32.2% of residents receive antipsychotic medication — above the national average of 16.7%. Ask staff about non-medication approaches to dementia care.
⚠️ Short-Stay Rehab
20.8% rehospitalization rate — near the national average of 23.9%.
⚠️ Bedridden / Immobile Residents
5.5% pressure ulcer rate — near the national average.
⚠️ ️ Fall-Risk Residents
4.5% falls with major injury — near the national average.
Overall Rating 2022–2026
Total Nurse Hours/Day 2022–2026
Quality Measures vs National Average
Long-Stay Residents
Antipsychotic Medication Uselong-stay
32.2% +15.5% vs national
National avg: 16.7% | 4-quarter average (2024Q4–2025Q3)
Falls with Major Injurylong-stay
4.5% +1.3% vs national
National avg: 3.3% | 4-quarter average (2024Q4–2025Q3)
Pressure Ulcerslong-stay
5.5% +0.4% vs national
National avg: 5.1% | 4-quarter average (2024Q4–2025Q3)
Daily Activity Declinelong-stay
16.5% +1.6% vs national
National avg: 14.9% | 4-quarter average (2024Q4–2025Q3)
Walking/Mobility Worsenedlong-stay
11.5% -4.8% vs national
National avg: 16.3% | 4-quarter average (2024Q4–2025Q3)
Urinary Tract Infectionslong-stay
1.1% -0.6% vs national
National avg: 1.7% | 4-quarter average (2024Q4–2025Q3)
Residents with Depressive Symptomslong-stay
0.3% -11.0% vs national
National avg: 11.4% | 4-quarter average (2024Q4–2025Q3)
Physical Restraints Usedlong-stay
0.0% -0.1% vs national
National avg: 0.1% | 4-quarter average (2024Q4–2025Q3)
Residents Losing Too Much Weightlong-stay
1.1% -4.3% vs national
National avg: 5.4% | 4-quarter average (2024Q4–2025Q3)
Short-Stay / Rehab Residents
Rehospitalized After Admissionshort-stay
20.8% -3.1% vs national
National avg: 23.9% | 4-quarter average (2024Q4–2025Q3)
Emergency Dept. Visit Rateshort-stay
12.2% +0.2% vs national
National avg: 12.0% | 4-quarter average (2024Q4–2025Q3)
Quality Measure Trends (2022–2026)
Antipsychotic Medication Use % (lower = better)
Falls with Major Injury % (lower = better)
Pressure Ulcers % (lower = better)
Rehospitalization Rate % (lower = better)
Why does a facility with 1 CMS star sometimes have a higher composite score? CMS star ratings place hundreds of facilities into just 5 buckets. Our composite score uses the raw underlying data to rank facilities more precisely. A 1-star facility may have been penalized in health inspection while performing well in staffing and quality care. Read our methodology.
Current CMS Ratings (2026)
Overall Rating
★★★★★3 / 5
Health Inspection
★★★★★3 / 5
Staffing Rating
★★★★★4 / 5
Quality Measures (QM)
★★★★★3 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM) Rating
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightNorthside Health Care currently provides 4 hours 21 minutes of total nurse staffing per resident per day, including 40 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 4 out of 5 reflects strong nurse coverage. Total nursing staff turnover is high at 54.5%, which can affect care continuity.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing4 hours 21 minutes
Nurse Aide Hours3 hours 2 minutes
Licensed Practical Nurse (LPN) Hours39 minutes
Registered Nurse (RN) Hours40 minutes
Physical Therapist Hours1 minute
National average total nurse staffing is approximately 3.9 hours per resident per day (CMS, March 2026).
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours3 hours 41 minutes
Weekend Registered Nurse (RN) Hours23 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
5-Year Compliance Record (2022–2026)
⚠️ 72 citations over 5 years
Total citations (2022–2026)72
Citations causing actual harm (severity G+)0
Immediate jeopardy citations (most serious)0
Complaint-driven citations12
Abuse / neglect related citations0
Government fines (2022–2026)1
Total fines paid$340,800
Medicare/Medicaid payment denial days0
Severity A–C: minor | D–F: potential harm | G–I: actual harm | J–L: immediate jeopardy. Data covers 2022–2026.
Nationally, Northside Health Care ranks 6181st out of 14,703 facilities (composite score: 74.5/100), placing it in the above average nationwide. Within AL, it ranks 74th out of 224 nursing homes. In Gadsden, it ranks 2nd out of 3 facilities. For 2026 staffing: total nurse hours rank #2,958 nationally and RN hours rank #5,570 nationally (#86 in AL).
Total Nurse Staffing — Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
AL State Rank
2022
2.82
#12,661 / 14,703
#201 / 224
2023
3.19
#10,538 / 14,703
#167 / 224
2024
4.28
#2,854 / 14,703
#55 / 224
2025
3.58
#8,088 / 14,703
#157 / 224
2026
4.35
#2,958 / 14,703
#55 / 224
Registered Nurse (RN) Hours — Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
AL State Rank
2022
0.65
#6,048 / 14,703
#79 / 224
2023
0.57
#6,766 / 14,703
#87 / 224
2024
0.59
#6,317 / 14,703
#92 / 224
2025
0.51
#8,308 / 14,703
#157 / 224
2026
0.66
#5,570 / 14,703
#86 / 224
Total Nurse Rank — National (lower = better)
Registered Nurse Rank — National (lower = better)
Frequently Asked Questions
Northside Health Care is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1978-08-21. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (256) 543-7101 or your local Medicaid office to verify current eligibility.
Northside Health Care holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (3â ), Staffing (4â ), and Quality of Resident Care (3â ). Our independent composite quality score â which uses the raw underlying CMS numbers to break ties between similarly-rated facilities â is 74.5/100, placing it #6181 of 14703 facilities nationally and #74 of 224 in Alabama. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Northside Health Care receives a reported average of 4 hours 21 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage â 40 minutes; Licensed Practical Nurse (LPN) â 39 minutes; Nurse Aide â 3 hours 2 minutes. On weekends, total nurse staffing is 3 hours 41 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 54.5%. Families are encouraged to ask about current staffing schedules during their facility visit.
In the current reporting period, the facility received 1 fine(s) totaling $340,800. 3 substantiated complaints were recorded across the 5-year period â families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $340,800, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 22.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Northside Health Care ranks 6181st out of 14,703 facilities (composite score: 74.5/100), placing it in the above average nationwide. Within AL, it ranks 74th out of 224 nursing homes. In Gadsden, it ranks 2nd out of 3 facilities. For 2026 staffing: total nurse hours rank #2,958 nationally and RN hours rank #5,570 nationally (#86 in AL). Our composite quality score of 74.5/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends â giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Gadsden, visit: https://nursinghomesnearme.org/alabama/gadsden/
📌 Straight-line distances only — does not account for roads or terrain. Source: CMS Provider Data Catalog, March 2026. ⚠ = approximate location (ZIP centroid geocoding).
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org using a proprietary methodology. Learn how rankings are calculated. Information may not reflect current facility conditions. Always verify at medicare.gov/care-compare before making care decisions.