Gadsden Health and Rehab Center

Name: Gadsden Health and Rehab Center
Address: 1945 DAVIS DRIVE, Gadsden, AL, 35904, US
Telephone: 2565474938

1945 Davis Drive, Gadsden, AL 35904 · Etowah County · 168 certified beds · avg 135 residents/day · certified since Feb 1, 1977

Part of chain: PRESTON HEALTH SERVICES (5 facilities, chain avg rating 3.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.40

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

⚠ 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 (6)

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 15, 2021	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jul 15, 2021	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 15, 2021	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Dec 5, 2019	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Nov 1, 2018	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 1, 2018	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 3).

Year	Citations	Worst severity that year
2018	2	D
2019	1	D
2021	3	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)

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)	4.40	4.43	3.95	bottom 49% in Alabama; top 26% in the U.S.
Registered Nurse hours	0.53	0.74	0.69	bottom 17% in Alabama; bottom 42% in the U.S.
Weekend total nurse staffing	3.77	3.73	3.50	top 45% in Alabama; top 30% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.40	0.36	0.48	top 32% in Alabama; top 48% in the U.S.
Total nursing staff turnover (%)	57.7	46.9	45.8	bottom 17% in Alabama; bottom 20% in the U.S.
RN turnover (%)	47.1	39.5	42.9	bottom 36% in Alabama; bottom 40% 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 4.40, RN 0.53, weekend 3.77. Staffing rating: 3/5.

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: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Beckham, Nicholas	Individual	5% or Greater Direct Ownership Interest	5%	11/20/2023
MBS Partners LLC	Organization	5% or Greater Direct Ownership Interest	5%	11/20/2023
Walker, James	Individual	5% or Greater Direct Ownership Interest	90%	11/20/2023
Preston Health Services INC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2024
Reiland, Debora	Individual	Contracted Managing Employee	NOT APPLICABLE	01/11/2019
Weaver, Rachael	Individual	W-2 Managing Employee	NOT APPLICABLE	02/02/2024

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 my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"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
McGuffey Health & Rehabilitation Center	1.4 mi	Gadsden, AL	★★★★☆	4/5
Attalla Rehabilitation and Nursing Center	4.5 mi	Attalla, AL	★★☆☆☆	1/5
Northside Health Care	5.4 mi	Gadsden, AL	★★★☆☆	3/5
Coosa Valley Health and Rehab	6.6 mi	Glencoe, AL	★★★☆☆	3/5
Altoona Health & Rehab	16.9 mi	Altoona, AL	★★★☆☆	2/5
Health Care INC	17.4 mi	Ashville, AL	★★★☆☆	3/5
Diversicare of Boaz	17.6 mi	Boaz, AL	★★☆☆☆	2/5
Jacksonville Health and Rehabilitation, LLC	19.6 mi	Jacksonville, AL	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Gadsden →

Facility data as of CMS processing date 2026-08-01. CCN 015180.

The Care File

Visit checklist — Gadsden Health and Rehab Center

1945 Davis Drive, Gadsden, AL 35904 · 2565474938

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 015180 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)