CMS Verified · Updated March 2026
Tlc Nursing Center
74.2
Score /100
4.0★
CMS Overall
4.0★
Health Inspection
4.0★
Quality Care
4.0★
Staffing
#2813
National Rank
Care Offered
- Long-Term Care
- Rehab / Short-Term
Medicare & Medicaid
- Accepts Medicare
- Accepts Medicaid
Facility Details
- 103 Certified Beds
- Ownership: For profit – Corporation
- Resident Council: Resident
- Auto Sprinklers: Yes
- Network: TRINITY MANAGEMENT, INC.
Quick Verdict
Overall Quality
✅ Above Average (4★) overall
Health Inspection
✅ Above Average (4★) health inspection
Staffing
✅ Above Average (4★) staffing
Quality of Care
✅ Above Average (4★) quality of care
Compliance
✅ No fines in 5 years
5-Year Trend
➡️ Stable over 5 years
Composite Quality Score
74.2
/ 100
Composite Quality Score
Built from 5 components using official CMS data. How it’s calculated →
Safety & Inspections (35 pts)
34.9 / 35
34.9 / 35
Quality of Care (25 pts)
18.8 / 25
18.8 / 25
Nurse Staffing (20 pts)
6.6 / 20
6.6 / 20
Compliance History (15 pts)
14.1 / 15
14.1 / 15
Staff Stability (10 pts)
6.9 / 10
6.9 / 10
Improvement Trend (+5 pts)
2.5 / 5
2.5 / 5
Is This Facility Right For Your Loved One?
✅ Dementia / Alzheimer’s
Only 9.9% of residents receive antipsychotic medication vs the national average of 16.7%. This is a strong indicator of person-centered dementia care.
❌ Short-Stay Rehab
28.5% rehospitalization rate — above the national average of 23.9%. Ask about discharge planning and care coordination.
⚠️ Bedridden / Immobile Residents
3.2% pressure ulcer rate — near the national average.
❌ ️ Fall-Risk Residents
4.8% falls with major injury — above the national average of 3.3%. Ask about fall assessment protocols.
Overall Rating 2022–2026
Total Nurse Hours/Day 2022–2026
Quality Measures vs National Average
Long-Stay Residents
Antipsychotic Medication Uselong-stay
9.9%
-6.8% vs national
-6.8% vs national
National avg: 16.7% | 4-quarter average (2024Q4–2025Q3)
Falls with Major Injurylong-stay
4.8%
+1.5% vs national
+1.5% vs national
National avg: 3.3% | 4-quarter average (2024Q4–2025Q3)
Pressure Ulcerslong-stay
3.2%
-1.9% vs national
-1.9% vs national
National avg: 5.1% | 4-quarter average (2024Q4–2025Q3)
Daily Activity Declinelong-stay
8.0%
-6.9% vs national
-6.9% vs national
National avg: 14.9% | 4-quarter average (2024Q4–2025Q3)
Walking/Mobility Worsenedlong-stay
7.7%
-8.6% vs national
-8.6% vs national
National avg: 16.3% | 4-quarter average (2024Q4–2025Q3)
Urinary Tract Infectionslong-stay
1.6%
-0.1% vs national
-0.1% vs national
National avg: 1.7% | 4-quarter average (2024Q4–2025Q3)
Residents with Depressive Symptomslong-stay
0.0%
-11.4% vs national
-11.4% vs national
National avg: 11.4% | 4-quarter average (2024Q4–2025Q3)
Physical Restraints Usedlong-stay
0.0%
-0.1% vs national
-0.1% vs national
National avg: 0.1% | 4-quarter average (2024Q4–2025Q3)
Residents Losing Too Much Weightlong-stay
2.7%
-2.7% vs national
-2.7% vs national
National avg: 5.4% | 4-quarter average (2024Q4–2025Q3)
Short-Stay / Rehab Residents
Rehospitalized After Admissionshort-stay
28.5%
+4.6% vs national
+4.6% vs national
National avg: 23.9% | 4-quarter average (2024Q4–2025Q3)
Emergency Dept. Visit Rateshort-stay
7.3%
-4.7% vs national
-4.7% 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
★★★★★4 / 5
Health Inspection
★★★★★4 / 5
Staffing Rating
★★★★★4 / 5
Quality Measures (QM)
★★★★★4 / 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 InsightTlc Nursing Center currently provides 3 hours 53 minutes of total nurse staffing per resident per day, including 37 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 4 out of 5 reflects strong nurse coverage. RN hours per resident have declined from 71 min/day (2022) to 37 min/day (2026) â a trend families should be aware of. Total nursing staff turnover is 30.9%, near the national average.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 53 minutes
Nurse Aide Hours2 hours 32 minutes
Licensed Practical Nurse (LPN) Hours44 minutes
Registered Nurse (RN) Hours37 minutes
Physical Therapist Hours0 minutes
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 20 minutes
Weekend Registered Nurse (RN) Hours15 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)
✅ No fines or serious findings in 5 years
Total citations (2022–2026)67
Citations causing actual harm (severity G+)0
Immediate jeopardy citations (most serious)0
Complaint-driven citations2
Abuse / neglect related citations0
Government fines (2022–2026)0
Total fines paid$0
Medicare/Medicaid payment denial days0
Severity A–C: minor | D–F: potential harm | G–I: actual harm | J–L: immediate jeopardy. Data covers 2022–2026.
Annual Trends
Government Fines ($) Per Year
Substantiated Complaints Per Year
Composite Quality Rankings
#2,813
of 14,703
National
Top 25%
Nationally, Tlc Nursing Center ranks 3793rd out of 14,703 facilities (composite score: 79.8/100), placing it in the above average nationwide. Within AL, it ranks 40th out of 224 nursing homes. In Oneonta, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #5,647 nationally and RN hours rank #6,435 nationally (#111 in AL).
How are these rankings calculated? →
Total Nurse Staffing — Year-by-Year National and State Ranks
| Year | Hours/Day | National Rank | AL State Rank |
|---|---|---|---|
| 2022 | 4.45 | #2,327 / 14,703 | #28 / 224 |
| 2023 | 3.81 | #5,317 / 14,703 | #103 / 224 |
| 2024 | 4.18 | #3,282 / 14,703 | #63 / 224 |
| 2025 | 3.52 | #8,601 / 14,703 | #164 / 224 |
| 2026 | 3.88 | #5,647 / 14,703 | #118 / 224 |
Registered Nurse (RN) Hours — Year-by-Year National and State Ranks
| Year | Hours/Day | National Rank | AL State Rank |
|---|---|---|---|
| 2022 | 1.18 | #1,259 / 14,703 | #4 / 224 |
| 2023 | 0.79 | #3,403 / 14,703 | #25 / 224 |
| 2024 | 1.02 | #1,697 / 14,703 | #6 / 224 |
| 2025 | 0.86 | #2,924 / 14,703 | #25 / 224 |
| 2026 | 0.61 | #6,435 / 14,703 | #111 / 224 |
Total Nurse Rank — National (lower = better)
Registered Nurse Rank — National (lower = better)
Frequently Asked Questions
Tlc Nursing Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1993-02-04. 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 (205) 625-3520 or your local Medicaid office to verify current eligibility.
Tlc Nursing Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4â
), Staffing (4â
), and Quality of Resident Care (4â
). Our independent composite quality score â which uses the raw underlying CMS numbers to break ties between similarly-rated facilities â is 79.8/100, placing it #3793 of 14703 facilities nationally and #40 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 Tlc Nursing Center receives a reported average of 3 hours 53 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage â 37 minutes; Licensed Practical Nurse (LPN) â 44 minutes; Nurse Aide â 2 hours 32 minutes. On weekends, total nurse staffing is 3 hours 20 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 30.9%. Families are encouraged to ask about current staffing schedules during their facility visit.
Tlc Nursing Center has received zero fines across all five years of available data (2022â2026), reflecting a strong regulatory compliance record. One substantiated complaint was recorded across the 5-year period. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 6.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Tlc Nursing Center ranks 3793rd out of 14,703 facilities (composite score: 79.8/100), placing it in the above average nationwide. Within AL, it ranks 40th out of 224 nursing homes. In Oneonta, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #5,647 nationally and RN hours rank #6,435 nationally (#111 in AL). Our composite quality score of 79.8/100 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 Oneonta, visit: https://nursinghomesnearme.org/alabama/oneonta/
Contact and Location
ADR
Address
212 ELLEN STREET, Oneonta, AL 35121
Get directions on Google Maps
TEL
Phone
LLC
Legal Name
DHS OF BLOUNT COUNTY, LLC
MAP
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Facility Details
| Certified Beds | 103 |
| Avg Residents / Day | 92 (90% occupancy) |
| Ownership Type | For profit – Corporation |
| Provider Type | Medicare and Medicaid |
| County | Blount County, AL |
| City | Oneonta, AL |
| ZIP Code | 35121 |
| Approved Since | February 4, 1993 |
| Resident Council | ✅ Yes |
| Auto Sprinklers | ✅ All areas |
| Ownership Changed | No |
| CMS Certification # | 015422 |
| Last Inspection | October 24, 2019 |
| CMS Data Updated | March 1, 2026 |
10 Closest Nursing Homes
The 10 nearest CMS-certified nursing homes to this facility, measured in straight-line distance. Use this to compare alternatives in the area.
📌 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.
Data: CMS Nursing Home Compare · March 2026 ·
Ranked among 14703 U.S. facilities ·
Ranking Methodology ·
NursingHomesNearMe.org
Ranked among 14703 U.S. facilities ·
Ranking Methodology ·
NursingHomesNearMe.org