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C
Below Standard

COTTAGE OF THE SHOALS

500 JOHN ALDRIDGE DRIVE · TUSCUMBIA, AL 35674

2563834541 · For profit - Corporation

103 beds82.4 residents95 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

COTTAGE OF THE SHOALS receives an overall staffing grade of C (Below Standard). With 3.1316 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.76 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.28% compared to weekdays. The facility has low agency staff usage (4.63% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1316 HPRD — needs 0.35 more hours per resident per day.

✨ Strengths (3)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (4.63%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1316hrs/resident/day▼ 0.76
CMS benchmark: 3.48
RN HPRD
0.7504hrs/resident/day▲ 0.07
Recommended: 0.75
Weekend Drop-off
17.28%
3.2923 weekday → 2.7236 weekend
Agency Staff
4.63%
0.11% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6446hrs/resident/day
Direct care aides
LPN HPRD
0.6215hrs/resident/day
Licensed practical nurses
Consistency
0.3151std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Colbert County Average-0.09 HPRD
3.22
03.13 HPRD
vs. Alabama State Average-0.79 HPRD
3.92
03.13 HPRD
vs. National Average-0.76 HPRD
3.90
03.13 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
COTTAGE OF THE SHOALS ★
TUSCUMBIA · This facility
—
C
3.13160.7504★★★☆☆
KELLER LANDING
TUSCUMBIA
1.8 mi
C
3.24981.2502★★★★★
CYPRESS COVE CARE CENTER
MUSCLE SHOALS
2.6 mi
C
3.27470.9851★★★★★
EL REPOSO NURSING FACILITY
FLORENCE
5 mi
C
4.69180.4888★★★★☆
MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION
FLORENCE
5.6 mi
B
3.67470.7673★★★☆☆
FLORENCE NURSING AND REHABILITATION CTR, LLC
FLORENCE
7.7 mi
B
3.53150.7425★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
5
Total Deficiencies
$0
Fines Assessed
Aug 5, 2021Health
3 deficiencies cited
▼
May 14, 2019Health
1 deficiency cited
▼
Aug 2, 2018Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.