Mitchell-Hollingsworth Nursing & Rehabilitation

Name: Mitchell-Hollingsworth Nursing & Rehabilitation
Address: 805 FLAGG CIRCLE, Florence, AL, 35631, US
Telephone: 2567405400

805 Flagg Circle, Florence, AL 35631 · Lauderdale County · 222 certified beds · avg 198 residents/day · certified since Jan 1, 1967

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

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.96

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 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 (11)

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
Sep 18, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Sep 18, 2025	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Sep 18, 2025	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Sep 18, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 18, 2025	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Sep 18, 2025	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.
Sep 5, 2019	D · Potential for harm, one-off	The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted.
Aug 2, 2018	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 2, 2018	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Aug 2, 2018	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Aug 2, 2018	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 increased between the last two inspection cycles (1 → 6).

Year	Citations	Worst severity that year
2018	4	F
2019	1	D
2025	6	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)	3.96	4.43	3.95	bottom 22% in Alabama; top 41% in the U.S.
Registered Nurse hours	0.80	0.74	0.69	top 32% in Alabama; top 27% in the U.S.
Weekend total nurse staffing	3.33	3.73	3.50	bottom 23% in Alabama; bottom 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.38	0.36	0.48	top 39% in Alabama; bottom 48% in the U.S.
Total nursing staff turnover (%)	36.6	46.9	45.8	top 21% in Alabama; top 28% in the U.S.
RN turnover (%)	17.2	39.5	42.9	top 13% in Alabama; top 11% 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 3.38, RN 0.69, weekend 2.84. 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: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Walker, James	Individual	5% or Greater Direct Ownership Interest	100%	07/01/2002
Rose, Kenneth	Individual	Contracted Managing Employee	NOT APPLICABLE	01/01/2023
Walker, James	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2002

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
"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
El Reposo Nursing Facility	0.9 mi	Florence, AL	★★★☆☆	3/5
Florence Nursing and Rehabilitation Ctr, LLC	2.9 mi	Florence, AL	★★★☆☆	3/5
Glenwood Center	3.6 mi	Florence, AL	★☆☆☆☆	1/5
Keller Landing	4.7 mi	Tuscumbia, AL	★★★★★	5/5
Cypress Cove Care Center	5.3 mi	Muscle Shoals, AL	★★★★★	5/5
Cottage of the Shoals	5.6 mi	Tuscumbia, AL	★★★★☆	4/5
Lauderdale Christian Nursing Home	12.8 mi	Killen, AL	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Florence →

Facility data as of CMS processing date 2026-08-01. CCN 015031.

The Care File

Visit checklist — Mitchell-Hollingsworth Nursing & Rehabilitation

805 Flagg Circle, Florence, AL 35631 · 2567405400

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

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
☐ "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 015031 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)