Federal inspection record · CMS data as of October 1, 2026
Health Care Inc
38286 Us Highway 231, Ashville, AL · (205) 594-5148
- Certified beds
- 53
- Residents per day
- 51
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 22, 1990
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.
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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.
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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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Alabama homes
Health Care Inc carries 18 inspection points. That is fewer than 53% 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 2019. 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
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2022-08-24
3 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2021-08-12
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2019-08-08
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 22 min of nursing staff time a day, 15 min of it from a registered nurse.
This home
3 h 22 min
Alabama average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 74% of nursing staff and 89% of registered nurses left in the past year, along with 2 administrators.
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 days0.1 pts worse | 2.0 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 2.6 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.9 pts worse | 91.9% | 92.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.6 pts better | 100.0% | 95.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.9 pts worse | 7.1% | 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 weight3.8 pts worse | 9.2% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication26.3 pts worse | 50.6% | 24.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication40.5 pts worse | 61.8% | 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 worsened9.8 pts better | 1.2% | 11.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.5 pts better | 6.0% | 11.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.4% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts worse | 3.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.5 pts better | 1.7% | 12.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts worse | 5.4% | 5.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine43.9 pts worse | 41.7% | 85.6% | 82.3% |
·
Who owns and runs it
4 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 |
|---|---|---|---|
| Penland, Pam | 5% Or Greater Direct Ownership Interest · Individual | 100% | 1 facilities |
| Penland, Pam | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Penland, Pam | Corporate Director · Individual | 0% | 1 facilities |
| Penland, Pam | Corporate Officer · Individual | 0% | 1 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3D
- D
Provide properly protected cooking facilities.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Egress2D
- D
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.
- D
Have properly located and lighted "Exit" signs.
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Other homes nearby
-
Tlc Nursing Center
Oneonta, AL · Trinity Management, Inc.
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 52 min
- Fines
- $0
-
Diversicare Of Oneonta
Oneonta, AL · Diversicare Healthcare
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 2 h 54 min
- Fines
- $0
-
Altoona Health & Rehab
Altoona, AL · Trinity Management, Inc.
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 4 h 3 min
- Fines
- $0