Health Care INC

Name: Health Care INC
Address: 38286 US HIGHWAY 231, Ashville, AL, 35953, US
Telephone: 2055945148

38286 Us Highway 231, Ashville, AL 35953 · St. Clair County · 53 certified beds · avg 48 residents/day · certified since Aug 22, 1990

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.63

Nurse hours/resident/day (adjusted)

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 (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
Aug 24, 2022	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.
Aug 24, 2022	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.
Aug 24, 2022	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Aug 8, 2019	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.
Aug 8, 2019	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.
Aug 8, 2019	D · Potential for harm, one-off	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.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2019	3	0	F
2022	3	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)	4.63	4.43	3.95	top 38% in Alabama; top 20% in the U.S.
Registered Nurse hours	0.44	0.74	0.69	bottom 7% in Alabama; bottom 28% in the U.S.
Weekend total nurse staffing	3.58	3.73	3.50	bottom 39% in Alabama; top 38% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.36	0.48	bottom 37% in Alabama; bottom 28% in the U.S.
Total nursing staff turnover (%)	78.3	46.9	45.8	bottom 1% in Alabama; bottom 3% in the U.S.
RN turnover (%)	100.0	39.5	42.9	bottom 2% in Alabama; bottom 1% 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 3.27, RN 0.31, weekend 2.53. Staffing rating: 2/5.

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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Penland, Pam	Individual	5% or Greater Direct Ownership Interest	100%	12/18/1996
Penland, Pam	Individual	W-2 Managing Employee	NOT APPLICABLE	12/18/1996
Penland, Pam	Individual	Corporate Director	NOT APPLICABLE	12/18/1996
Penland, Pam	Individual	Corporate Officer	NOT APPLICABLE	12/18/1996

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 show me an example care plan, and how are families included when it's created and updated?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
TLC Nursing Center	10.9 mi	Oneonta, AL	★★★★☆	3/5
Diversicare of Oneonta	11.0 mi	Oneonta, AL	★★★☆☆	2/5
Altoona Health & Rehab	11.1 mi	Altoona, AL	★★★☆☆	2/5
Attalla Rehabilitation and Nursing Center	13.3 mi	Attalla, AL	★★☆☆☆	1/5
McGuffey Health & Rehabilitation Center	17.3 mi	Gadsden, AL	★★★★☆	4/5
Gadsden Health and Rehab Center	17.4 mi	Gadsden, AL	★★★★☆	4/5
Diversicare of Pell City	19.3 mi	Pell City, AL	★★☆☆☆	2/5
Village at Cook Springs Skilled Nursing Facility	19.7 mi	Pell City, AL	★☆☆☆☆	1/5
Meadowview Nursing Center	20.0 mi	Pell City, AL	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Ashville →

Facility data as of CMS processing date 2026-08-01. CCN 015407.

The Care File

Visit checklist — Health Care INC

38286 Us Highway 231, Ashville, AL 35953 · 2055945148

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

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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 015407 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)