Troy Health & Rehabilitation Center

Name: Troy Health & Rehabilitation Center
Address: 515 ELBA HIGHWAY, Troy, AL, 36079, US
Telephone: 3345660880

515 Elba Highway, Troy, AL 36079 · Pike County · 220 certified beds · avg 130 residents/day · certified since Jan 1, 1978

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.85

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

⚠ 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 (10)

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
Oct 20, 2022	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Oct 20, 2022	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.
Oct 20, 2022	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.
Oct 20, 2022	F · Potential for harm, facility-wide	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.
Oct 20, 2022	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.
Oct 20, 2022	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 24, 2019	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.
Oct 24, 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.
Oct 25, 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.
Oct 25, 2018	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 6).

Year	Citations	Worst severity that year
2018	2	F
2019	2	F
2022	6	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)	3.85	4.43	3.95	bottom 17% in Alabama; top 46% in the U.S.
Registered Nurse hours	0.52	0.74	0.69	bottom 17% in Alabama; bottom 41% in the U.S.
Weekend total nurse staffing	3.18	3.73	3.50	bottom 17% in Alabama; bottom 41% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.06	0.36	0.48	bottom 1% in Alabama; bottom 1% in the U.S.
Total nursing staff turnover (%)	40.4	46.9	45.8	top 28% in Alabama; top 37% in the U.S.
RN turnover (%)	18.2	39.5	42.9	top 14% in Alabama; top 12% 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 3.50, RN 0.48, weekend 2.89. 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: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Kelly, James	Individual	5% or Greater Indirect Ownership Interest	5%	07/20/2003
Marx IV, Victor	Individual	5% or Greater Indirect Ownership Interest	5%	10/20/2019
Marx, V.	Individual	5% or Greater Direct Ownership Interest	90%	11/01/2003
Kelly, James	Individual	W-2 Managing Employee	NOT APPLICABLE	07/20/2003
Marx IV, Victor	Individual	W-2 Managing Employee	NOT APPLICABLE	10/20/2019
Marx, V.	Individual	W-2 Managing Employee	NOT APPLICABLE	11/01/2003
Walden, Ovida	Individual	W-2 Managing Employee	NOT APPLICABLE	08/01/2019
Walden, Ovida	Individual	Corporate Officer	NOT APPLICABLE	08/01/2019

Questions to ask on your visit

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

"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can I see where garbage is stored and how often it's removed?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"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
Luverne Health and Rehabilitation, LLC	18.3 mi	Luverne, AL	★★★★☆	4/5

Compare this facility with the 1 closest →

All facilities in Troy →

Facility data as of CMS processing date 2026-08-01. CCN 015213.

The Care File

Visit checklist — Troy Health & Rehabilitation Center

515 Elba Highway, Troy, AL 36079 · 3345660880

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "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 015213 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)