Timberland Health and Wellness Center
1406 East Pushmataha Street, Butler, AL 36904 · Choctaw County · 120 certified beds · avg 67 residents/day · certified since Mar 1, 1977
Part of chain: ARABELLA HEALTHCARE MANAGEMENT (12 facilities, chain avg rating 2.6★)
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 (5)
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 |
|---|---|---|
| Mar 1, 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. |
| Mar 1, 2018 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 1, 2018 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Mar 1, 2018 | 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. |
| Mar 1, 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 | 5 | 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 37% in Alabama; top 20% in the U.S. |
| Registered Nurse hours | 1.16 | 0.74 | 0.69 | top 7% in Alabama; top 10% in the U.S. |
| Weekend total nurse staffing | 3.67 | 3.73 | 3.50 | bottom 47% in Alabama; top 34% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.36 | 0.48 | top 35% in Alabama; bottom 50% in the U.S. |
| Total nursing staff turnover (%) | 64.2 | 46.9 | 45.8 | bottom 8% in Alabama; bottom 11% in the U.S. |
| RN turnover (%) | 50.0 | 39.5 | 42.9 | bottom 34% in Alabama; bottom 39% 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 3.63, RN 0.91, weekend 2.88. 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: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Arabella Health & Wellness of Butler Propco LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 08/25/2023 |
| Arabella Health & Wellness of Butler Propco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/25/2023 |
| Arabella Healthcare Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/25/2023 |
| Arabella Healthcare Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/17/2025 |
| Arco Kano Irrv Tr | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2024 |
| Armistead, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Armistead, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Fein, Miriam | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/17/2025 |
| GNH Irrv Tr | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2024 |
| Hertzel, Chaim | Individual | Corporate Officer | NOT APPLICABLE | 08/25/2023 |
| Hertzel, Chaim | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/25/2023 |
| Hertzel, Chaim | Individual | ADP of the SNF | NOT APPLICABLE | 08/25/2023 |
| Hwood Partners LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2024 |
| Jenkins, Leigh | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/14/2023 |
| Jenkins, Leigh | Individual | ADP of the SNF | NOT APPLICABLE | 08/14/2023 |
| Zlotowitz, Eliyahu | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/17/2025 |
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 give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 |
|---|---|---|---|---|---|
| Marengo Nursing Home | 28.3 mi | Linden, AL | ★★★★☆ | 4/5 | |
| Sumter Health and Rehabilitation, L L C | 28.4 mi | York, AL | ★★★☆☆ | 3/5 | |
| Diversicare of Quitman | 29.4 mi | Quitman, MS | ★★★☆☆ | 3/5 | |
| Crowne Health Care of Thomasville | 29.6 mi | Thomasville, AL | ★★★★★ | 5/5 | |
| Marion Health and Rehab, LLC | 34.4 mi | Marion, MS | ★☆☆☆☆ | 1/5 | |
| The Oaks Rehabilitation and Healthcare Center | 34.9 mi | Meridian, MS | ★☆☆☆☆ | 1/5 | |
| Trend Health & Rehab of Meridian LLC | 34.9 mi | Meridian, MS | ★★★★☆ | 4/5 | |
| Arabella Health & Wellness of Meridian | 35.0 mi | Meridian, MS | ★★★★☆ | 4/5 | |
| Diversicare of Meridian | 35.3 mi | Meridian, MS | ★☆☆☆☆ | 1/5 | |
| Woodhaven Manor Nursing Home | 35.5 mi | Demopolis, AL | ★★★★★ | 5/5 | |
| North Pointe Health & Rehabilitation | 36.4 mi | Meridian, MS | ★★★★★ | 4/5 | |
| Poplar Springs Nursing Ctr, LLC | 37.2 mi | Meridian, MS | ★★☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 015164.