Federal inspection record · CMS data as of October 1, 2026

Village At Cook Springs Skilled Nursing Facility

415 Cook Springs, Pell City, AL · (205) 338-2221

CMS overall rating

1 of 5

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Certified beds
168
Residents per day
131
Ownership
Non-Profit
Chain
Noland Health
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 1, 1977

1

How this home got 1 star

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Alabama.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Alabama homes

Village At Cook Springs Skilled Nursing Facility carries 81 inspection points. That is fewer than 11% of Alabama's 223 rated homes.

5★4★3★2★1★+7 homes above 29905102550100200inspection points → fewer is better on the leftThis home · 81 pts · 1★

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

12 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 3 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 8 4 pts
E 0 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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.

Harm and immediate-jeopardy citations (3)

  1. J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    July 28, 2019 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected August 19, 2019

  2. J

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    July 28, 2019 · Standard inspection · Resident Assessment and Care Planning · F656 · Corrected August 19, 2019

  3. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    July 28, 2019 · Standard inspection · Quality of Life and Care · F689 · Corrected August 19, 2019

Everything else, by area of care

Infection Control3D
  1. D

    Provide and implement an infection prevention and control program.

    December 20, 2023 · Complaint · F880 · Corrected January 24, 2024

  2. D

    Provide and implement an infection prevention and control program.

    July 28, 2019 · Standard · F880 · Corrected September 21, 2019

  3. D

    Provide and implement an infection prevention and control program.

    August 16, 2018 · Standard · F880 · Corrected September 20, 2018

Quality of Life and Care1D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    December 20, 2023 · Complaint · F677 · Corrected January 24, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

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

    July 28, 2019 · Standard · F609 · Corrected August 19, 2019

Nutrition and Dietary1F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 16, 2018 · Standard · F812 · Corrected September 20, 2018

Resident Rights1D
  1. D

    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.

    August 16, 2018 · Standard · F584 · Corrected September 20, 2018

Resident Assessment and Care Planning1D
  1. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    August 16, 2018 · Standard · F658 · Corrected September 20, 2018

Pharmacy Service1D
  1. 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.

    August 16, 2018 · Standard · F761 · Corrected September 20, 2018

Inspection history

  1. 2022-05-05

    0 health deficiencies · 3 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  2. 2019-07-28

    5 health deficiencies · 14 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

  3. 2018-08-16

    7 health deficiencies · 3 fire-safety deficiencies

    Top issue: Infection Control (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 40 min of nursing staff time a day, 32 min of it from a registered nurse.

This home

3 h 40 min

Alabama average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 63% of nursing staff and 57% 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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident daysAbout the same1.91.91.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better1.11.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.2 pts better100.0%92.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.6 pts better100.0%95.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts worse5.1%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms0.4 pts better1.1%1.5%13.5%
Percentage of long-stay residents who lose too much weight1.7 pts better3.7%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication12.7 pts worse37.0%24.3%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.5 pts worse24.8%21.3%15.4%
Percentage of long-stay residents who were physically restrained0.5 pts better0.0%0.5%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.5 pts worse11.5%11.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.6 pts worse12.1%11.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.7%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection2.1 pts worse4.3%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.8 pts better7.4%12.2%18.3%
Percentage of long-stay residents with pressure ulcers1.2 pts better4.0%5.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.4 pts better100.0%85.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.2 pts worse12.9%11.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse2.0%1.9%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.8 pts better100.0%82.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission9.2 pts worse33.6%24.4%23.4%

·

Who owns and runs it

42 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Adamson, MicheleManaging Control - Governing Body · Individual0%10 facilities
Adamson, MicheleCorporate Director · Individual0%10 facilities
Blackwell, CrystalOperational/Managerial Control · Individual0%10 facilities
Blackwell, CrystalAdp Of The SNF · Individual0%10 facilities
Britton, IsaacManaging Control - Governing Body · Individual0%10 facilities
Britton, IsaacCorporate Director · Individual0%10 facilities
Champion Rehab Resources, LLCAdp Of The SNF · Organization0%11 facilities
Estep, BarbaraManaging Control - Governing Body · Individual0%10 facilities
Estep, BarbaraCorporate Director · Individual0%10 facilities
Estep, BarbaraOperational/Managerial Control · Individual0%10 facilities
Estep, BarbaraAdp Of The SNF · Individual0%10 facilities
Flippo Enterprises LLCAdp Of The SNF · Organization0%2 facilities
Flippo, GregoryManaging Control - Governing Body · Individual0%2 facilities
Flippo, GregoryAdp Of The SNF · Individual0%2 facilities
Goff, RobertManaging Control - Governing Body · Individual0%10 facilities
Goff, RobertCorporate Director · Individual0%10 facilities
Hall, MatthewOperational/Managerial Control · Individual0%21 facilities
Hall, MatthewAdp Of The SNF · Individual0%21 facilities
Kenwright, KarenOperational/Managerial Control · Individual0%10 facilities
Kenwright, KarenAdp Of The SNF · Individual0%10 facilities
Knight, CarolManaging Control - Governing Body · Individual0%10 facilities
Knight, CarolCorporate Director · Individual0%10 facilities
Nelson, DebraManaging Control - Governing Body · Individual0%10 facilities
Nelson, DebraCorporate Director · Individual0%10 facilities
Noland Health Services, IncOperational/Managerial Control · Organization0%10 facilities
Noland Health Services, IncAdp Of The SNF · Organization0%10 facilities
Noland Pharmacy LLCAdp Of The SNF · Organization0%10 facilities
Nutrition Plus, LLCAdp Of The SNF · Organization0%1 facilities
Pickell, RandolphManaging Control - Governing Body · Individual0%1 facilities
Pickell, RandolphOperational/Managerial Control · Individual0%1 facilities
Pickell, RandolphAdp Of The SNF · Individual0%1 facilities
Renda, NicholasManaging Control - Governing Body · Individual0%10 facilities
Renda, NicholasCorporate Director · Individual0%10 facilities
Renda, NicholasOperational/Managerial Control · Individual0%10 facilities
Renda, NicholasAdp Of The SNF · Individual0%10 facilities
Shunnara, JenniferOperational/Managerial Control · Individual0%10 facilities
Shunnara, JenniferAdp Of The SNF · Individual0%10 facilities
Urban, KelleyOperational/Managerial Control · Individual0%10 facilities
Urban, KelleyAdp Of The SNF · Individual0%10 facilities
Waggoner, JamesManaging Control - Governing Body · Individual0%10 facilities
Waggoner, JamesCorporate Director · Individual0%10 facilities
Warren Averett LLCAdp Of The SNF · Organization0%10 facilities

·

Fire safety

20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7E
  1. E

    Have approved installation, maintenance and testing program for fire alarm systems.

    May 5, 2022 · K345 · Corrected June 15, 2022

  2. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    May 5, 2022 · K321 · Corrected May 13, 2022

  3. D

    Inspect, test, and maintain automatic sprinkler systems.

    May 5, 2022 · K353 · Corrected May 27, 2022

  4. E

    Install corridor and hallway doors that block smoke.

    July 28, 2019 · K363 · Corrected August 15, 2019

  5. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    July 28, 2019 · K321 · Corrected August 15, 2019

  6. D

    Provide properly protected cooking facilities.

    July 28, 2019 · K324 · Corrected August 15, 2019

  7. D

    Install an approved automatic sprinkler system.

    July 28, 2019 · K351 · Corrected August 15, 2019

Gas, Vacuum, and Electrical Systems7E
  1. E

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    July 28, 2019 · K914 · Corrected August 15, 2019

  2. E

    Have generator or other power source capable of supplying service within 10 seconds.

    July 28, 2019 · K918 · Corrected August 15, 2019

  3. E

    Ensure that testing and maintenance of electrical equipment is performed.

    July 28, 2019 · K921 · Corrected August 15, 2019

  4. D

    Ensure proper usage of power strips and extension cords.

    July 28, 2019 · K920 · Corrected August 15, 2019

  5. D

    Have proper medical gas storage and administration areas.

    July 28, 2019 · K923 · Corrected August 15, 2019

  6. D

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    August 16, 2018 · K916 · Corrected September 25, 2018

  7. D

    Ensure proper usage of power strips and extension cords.

    August 16, 2018 · K920 · Corrected September 25, 2018

Miscellaneous2E
  1. E

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    July 28, 2019 · K761 · Corrected August 15, 2019

  2. D

    Provide a written emergency evacuation plan.

    July 28, 2019 · K711 · Corrected August 15, 2019

Egress2D
  1. 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.

    July 28, 2019 · K222 · Corrected August 15, 2019

  2. D

    Have properly located and lighted "Exit" signs.

    August 16, 2018 · K293 · Corrected September 25, 2018

Construction1D
  1. D

    Meet requirements for sections of health care facilities separated by fire resistive construction.

    July 28, 2019 · K131 · Corrected August 15, 2019

Services1D
  1. D

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    July 28, 2019 · K521 · Corrected August 15, 2019

·

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