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 →
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
1/5
Health inspection rating (on-site)
inspected Nov 30, 2024
7
Serious findings on record
most recent Nov 30, 2024
$235,127
Fines, last 3 years
4.22
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, widespread · Nov 30, 2024 · F-0835 · triggered by a complaint
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (L): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 28, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, widespread · Nov 30, 2024 · F-0837 · triggered by a complaint
The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility.
Why it matters: Weak leadership and accountability at the top often show up as problems in residents' daily care.
Severity (L): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 28, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, widespread · Nov 30, 2024 · F-0867 · triggered by a complaint
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Why it matters: Without a working quality program, the same care problems tend to repeat instead of getting fixed.
Severity (L): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 28, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · Nov 30, 2024 · F-0600 · triggered by a complaint
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 (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 28, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · Nov 30, 2024 · F-0607 · triggered by a complaint
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.
Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 28, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · Nov 30, 2024 · F-0610 · triggered by a complaint
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 28, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Nov 30, 2024 · F-0609 · triggered by a complaint
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.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 28, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 18 inspection findings. Open the full record below to read every finding.
L · Immediate jeopardy, widespread
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaintF-0835
L · Immediate jeopardy, widespread
The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility. · from a complaintF-0837
L · Immediate jeopardy, widespread
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaintF-0867
View all 18 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.
Date
Severity
What the facility was cited for
Nov 30, 2024
▲ L · Immediate jeopardy, widespread
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint · F-0835
Nov 30, 2024
▲ L · Immediate jeopardy, widespread
The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility. · from a complaint · F-0837
Nov 30, 2024
▲ L · Immediate jeopardy, widespread
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint · F-0867
Nov 30, 2024
▲ K · Immediate jeopardy, pattern
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. · from a complaint · F-0600
Nov 30, 2024
▲ K · Immediate jeopardy, pattern
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. · from a complaint · F-0607
Nov 30, 2024
▲ K · Immediate jeopardy, pattern
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Nov 30, 2024
▲ J · Immediate jeopardy, isolated
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. · from a complaint · F-0609
Nov 30, 2024
F · Potential for more than minimal harm, widespread
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. · from a complaint · F-0812
Nov 30, 2024
E · Potential for more than minimal harm, pattern
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658
Nov 30, 2024
D · Potential for more than minimal harm, isolated
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Nov 30, 2024
C · Potential for minimal harm, widespread
The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732
Feb 6, 2020
D · Potential for more than minimal harm, isolated
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Feb 6, 2020
D · Potential for more than minimal harm, isolated
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. · F-0880
Nov 20, 2018
F · Potential for more than minimal harm, widespread
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. · F-0812
Nov 20, 2018
F · Potential for more than minimal harm, widespread
The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Nov 20, 2018
E · Potential for more than minimal harm, pattern
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. · F-0880
Nov 20, 2018
D · Potential for more than minimal harm, isolated
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Nov 20, 2018
D · Potential for more than minimal harm, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 10).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2018
All citations:
5
Serious citations (G–L):
0
2020
All citations:
2
Serious citations (G–L):
0
2024
All citations:
11
Serious citations (G–L):
7
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2018
5
0
F
2020
2
0
D
2024
11
7
L ▲
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.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Nov 30, 2024
Fine
$235,127
Nurse staffing (from payroll records, adjusted for how much care residents need)
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:
4.22
Alabama average:
4.43
U.S. average:
3.95
Registered Nurse hours
This facility:
0.65
Alabama average:
0.74
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.31
Alabama average:
3.73
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
Measure
This facility
Alabama avg
U.S. avg
Where it stands
Total nurse staffing (hours per resident per day)
4.22
4.43
3.95
bottom 36% in Alabama; top 31% in the U.S.
Registered Nurse hours
0.65
0.74
0.69
bottom 36% in Alabama; top 42% in the U.S.
Weekend total nurse staffing
3.31
3.73
3.50
bottom 22% in Alabama; bottom 48% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.23
0.36
0.48
bottom 22% in Alabama; bottom 17% in the U.S.
Total nursing staff turnover (%)
68.8
46.9
45.8
bottom 6% in Alabama; bottom 7% in the U.S.
RN turnover (%)
100.0
39.5
42.9
bottom 2% in Alabama; bottom 1% 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 3.71, RN 0.57, weekend 2.91.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.71 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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.
No verified facility-specific private-pay price is available in our data for Walker Rehabilitation Center, INC. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
CMS records place this facility in Walker, AL — 5 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Facility data as of CMS processing date 2026-08-01. CCN 015408.
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The Care File
Visit checklist — Walker Rehabilitation Center, INC
350 Northeast 4th Street, Carbon Hill, AL 35549 · (205) 924-4404
Health inspection rating 1/5 · CMS overall 1/5 · ▲ FEDERAL ABUSE CITATION FLAG · SFF Candidate· Fines (3y): $235,127
Most serious findings on record:
▲ Nov 30, 2024 (F-0835, Immediate jeopardy, widespread): The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
▲ Nov 30, 2024 (F-0837, Immediate jeopardy, widespread): The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility.
▲ Nov 30, 2024 (F-0867, Immediate jeopardy, widespread): The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Questions for the administrator:
☐ "What were the findings behind this administration citation, and what has leadership changed since?"
☐ "Who owns and governs this facility, and how long has the current administrator been here?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "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?"
☐ "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 69% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "CMS lists this facility under its Special Focus program — what is being done differently, and by when?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
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 015408 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)