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D
Poor

HEALTH CARE INC

38286 US HIGHWAY 231 · ASHVILLE, AL 35953

2055945148 · For profit - Individual

53 beds49.9 residents100 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

HEALTH CARE INC receives an overall staffing grade of D (Poor). With 3.3245 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3279 HPRD, below the recommended 0.75. It is 0.57 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 21.94% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Had 4 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3245 HPRD — needs 0.16 more hours per resident per day.
⚠️RN staffing (0.3279 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3245hrs/resident/day▼ 0.57
CMS benchmark: 3.48
RN HPRD
0.3279hrs/resident/day▼ 0.36
Recommended: 0.75
Weekend Drop-off
21.94%
3.5442 weekday → 2.7666 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
4days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
2.175hrs/resident/day
Direct care aides
LPN HPRD
0.8216hrs/resident/day
Licensed practical nurses
Consistency
0.4492std 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. St. Clair County Average-0.30 HPRD
3.62
03.32 HPRD
vs. Alabama State Average-0.60 HPRD
3.92
03.32 HPRD
vs. National Average-0.57 HPRD
3.90
03.32 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
HEALTH CARE INC ★
ASHVILLE · This facility
—
D
3.32450.3279★★☆☆☆
TLC NURSING CENTER
ONEONTA
10.9 mi
B
3.88560.6125★★★★☆
DIVERSICARE OF ONEONTA
ONEONTA
10.9 mi
D
2.83940.4992★★☆☆☆
ALTOONA HEALTH & REHAB
ALTOONA
11.1 mi
B
3.89430.7636★★★☆☆
ATTALLA CENTER FOR REHABILITATION AND NURSING
ATTALLA
13.3 mi
B
3.67310.5522★★☆☆☆
MCGUFFEY HEALTH & REHABILITATION CENTER
GADSDEN
17.3 mi
B
3.80160.5644★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
6
Total Deficiencies
$0
Fines Assessed
Aug 24, 2022Health
3 deficiencies cited
▼
Aug 8, 2019Health
3 deficiencies 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.