · Improvement 1.27
Adjusted total nurse staffing
5.33
Baseline 4.17 hours · Performance 4.60 hours · Measure score 5.33 · Achievement 5.33 · Improvement 2.13
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.73% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 378 · Observed rate 8.73% · Lower 95% interval 8.08% |
| Discharge to community | 61.09% |
50.57%
10.5 pts better
|
Better than the National Rate · Eligible stays 348 · Observed rate 60.63% · Lower 95% interval 55.63% |
| Medicare spending per beneficiary | 0.76 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 99.61% |
95.27%
4.3 pts better
|
Numerator 256 · Denominator 257 |
| Falls with major injury | 1.56% |
0.77%
0.8 pts worse
|
Numerator 4 · Denominator 257 |
| Discharge self-care score | 58.21% |
53.69%
4.5 pts better
|
Numerator 117 · Denominator 201 |
| Discharge mobility score | 49.25% |
50.94%
1.7 pts worse
|
Numerator 99 · Denominator 201 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 257 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.86% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 216 · Observed rate 6.48% · Lower 95% interval 4.55% |
| Staff COVID-19 vaccination coverage | 13.68% |
8.2%
5.5 pts better
|
Numerator 32 · Denominator 234 |
| Staff flu vaccination coverage | 88.7% |
42%
46.7 pts better
|
Numerator 314 · Denominator 354 |
| Discharge function score | 52.74% |
56.45%
3.7 pts worse
|
Numerator 106 · Denominator 201 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 193 · Denominator 193 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 27 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 12.78% |
25.2%
12.4 pts worse
|
Numerator 17 · Denominator 133 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.0
0.1 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.6 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.8
0.4 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.3%
8.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.9% |
94.8%
1.1 pts better
|
95.5%
0.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.1% |
3.4%
3.7 pts worse
|
3.3%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 7.6% · Q3 7.3% · Q4 7.3% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
1.3%
1.3 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 2.5% |
5.3%
2.8 pts better
|
5.4%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.2% · Q3 2.5% · Q4 0.9% · 4Q avg 2.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.6% |
24.9%
5.3 pts better
|
19.6%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 23.4% · Q3 16.1% · Q4 18.1% · 4Q avg 19.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.5% |
22.8%
7.3 pts better
|
16.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 15.2% · Q3 15.5% · Q4 11.8% · 4Q avg 15.5% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 23.5% |
14.8%
8.7 pts worse
|
16.3%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 26.4% · Q3 23.3% · Q4 13.9% · 4Q avg 23.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.5% |
13.4%
0.1 pts worse
|
14.9%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 16.9% · Q3 13.9% · Q4 10.4% · 4Q avg 13.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
1.3%
0.1 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 2.0% · Q3 1.4% · Q4 0.9% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
2.6%
1.7 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.9% · Q3 0.6% · Q4 0.6% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.2% |
13.5%
2.3 pts better
|
19.8%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 12.5% · Q3 10.8% · Q4 13.8% · 4Q avg 11.2% |
| Percentage of long-stay residents with pressure ulcers | 8.5% |
5.7%
2.8 pts worse
|
5.1%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 12.3% · Q3 9.0% · Q4 4.5% · 4Q avg 8.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
84.3%
15.5 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 99.6% · Q4 99.6% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.5% |
11.5%
4 pts better
|
12.0%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.5% · Observed 7.3% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% |
2.1%
0.1 pts worse
|
1.6%
0.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.1% · Q3 2.6% · Q4 3.6% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.3% |
80.3%
6 pts better
|
79.7%
6.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.8% |
24.5%
4.3 pts worse
|
23.9%
4.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.8% · Observed 24.1% · Expected 20.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-10-03 · Fire 2019-10-03
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2018-08-23 · Fire 2018-08-23
0 health deficiencies
No concentrated health issue counts in this cycle.
18 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-12-12
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-27
D · Potential for more than minimal harm
2025-12-12
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-27
F · Potential for more than minimal harm
2019-10-03
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-11-14
D · Potential for more than minimal harm
2019-10-03
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2019-11-06
D · Potential for more than minimal harm
2019-10-03
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-11-06
F · Potential for more than minimal harm
2018-08-23
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2018-10-02
F · Potential for more than minimal harm
2018-08-23
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2018-10-02
F · Potential for more than minimal harm
2018-08-23
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2018-10-02
F · Potential for more than minimal harm
2018-08-23
K751 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of flammable curtains.
Corrected 2018-10-02
F · Potential for more than minimal harm
2018-08-23
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2018-10-02
F · Potential for more than minimal harm
2018-08-23
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-10-02
F · Potential for more than minimal harm
2018-08-23
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2018-10-02
E · Potential for more than minimal harm
2018-08-23
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2018-10-02
D · Potential for more than minimal harm
2018-08-23
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2018-10-02
D · Potential for more than minimal harm
2018-08-23
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2018-10-02
D · Potential for more than minimal harm
2018-08-23
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2018-10-02
D · Potential for more than minimal harm
2018-08-23
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2018-10-02
D · Potential for more than minimal harm
2018-08-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-10-02
D · Potential for more than minimal harm
2018-08-23
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-10-02
D · Potential for more than minimal harm
2018-08-23
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2018-10-02
D · Potential for more than minimal harm
2018-08-23
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2018-10-02
C · Minimal harm
2018-08-23
E18 · Emergency Preparedness Deficiencies
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2018-10-02
C · Minimal harm
2018-08-23
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2018-10-02
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-12-12
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2026-01-27
F · Potential for more than minimal harm
2025-12-12
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-27
F · Potential for more than minimal harm
2025-12-12
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2026-01-27
E · Potential for more than minimal harm
2025-12-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-01-27
E · Potential for more than minimal harm
2025-12-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-27
D · Potential for more than minimal harm
2025-12-12
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2026-01-27
D · Potential for more than minimal harm
2025-12-12
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2026-01-27
D · Potential for more than minimal harm
2019-10-03
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-10-21
Penalties and ownership
What sits behind the stars
Ownership
Ainsworth, Cherri
5% Or Greater Direct Ownership Interest · Individual
Ainsworth, John
Corporate Director · Individual
Ainsworth, John
Corporate Officer · Individual
Coyne, David
5% Or Greater Direct Ownership Interest · Individual
Coyne, David
Corporate Director · Individual
Coyne, David
Corporate Officer · Individual
Guthrie, Donna
5% Or Greater Direct Ownership Interest · Individual
Guthrie, Donna
Corporate Director · Individual
Guthrie, Donna
Corporate Officer · Individual
Guthrie, Donna
W-2 Managing Employee · Individual
Hammock, Faith
5% Or Greater Direct Ownership Interest · Individual
Holloway, Brenda
5% Or Greater Direct Ownership Interest · Individual
Holloway, Brenda
Corporate Director · Individual
Keith, Nancy
Corporate Director · Individual
Keith, Nancy
Corporate Officer · Individual
Mulford, Steven
Corporate Director · Individual
Mulford, Steven
Corporate Officer · Individual
Vickers, Michael
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Woodland Village Rehabilitation And Healthcare Cen
Cullman, AL
5-star overall rating with 4-star inspections with 1 recent health deficiencies
#2
Folsom Rehabilitation And Healthcare Center
Cullman, AL
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Cullman Health Care Center
Cullman, AL
2-star overall rating with 2-star inspections with $26,982 in total fines with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out