McGuffey Health & Rehabilitation Center
2301 Rainbow Drive, Gadsden, AL 35999 · Etowah County · 209 certified beds · avg 181 residents/day · certified since Dec 1, 1977
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 (7)
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 |
|---|---|---|
| May 27, 2021 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| May 27, 2021 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Mar 12, 2020 | 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. |
| Mar 12, 2020 | 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. |
| Feb 7, 2019 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Feb 7, 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. |
| Feb 7, 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
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | D |
| 2020 | 2 | 0 | D |
| 2021 | 2 | 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)
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) | 3.95 | 4.43 | 3.95 | bottom 20% in Alabama; top 42% in the U.S. |
| Registered Nurse hours | 0.59 | 0.74 | 0.69 | bottom 28% in Alabama; top 49% in the U.S. |
| Weekend total nurse staffing | 3.43 | 3.73 | 3.50 | bottom 29% in Alabama; top 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.36 | 0.48 | bottom 48% in Alabama; bottom 38% in the U.S. |
| Total nursing staff turnover (%) | 49.4 | 46.9 | 45.8 | bottom 44% in Alabama; bottom 38% in the U.S. |
| RN turnover (%) | 27.3 | 39.5 | 42.9 | top 31% in Alabama; top 24% 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 3.23, RN 0.49, weekend 2.81. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Turenne, Roger | Individual | Direct Ownership Interest | NOT APPLICABLE | 07/01/2021 |
| Turenne, William | Individual | Direct Ownership Interest | NOT APPLICABLE | 07/01/2021 |
| Conley, April | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2010 |
| Conley, April | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2010 |
| McMillian, Virginia | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2010 |
| McMillian, Virginia | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2010 |
| Smith, Kenny | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2016 |
| Turenne & Associates LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/08/2025 |
| Turenne, Roger | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2012 |
| Turenne, Roger | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2010 |
| Turenne, Roger | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| Turenne, William | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2012 |
| Turenne, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2010 |
| Turenne, William | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2012 |
| Walls, Emily | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2011 |
| Walls, Emily | Individual | ADP of the SNF | NOT APPLICABLE | 12/16/2010 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "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 |
|---|---|---|---|---|---|
| Gadsden Health and Rehab Center | 1.4 mi | Gadsden, AL | ★★★★☆ | 4/5 | |
| Attalla Rehabilitation and Nursing Center | 5.1 mi | Attalla, AL | ★★☆☆☆ | 1/5 | |
| Coosa Valley Health and Rehab | 5.7 mi | Glencoe, AL | ★★★☆☆ | 3/5 | |
| Northside Health Care | 6.0 mi | Gadsden, AL | ★★★☆☆ | 3/5 | |
| Health Care INC | 17.3 mi | Ashville, AL | ★★★☆☆ | 3/5 | |
| Altoona Health & Rehab | 17.7 mi | Altoona, AL | ★★★☆☆ | 2/5 | |
| Jacksonville Health and Rehabilitation, LLC | 18.4 mi | Jacksonville, AL | ★★★☆☆ | 2/5 | |
| Diversicare of Boaz | 19.0 mi | Boaz, AL | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 015202.