Federal inspection record · CMS data as of October 1, 2026
Mitchell-Hollingsworth Nursing & Rehabilitation
805 Flagg Circle, Florence, AL · (256) 740-5400
- Certified beds
- 222
- Residents per day
- 197
- Ownership
- For-Profit
- Chain
- Preston Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
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
Mitchell-Hollingsworth Nursing & Rehabilitation carries 19 inspection points. That is fewer than 52% 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
11 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
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Rights2D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Keep residents' personal and medical records private and confidential.
Quality of Life and Care2D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Resident Assessment and Care Planning2D
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 Dietary1F
- 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
2025-09-18
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2019-09-05
1 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2018-08-02
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 16 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
3 h 16 min
Alabama average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 21% 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 days1 pts better | 0.9 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts better | 0.3 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.7 pts better | 94.5% | 92.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1 pts worse | 94.4% | 95.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better | 2.5% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.7 pts better | 0.8% | 1.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts better | 4.1% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.6 pts worse | 37.9% | 24.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.4 pts better | 20.9% | 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 worsened3.7 pts worse | 14.7% | 11.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.8 pts better | 7.7% | 11.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.9% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 1.2% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.5 pts worse | 12.7% | 12.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts better | 4.8% | 5.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.2 pts better | 98.8% | 85.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.9 pts better | 5.8% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.5 pts worse | 4.4% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.4 pts better | 90.6% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts better | 20.7% | 24.4% | 23.4% |
·
Who owns and runs it
3 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 | 100% | 5 facilities |
| Rose, Kenneth | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Walker, James | Operational/Managerial Control · Individual | 0% | 5 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6E
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- D
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
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Other homes nearby
-
El Reposo Nursing Facility
Florence, AL
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 43 min
- Fines
- $0
-
Florence Nursing And Rehabilitation Ctr, LLC
Florence, AL · Legacy Healthcare
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 15 min
- Fines
- $0
-
Glenwood Center
Florence, AL · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 22 min
- Fines
- $0