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

Walker Rehabilitation Center, Inc

350 Northeast 4th Street, Carbon Hill, AL · (205) 924-4404

  • Cited for abuse (CMS abuse icon)
  • Special Focus Facility

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
59
Residents per day
46
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 4, 1990

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.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Alabama homes

Walker Rehabilitation Center, Inc carries 696 inspection points. That is fewer than 0% of Alabama's 223 rated homes.

5★4★3★2★1★05102550100200400inspection points → fewer is better on the leftThis home · 696 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

18 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 1 50 pts
K 3 100 pts
L 3 150 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 5 4 pts
E 2 8 pts
F 3 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 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 (7)

  1. L

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    November 30, 2024 · Complaint inspection · Administration · F835 · Corrected December 28, 2024

  2. L

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    November 30, 2024 · Complaint inspection · Administration · F837 · Corrected December 28, 2024

  3. L

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    November 30, 2024 · Complaint inspection · Administration · F867 · Corrected December 28, 2024

  4. K

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

    November 30, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected December 28, 2024

  5. K

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    November 30, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F607 · Corrected December 28, 2024

  6. K

    Respond appropriately to all alleged violations.

    November 30, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F610 · Corrected December 28, 2024

  7. J

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

    November 30, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F609 · Corrected December 28, 2024

Everything else, by area of care

Nutrition and Dietary2F
  1. F

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

    November 30, 2024 · Complaint · F812 · Corrected December 28, 2024

  2. F

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

    November 20, 2018 · Standard · F812 · Corrected December 25, 2018

Resident Assessment and Care Planning2E
  1. E

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

    November 30, 2024 · Complaint · F658 · Corrected December 28, 2024

  2. D

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

    November 20, 2018 · Standard · F658 · Corrected December 25, 2018

Quality of Life and Care2D
  1. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    February 6, 2020 · Standard · F686 · Corrected March 12, 2020

  2. D

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

    November 20, 2018 · Standard · F689 · Corrected December 25, 2018

Infection Control2E
  1. D

    Provide and implement an infection prevention and control program.

    February 6, 2020 · Standard · F880 · Corrected March 12, 2020

  2. E

    Provide and implement an infection prevention and control program.

    November 20, 2018 · Standard · F880 · Corrected December 25, 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.

    November 30, 2024 · Complaint · F584 · Corrected December 28, 2024

Nursing and Physician Services1C
  1. C

    Post nurse staffing information every day.

    November 30, 2024 · Standard · F732 · Corrected December 28, 2024

Environmental1F
  1. F

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    November 20, 2018 · Standard · F921 · Corrected December 25, 2018

Inspection history

  1. 2024-11-30

    10 health deficiencies · 6 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

  2. 2020-02-06

    3 health deficiencies · 4 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  3. 2018-11-20

    5 health deficiencies · 3 fire-safety deficiencies

    Top issue: Environmental (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 45 min of nursing staff time a day, 31 min of it from a registered nurse.

This home

3 h 45 min

Alabama average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 64% of nursing staff and 86% 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

Fines and payment denials

$235,127 in federal fines on record over the past three years.

DatePenaltyAmount
2024-11-30Fine$235,127

6

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 days1.9 pts worse3.81.91.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse2.01.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.6 pts worse86.2%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 injury1.5 pts better1.7%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms1.5 pts better0.0%1.5%13.5%
Percentage of long-stay residents who lose too much weightAbout the same5.4%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.2 pts better22.1%24.3%19.5%
Percentage of long-stay residents who received an antipsychotic medication31.7 pts worse53.0%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 worsened12.3 pts worse23.3%11.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5.4 pts worse16.9%11.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder2.2 pts worse3.1%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection2.5 pts worse4.7%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts worse13.6%12.2%18.3%
Percentage of long-stay residents with pressure ulcers1.7 pts worse6.9%5.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine24.3 pts worse61.3%85.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.9 pts better10.8%11.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.9 pts better0.0%1.9%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.2 pts worse81.0%82.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission12.7 pts worse37.1%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
NameRoleShareHomes
Church, Clyde5% Or Greater Direct Ownership Interest · Individual50%2 facilities
Harrison, BoydeManaging Control - Governing Body · Individual0%6 facilities
Harrison, BoydeAdp Of The SNF · Individual0%6 facilities
Potts, SusanOperational/Managerial Control · Individual0%2 facilities
Scott, CharlaOperational/Managerial Control · Individual0%2 facilities
Scott, CharlaAdp Of The SNF · Individual0%2 facilities

·

Fire safety

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

Smoke7F
  1. F

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

    November 30, 2024 · K345 · Corrected December 19, 2024

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    November 30, 2024 · K353 · Corrected December 19, 2024

  3. D

    Install an approved automatic sprinkler system.

    November 30, 2024 · K351 · Corrected December 19, 2024

  4. D

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

    February 6, 2020 · K345 · Corrected March 17, 2020

  5. D

    Inspect, test, and maintain automatic sprinkler systems.

    February 6, 2020 · K353 · Corrected March 17, 2020

  6. D

    Install corridor and hallway doors that block smoke.

    February 6, 2020 · K363 · Corrected March 17, 2020

  7. D

    Inspect, test, and maintain automatic sprinkler systems.

    November 20, 2018 · K353 · Corrected January 2, 2019

Gas, Vacuum, and Electrical Systems4E
  1. D

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

    November 30, 2024 · K918 · Corrected December 19, 2024

  2. D

    Have proper medical gas storage and administration areas.

    November 30, 2024 · K923 · Corrected December 19, 2024

  3. E

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

    November 20, 2018 · K914 · Corrected January 2, 2019

  4. D

    Ensure proper usage of power strips and extension cords.

    November 20, 2018 · K920 · Corrected January 2, 2019

Miscellaneous2E
  1. E

    Have simulated fire drills held at unexpected times.

    November 30, 2024 · K712 · Corrected December 19, 2024

  2. D

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

    February 6, 2020 · K761 · Corrected March 17, 2020

·

Other homes nearby

  1. Worst citation, 3 yrs
    none
    Nursing / resident / day
    3 h 54 min
    Fines
    $0
  2. Worst citation, 3 yrs
    F
    Nursing / resident / day
    3 h 50 min
    Fines
    $0
  3. Worst citation, 3 yrs
    G
    Nursing / resident / day
    4 h
    Fines
    $8,788