Terrace Manor Nursing & Rehabilitation Center, INC
390 Underwood Road, Russellville, AL 35653 · Franklin County · 63 certified beds · avg 54 residents/day · certified since Aug 1, 1976
Part of chain: ADVANCED HEALTH CARE MANAGEMENT (6 facilities, chain avg rating 3.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
⚠ 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 |
|---|---|---|
| Jun 8, 2018 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Jun 8, 2018 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 8, 2018 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jun 8, 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
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 4 | 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) | 4.50 | 4.43 | 3.95 | top 46% in Alabama; top 23% in the U.S. |
| Registered Nurse hours | 0.82 | 0.74 | 0.69 | top 29% in Alabama; top 26% in the U.S. |
| Weekend total nurse staffing | 3.65 | 3.73 | 3.50 | bottom 44% in Alabama; top 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.36 | 0.48 | bottom 38% in Alabama; bottom 28% in the U.S. |
| Total nursing staff turnover (%) | 37.3 | 46.9 | 45.8 | top 23% in Alabama; top 30% in the U.S. |
| RN turnover (%) | 10.0 | 39.5 | 42.9 | top 4% in Alabama; top 4% 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 4.01, RN 0.73, weekend 3.25. Staffing rating: 5/5.
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: 5/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cain, Brian | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2016 |
| DT Investments LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/01/2016 |
| Griffin, Troy | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2016 |
| Hubbard, Brien | Individual | 5% or Greater Indirect Ownership Interest | 8% | 01/01/2016 |
| Hubbard, Gene | Individual | 5% or Greater Indirect Ownership Interest | 25% | 01/01/2016 |
| Providence Holdings LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/01/2016 |
| Advanced Healthcare Management, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2016 |
| Advanced Healthcare Management, INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/29/2026 |
| Cain, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2016 |
| DT Investments LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2016 |
| Forsythe, Dennis | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/04/2024 |
| Forsythe, Dennis | Individual | ADP of the SNF | NOT APPLICABLE | 05/14/2026 |
| Griffin, Troy | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2016 |
| Griffin, Troy | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2016 |
| Hubbard, Brien | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2016 |
| Hubbard, Gene | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2016 |
| Hubbard, Gene | Individual | ADP of the SNF | NOT APPLICABLE | 11/20/2015 |
| Kelly, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 05/14/2026 |
| Paradigm Healthcare Consultants, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2016 |
| Providence Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2016 |
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 specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 | Flags |
|---|---|---|---|---|---|
| Everstead Health and Rehabilitation Center | 0.2 mi | Russellville, AL | ★★☆☆☆ | 3/5 | |
| Burns Nursing Home, INC. | 1.0 mi | Russellville, AL | ★★☆☆☆ | 2/5 | |
| Cottage of the Shoals | 15.0 mi | Tuscumbia, AL | ★★★★☆ | 4/5 | |
| Keller Landing | 15.8 mi | Tuscumbia, AL | ★★★★★ | 5/5 | |
| Cypress Cove Care Center | 16.6 mi | Muscle Shoals, AL | ★★★★★ | 5/5 | |
| El Reposo Nursing Facility | 20.0 mi | Florence, AL | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
All facilities in Russellville →
Facility data as of CMS processing date 2026-08-01. CCN 015066.