Alabama ›Russellville

Terrace Manor Nursing & Rehabilitation Center, INC

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390 Underwood Road, Russellville, AL 35653 (opens Google Maps) · Franklin County · (256) 332-3826· 63 certified beds · avg 54 residents/day · certified since Aug 1, 1976 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: ADVANCED HEALTH CARE MANAGEMENT (6 facilities, chain avg rating 3.3★)

5/5
Health inspection rating (on-site)
inspected Aug 26, 2021
0
Serious findings on record
$0
Fines, last 3 years
4.50
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →

⚠ 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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 4 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    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. F-0607

  2. D · Potential for more than minimal harm, isolated

    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. F-0677

  3. D · Potential for more than minimal harm, isolated

    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. F-0695

View all 4 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jun 8, 2018D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607
Jun 8, 2018D · Potential for more than minimal harm, isolatedThe 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. · F-0677
Jun 8, 2018D · Potential for more than minimal harm, isolatedThe 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. · F-0695
Jun 8, 2018D · Potential for more than minimal harm, isolatedThe 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. · F-0880

Inspection trend by year

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2018
All citations: 4
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
201840D

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityAlabama averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.50
Alabama average: 4.43
U.S. average: 3.95
Registered Nurse hours
This facility: 0.82
Alabama average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.65
Alabama average: 3.73
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityAlabama avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.504.433.95top 46% in Alabama; top 23% in the U.S.
Registered Nurse hours0.820.740.69top 29% in Alabama; top 26% in the U.S.
Weekend total nurse staffing3.653.733.50bottom 44% in Alabama; top 35% in the U.S.
Weekend RN hours (not acuity-adjusted)0.280.360.48bottom 38% in Alabama; bottom 28% in the U.S.
Total nursing staff turnover (%)37.346.945.8top 23% in Alabama; top 30% in the U.S.
RN turnover (%)10.039.542.9top 4% in Alabama; top 4% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.01 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 3/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Terrace Manor Nursing & Rehabilitation Center, INC. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Cain, BrianIndividualDirect Ownership InterestNOT APPLICABLE01/01/2016
DT Investments LLCOrganizationDirect Ownership InterestNOT APPLICABLE01/01/2016
Griffin, TroyIndividualIndirect Ownership InterestNOT APPLICABLE01/01/2016
Hubbard, BrienIndividual5% or Greater Indirect Ownership Interest8%01/01/2016
Hubbard, GeneIndividual5% or Greater Indirect Ownership Interest25%01/01/2016
Providence Holdings LLCOrganizationDirect Ownership InterestNOT APPLICABLE01/01/2016
Advanced Healthcare Management, INCOrganizationOperational/Managerial ControlNOT APPLICABLE01/01/2016
Advanced Healthcare Management, INCOrganizationADP of the SNFNOT APPLICABLE04/29/2026
Cain, BrianIndividualADP of the SNFNOT APPLICABLE01/01/2016
DT Investments LLCOrganizationADP of the SNFNOT APPLICABLE01/01/2016
Forsythe, DennisIndividualOperational/Managerial ControlNOT APPLICABLE09/04/2024
Forsythe, DennisIndividualADP of the SNFNOT APPLICABLE05/14/2026
Griffin, TroyIndividualCorporate OfficerNOT APPLICABLE01/01/2016
Griffin, TroyIndividualADP of the SNFNOT APPLICABLE01/01/2016
Hubbard, BrienIndividualADP of the SNFNOT APPLICABLE01/01/2016
Hubbard, GeneIndividualCorporate OfficerNOT APPLICABLE01/01/2016
Hubbard, GeneIndividualADP of the SNFNOT APPLICABLE11/20/2015
Kelly, KevinIndividualADP of the SNFNOT APPLICABLE05/14/2026
Paradigm Healthcare Consultants, INC.OrganizationADP of the SNFNOT APPLICABLE01/01/2016
Providence Holdings LLCOrganizationADP of the SNFNOT APPLICABLE01/01/2016

All 20 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Advanced Health Care Management — 6 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Alabama midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 37% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 20 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Everstead Health and Rehabilitation Center0.2 miRussellville, AL★★☆☆☆3/5
Burns Nursing Home, INC.1.0 miRussellville, AL★★☆☆☆2/5
Cottage of the Shoals15.0 miTuscumbia, AL★★★★☆4/5
Keller Landing15.8 miTuscumbia, AL★★★★★5/5
Cypress Cove Care Center16.6 miMuscle Shoals, AL★★★★★5/5
El Reposo Nursing Facility20.0 miFlorence, AL★★★☆☆3/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Franklin, AL — 4 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Russellville →

Facility data as of CMS processing date 2026-08-01. CCN 015066.

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