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Cottage of the Shoals
500 John Aldridge Drive, Tuscumbia, AL 35674 (opens Google Maps) · Colbert County · (256) 383-4541· 103 certified beds · avg 91 residents/day · certified since Jan 1, 1972 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: GENESIS HEALTHCARE (184 facilities, chain avg rating 2.4★)
4/5
Health inspection rating (on-site)
inspected Aug 5, 2021
0
Serious findings on record
$0
Fines, last 3 years
3.16
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 5 inspection findings. Open the full record below to read every finding.
The facility did not let a resident or their legal representative see or buy copies of the resident's own records. F-0573
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. F-0842
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. F-0880
View all 5 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 5, 2021 | D · Potential for more than minimal harm, isolated | The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · F-0573 |
| Aug 5, 2021 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Aug 5, 2021 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| May 14, 2019 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Aug 2, 2018 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 3).
All citationsSerious citations (G–L)
2018
All citations: 1
Serious citations (G–L): 0
2019
All citations: 1
Serious citations (G–L): 0
2021
All citations: 3
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 1 | 0 | D |
| 2019 | 1 | 0 | D |
| 2021 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityAlabama averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.16
Alabama average: 4.43
U.S. average: 3.95
Registered Nurse hours
This facility: 0.76
Alabama average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.64
Alabama average: 3.73
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Alabama avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.16 | 4.43 | 3.95 | bottom 1% in Alabama; bottom 20% in the U.S. |
| Registered Nurse hours | 0.76 | 0.74 | 0.69 | top 40% in Alabama; top 31% in the U.S. |
| Weekend total nurse staffing | 2.64 | 3.73 | 3.50 | bottom 1% in Alabama; bottom 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.36 | 0.48 | top 27% in Alabama; top 44% in the U.S. |
| Total nursing staff turnover (%) | 58.8 | 46.9 | 45.8 | bottom 15% in Alabama; bottom 18% in the U.S. |
| RN turnover (%) | 60.0 | 39.5 | 42.9 | bottom 13% in Alabama; bottom 22% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.29, RN 0.79, weekend 2.75.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.29 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Cottage of the Shoals. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fc-Gen Operations Investment LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2012 |
| Gen Operations I LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2012 |
| Gen Operations II LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2012 |
| Genesis Healthcare INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Genesis Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2012 |
| Genesis Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/02/2015 |
| Sun Healthcare Group INC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2012 |
| Whitman, Arnold | Individual | 5% or Greater Indirect Ownership Interest | — | 12/01/2012 |
| Berg, Michael | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2012 |
| Bridgeford, Laura | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2024 |
| Davis, Christine | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
| Davis, Christine | Individual | ADP of the SNF | NOT APPLICABLE | 01/27/2025 |
| Grimes, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
| Grimes, David | Individual | ADP of the SNF | NOT APPLICABLE | 01/27/2025 |
| Mendelson, Avi | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2024 |
| Morris, Diane | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
All 16 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Genesis Healthcare — 184 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Cypress Cove Care Center — Muscle Shoals, AL · overall 5/5
- Glenwood Center — Florence, AL · overall 1/5
- Keller Landing — Tuscumbia, AL · overall 5/5
- Magnolia Ridge — Gardendale, AL · overall 1/5abuseSFF
- Merry Wood Lodge — Elmore, AL · overall 1/5abuseSFF
- River City Center — Decatur, AL · overall 1/5
- Alexandria Care Center — Los Angeles, CA · overall 1/5
- American River Center — Carmichael, CA · overall 4/5
Listed by state, then facility name — not a ranking. Showing 8 of the 183 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If I ask for a copy of my family member's records, how quickly will I get them and what does it cost?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Alabama midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 59% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 16 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Keller Landing | 1.9 mi | Tuscumbia, AL | ★★★★★ | 5/5 | |
| Cypress Cove Care Center | 2.6 mi | Muscle Shoals, AL | ★★★★★ | 5/5 | |
| El Reposo Nursing Facility | 5.0 mi | Florence, AL | ★★★☆☆ | 3/5 | |
| Mitchell-Hollingsworth Nursing & Rehabilitation | 5.6 mi | Florence, AL | ★★★☆☆ | 3/5 | |
| Florence Nursing and Rehabilitation Ctr, LLC | 7.8 mi | Florence, AL | ★★★☆☆ | 3/5 | |
| Glenwood Center | 7.8 mi | Florence, AL | ★☆☆☆☆ | 1/5 | |
| Terrace Manor Nursing & Rehabilitation Center, INC | 15.0 mi | Russellville, AL | ★★★★★ | 5/5 | |
| Burns Nursing Home, INC. | 15.0 mi | Russellville, AL | ★★☆☆☆ | 2/5 | |
| Everstead Health and Rehabilitation Center | 15.2 mi | Russellville, AL | ★★☆☆☆ | 3/5 | |
| Lauderdale Christian Nursing Home | 16.4 mi | Killen, AL | ★★★★★ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 015067.
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