El Reposo Nursing Facility
260 Milner Chapel Road, Florence, AL 35634 · Lauderdale County · 60 certified beds · avg 60 residents/day · certified since Mar 16, 1989
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
⚠ 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 self-reported quality measures.
All citations in the current public record (4)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 3, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Jun 13, 2018 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jun 13, 2018 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jun 13, 2018 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 3 | 0 | D |
| 2024 | 1 | 0 | F |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Alabama avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.38 | 4.43 | 3.95 | top 8% in Alabama; top 9% in the U.S. |
| Registered Nurse hours | 0.51 | 0.74 | 0.69 | bottom 13% in Alabama; bottom 39% in the U.S. |
| Weekend total nurse staffing | 4.47 | 3.73 | 3.50 | top 10% in Alabama; top 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.20 | 0.36 | 0.48 | bottom 14% in Alabama; bottom 13% in the U.S. |
| Total nursing staff turnover (%) | 42.4 | 46.9 | 45.8 | top 34% in Alabama; top 43% in the U.S. |
| RN turnover (%) | 14.3 | 39.5 | 42.9 | top 7% in Alabama; top 7% in the U.S. |
Hours are per resident per day, 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 4.78, RN 0.45, weekend 3.97. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| El Reposo Nursing Facility | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/06/1991 |
| Anerton, Beth | Individual | Corporate Director | NOT APPLICABLE | 09/03/2014 |
| Anerton, Beth | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/03/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Where do you post your latest state inspection results and the ombudsman's contact information?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Mitchell-Hollingsworth Nursing & Rehabilitation | 0.9 mi | Florence, AL | ★★★☆☆ | 3/5 | |
| Florence Nursing and Rehabilitation Ctr, LLC | 3.0 mi | Florence, AL | ★★★☆☆ | 3/5 | |
| Glenwood Center | 3.4 mi | Florence, AL | ★☆☆☆☆ | 1/5 | |
| Keller Landing | 4.3 mi | Tuscumbia, AL | ★★★★★ | 5/5 | |
| Cypress Cove Care Center | 4.5 mi | Muscle Shoals, AL | ★★★★★ | 5/5 | |
| Cottage of the Shoals | 5.0 mi | Tuscumbia, AL | ★★★★☆ | 4/5 | |
| Lauderdale Christian Nursing Home | 12.6 mi | Killen, AL | ★★★★★ | 4/5 | |
| Terrace Manor Nursing & Rehabilitation Center, INC | 20.0 mi | Russellville, AL | ★★★★★ | 5/5 | |
| Burns Nursing Home, INC. | 20.0 mi | Russellville, AL | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 015402.