Occupancy rate
85%
In line with Alabama averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home in Alabama
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Cottage of the Shoals
Nursing Home in Alabama
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Cottage of the Shoals
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
103
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
85.2%
Residents per day (avg)
86
Occupancy rate
85.2%
Residents per day (avg)
86
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
31% of new residents, usually for short-term rehab.
Typical stay
23 days
Private pay
56% of new residents, often for short stays.
Typical stay
27 days
Medicaid
13% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$12.3M
Profit
$654.7K
Privately-owned community
Operated by a business corporation.
Home revenue
$12,330,352.00
Profit
$654,683.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.7M
103-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with Alabama averageOccupied beds
88 / 103
Average residents
97 per day
License details
Facility type
Nursing Home
Status
Regular
County:
Colbert
Additional licensing details
CMS Certification Number:
015067
Ownership & operating entity
Cottage of the Shoals is administrated by David Grimes.
Profit status:
Corporation
Inspection History
In Alabama, the Department of Public Health, Bureau of Health Provider Standards conducts unannounced surveys to ensure facilities meet state licensing and federal certification safety standards.
Alabama average: 1 complaint visit
Alabama average: 1 inspection
Show Inspection Reports
Health Inspection History
Inspections
Total health inspections
3
Alabama average 2.9
Last Health inspection on Aug 2021
Total health citations
5
Alabama average 10.4
Citations per inspection
1.67
Alabama average 3.46
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 5 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Alabama averageAlabama average: 0.7
Serious Health citations
0
0
100% better than Alabama averageAlabama average: 0.2
0 critical citations
0 serious citations
5 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 05, 2021
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 05, 2021
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 05, 2021
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 05, 2021
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 05, 2021
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 05, 2021
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 14, 2019
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 14, 2019
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Alabama The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.
Filter by care type
Adams Rehabilitation and Healthcare Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Alexander City
75
62.7%
-22%
4.53
+4%
0
4
2.0
0
64
Stalnaker, Deborah
$4.2M
$2.2M
51.3%
15386
Aliceville Manor Nursing Home
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Aliceville
100
92.2%
+14%
4.70
+8%
0
8
2.7
0
83
-
$10.1M
$5.6M
55.2%
15137
Albertville Nursing Home
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Albertville
159
97.4%
+21%
5.06
+16%
0
9
3.0
0
154
Brown, Terri
$17.7M
$8.9M
50.4%
15163
Cottage of the Shoals
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Tuscumbia
103
85.2%
+5%
2.64
-39%
0
5
1.7
0
86
Grimes, David
$12.0M
$3.8M
31.5%
15067
Altoona Health & Rehab
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Altoona
50
96.0%
+19%
4.33
-1%
0
7
2.3
0
46
Long, Bradley
$5.1M
$3.0M
59.7%
15101
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Tuscumbia, AL 35674
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
109
Employees
91
Contractors
18
Staff to resident ratio
1.65:1
5% better than Alabama averageAlabama average ratio: 1.57:1
Avg staff/day
38
Average shift
8.3 hours
5% better than Alabama averageAlabama average: 7.9 hours
Total staff hours (quarter)
28,862
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
20
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
34
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
7.9%
2,278 contractor hours this quarter
Licensed Practical Nurse: 11
Certified Nursing Assistant: 2
Occupational Therapy Aide: 2
Occupational Therapy Assistant: 2
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 32 | 2 | 34 | 12,065 | 91 | 100% | 9.2 |
| Registered Nurse | 18 | 0 | 18 | 4,524 | 91 | 100% | 9.5 |
| Licensed Practical Nurse | 9 | 11 | 20 | 4,384 | 91 | 100% | 9.2 |
| Speech Language Pathologist | 3 | 0 | 3 | 1,150 | 72 | 79% | 7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 948 | 65 | 71% | 7.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 871 | 77 | 85% | 7 |
| Physical Therapy Aide | 3 | 0 | 3 | 870 | 70 | 77% | 7.3 |
| Other Social Services Staff | 1 | 0 | 1 | 557 | 75 | 82% | 7.4 |
| Medication Aide/Technician | 2 | 0 | 2 | 552 | 66 | 73% | 7.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 481 | 66 | 73% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 59 | 65% | 7.9 |
| Qualified Activities Professional | 6 | 0 | 6 | 233 | 37 | 41% | 6.3 |
| Physical Therapy Assistant | 2 | 0 | 2 | 217 | 63 | 69% | 3.5 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 216 | 53 | 58% | 4.1 |
| Occupational Therapy Aide | 0 | 2 | 2 | 187 | 26 | 29% | 7.2 |
| Nurse Aide in Training | 4 | 0 | 4 | 55 | 6 | 7% | 6.1 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 49 | 16 | 18% | 3 |
| Medical Director | 0 | 1 | 1 | 48 | 23 | 25% | 2.1 |
34 Certified Nursing Assistant
% of Days
100%
18 Registered Nurse
% of Days
100%
20 Licensed Practical Nurse
% of Days
100%
3 Speech Language Pathologist
% of Days
79%
2 Clinical Nurse Specialist
% of Days
71%
2 Other Dietary Services Staff
% of Days
85%
3 Physical Therapy Aide
% of Days
77%
1 Other Social Services Staff
% of Days
82%
2 Medication Aide/Technician
% of Days
73%
1 Mental Health Service Worker
% of Days
69%
1 Administrator
% of Days
67%
2 Qualified Social Worker
% of Days
73%
1 Nurse Practitioner
% of Days
65%
6 Qualified Activities Professional
% of Days
41%
2 Physical Therapy Assistant
% of Days
69%
2 Respiratory Therapy Technician
% of Days
58%
2 Occupational Therapy Aide
% of Days
29%
4 Nurse Aide in Training
% of Days
7%
2 Occupational Therapy Assistant
% of Days
18%
1 Medical Director
% of Days
25%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
66 residents
Residents by payment source
Medicare
9 residents (13.6%)
Medicaid
50 residents (75.8%)
Private pay or other
7 residents (10.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.4
28% better than Alabama averageAlabama average: 8.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.4
35% better than Alabama averageAlabama average: 14.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
6.4%
Percent of long-stay residents whose need for help with daily activities has increased
6.4%
54% better than Alabama averageAlabama average: 13.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
8.6%
Percent of long-stay residents whose ability to move independently worsened
8.6%
47% better than Alabama averageAlabama average: 16.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.1%
In line with Alabama averageAlabama average: 13.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
11% worse than Alabama averageAlabama average: 3.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.1%
Percent of long-stay high risk residents with pressure ulcers
5.1%
15% better than Alabama averageAlabama average: 5.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.5%
Percent of long-stay residents with a urinary tract infection
2.5%
9% better than Alabama averageAlabama average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.1%
Percent of long-stay residents who lose too much weight
8.1%
49% worse than Alabama averageAlabama average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.7%
Percent of long-stay residents who have depressive symptoms
6.7%
450% worse than Alabama averageAlabama average: 1.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.4%
Percent of long-stay residents who received an antipsychotic medication
6.4%
69% better than Alabama averageAlabama average: 20.7%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
9% better than Alabama averageAlabama average: 91.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
In line with Alabama averageAlabama average: 94.8%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.1%
17% better than Alabama averageAlabama average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
65% better than Alabama averageAlabama average: 2.1%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
20% better than Alabama averageAlabama average: 80.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Cottage of the Shoals based on CMS SNF Cost Reports.
Occupancy Rate
85.2%
↑ 2.3pp vs 2023
Net Income
$654,683
↓ ~$472K vs 2023
Total Payroll
$5,891,770
↑ ~$108K vs 2023
Profit Margin
5.5%
↓ 4.6pp vs 2023
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