Village at Cook Springs Skilled Nursing Facility
415 Cook Springs, Pell City, AL 35125 · St. Clair County · 168 certified beds · avg 132 residents/day · certified since Dec 1, 1977
Part of chain: NOLAND HEALTH (10 facilities, chain avg rating 2.7★)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jul 28, 2019 · F-0600
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 19, 2019 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 28, 2019 · F-0656
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 19, 2019 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 28, 2019 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 19, 2019 (Deficient, Provider has date of correction)
All citations in the current public record (12)
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 |
|---|---|---|
| Dec 20, 2023 | 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. · from a complaint |
| Dec 20, 2023 | 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. · from a complaint |
| Jul 28, 2019 | ▲ J · Immediate jeopardy, 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. |
| Jul 28, 2019 | ▲ J · Immediate jeopardy, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jul 28, 2019 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 28, 2019 | 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. |
| Jul 28, 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. |
| Aug 16, 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 16, 2018 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Aug 16, 2018 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 16, 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. |
| Aug 16, 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 |
| 2019 | 5 | 3 | J ▲ |
| 2023 | 2 | 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) | 4.35 | 4.43 | 3.95 | bottom 45% in Alabama; top 27% in the U.S. |
| Registered Nurse hours | 0.61 | 0.74 | 0.69 | bottom 30% in Alabama; top 47% in the U.S. |
| Weekend total nurse staffing | 3.72 | 3.73 | 3.50 | top 47% in Alabama; top 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.36 | 0.48 | bottom 28% in Alabama; bottom 24% in the U.S. |
| Total nursing staff turnover (%) | 57.7 | 46.9 | 45.8 | bottom 17% in Alabama; bottom 20% in the U.S. |
| RN turnover (%) | 57.1 | 39.5 | 42.9 | bottom 19% in Alabama; bottom 26% 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 3.71, RN 0.52, weekend 3.18. Staffing rating: 3/5.
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: 3/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Adamson, Michele | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/10/2017 |
| Adamson, Michele | Individual | Corporate Director | NOT APPLICABLE | 05/10/2017 |
| Blackwell, Crystal | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/09/2025 |
| Blackwell, Crystal | Individual | ADP of the SNF | NOT APPLICABLE | 03/09/2025 |
| Britton, Isaac | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/27/2013 |
| Britton, Isaac | Individual | Corporate Director | NOT APPLICABLE | 09/27/2013 |
| Buterworth, Beronica | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/02/2023 |
| Buterworth, Beronica | Individual | ADP of the SNF | NOT APPLICABLE | 07/02/2023 |
| Estep, Barbara | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2024 |
| Estep, Barbara | Individual | Corporate Director | NOT APPLICABLE | 04/01/2024 |
| Estep, Barbara | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Estep, Barbara | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Flippo Enterprises LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2018 |
| Flippo, Gregory | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/02/2009 |
| Flippo, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 04/02/2009 |
| Goff, Robert | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/10/2005 |
| Goff, Robert | Individual | Corporate Director | NOT APPLICABLE | 10/10/2005 |
| Hall, Matthew | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/31/2022 |
| Hall, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/31/2022 |
| Hall, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 01/31/2022 |
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?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "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 |
|---|---|---|---|---|---|
| Diversicare of Pell City | 4.6 mi | Pell City, AL | ★★☆☆☆ | 2/5 | |
| Meadowview Nursing Center | 6.1 mi | Pell City, AL | ★★★★☆ | 4/5 | |
| Cavalier Healthcare of Trussville | 12.6 mi | Trussville, AL | ★★★☆☆ | 4/5 | |
| Kirkwood by the River | 14.9 mi | Birmingham, AL | ★★★☆☆ | 4/5 | |
| Highlands Rehabilitation and Wellness Center | 15.9 mi | Birmingham, AL | ★★☆☆☆ | 1/5 | |
| East Glen | 15.9 mi | Birmingham, AL | ★★★☆☆ | 3/5 | |
| The Healthcare Center of Eastview | 19.3 mi | Birmingham, AL | ★★☆☆☆ | 2/5 | |
| St Martin's in the Pines | 19.5 mi | Irondale, AL | ★★☆☆☆ | 2/5 | |
| Health Care INC | 19.7 mi | Ashville, AL | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 015195.