CMS Verified · Updated March 2026
Health Care Inc
61.1
Score /100
2.0★
CMS Overall
3.0★
Health Inspection
3.0★
Quality Care
1.0★
Staffing
#9238
National Rank
Care Offered
- Long-Term Care
- Rehab / Short-Term
Medicare & Medicaid
- Accepts Medicare
- Accepts Medicaid
Facility Details
- 53 Certified Beds
- Ownership: For profit – Individual
- Resident Council: Both
- Auto Sprinklers: Yes
Quick Verdict
Overall Quality
⚠️ Below Average (2★) overall
Health Inspection
⚠️ Average (3★) health inspection
Staffing
❌ Poor (1★) staffing
Quality of Care
⚠️ Average (3★) quality of care
Compliance
❌ 16 fine(s) over 5 years
5-Year Trend
Improving over 5 years
Composite Quality Score
61.1
/ 100
Composite Quality Score
Built from 5 components using official CMS data. How it’s calculated →
Safety & Inspections (35 pts)
34.6 / 35
34.6 / 35
Quality of Care (25 pts)
12.5 / 25
12.5 / 25
Nurse Staffing (20 pts)
3.6 / 20
3.6 / 20
Compliance History (15 pts)
13.3 / 15
13.3 / 15
Staff Stability (10 pts)
4.0 / 10
4.0 / 10
Improvement Trend (+5 pts)
3.8 / 5
3.8 / 5
Is This Facility Right For Your Loved One?
❌ Dementia / Alzheimer’s
60.7% of residents receive antipsychotic medication — above the national average of 16.7%. Ask staff about non-medication approaches to dementia care.
⚠️ Bedridden / Immobile Residents
3.8% pressure ulcer rate — near the national average.
❌ ️ Fall-Risk Residents
5.5% 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
60.7%
+44.0% vs national
+44.0% vs national
National avg: 16.7% | 4-quarter average (2024Q4–2025Q3)
Falls with Major Injurylong-stay
5.5%
+2.3% vs national
+2.3% vs national
National avg: 3.3% | 4-quarter average (2024Q4–2025Q3)
Pressure Ulcerslong-stay
3.8%
-1.2% vs national
-1.2% vs national
National avg: 5.1% | 4-quarter average (2024Q4–2025Q3)
Daily Activity Declinelong-stay
5.4%
-9.5% vs national
-9.5% vs national
National avg: 14.9% | 4-quarter average (2024Q4–2025Q3)
Walking/Mobility Worsenedlong-stay
1.6%
-14.7% vs national
-14.7% vs national
National avg: 16.3% | 4-quarter average (2024Q4–2025Q3)
Urinary Tract Infectionslong-stay
2.0%
+0.3% vs national
+0.3% 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
6.9%
+1.6% vs national
+1.6% vs national
National avg: 5.4% | 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
★★★★★2 / 5
Health Inspection
★★★★★3 / 5
Staffing Rating
★★★★★1 / 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 InsightHealth Care Inc currently provides 3 hours 19 minutes of total nurse staffing per resident per day, including 20 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average â a point worth discussing with facility management before admission. Total nursing staff turnover is high at 59.6%, which can affect care continuity.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 19 minutes
Nurse Aide Hours2 hours 10 minutes
Licensed Practical Nurse (LPN) Hours49 minutes
Registered Nurse (RN) Hours20 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 Hours2 hours 46 minutes
Weekend Registered Nurse (RN) Hours14 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)
⚠️ Some compliance concerns over 5 years
Total citations (2022–2026)37
Citations causing actual harm (severity G+)6
Immediate jeopardy citations (most serious)6
Complaint-driven citations15
Abuse / neglect related citations4
Government fines (2022–2026)16
Total fines paid$265,546
Medicare/Medicaid payment denial days0
Severity A–C: minor | D–F: potential harm | G–I: actual harm | J–L: immediate jeopardy. Data covers 2022–2026.
Annual Trends
Government Fines ($) Per Year
Substantiated Complaints Per Year
Composite Quality Rankings
#9,238
of 14,703
National
Below average
Nationally, Health Care Inc ranks 9293rd out of 14,703 facilities (composite score: 67.7/100), placing it in the below average nationwide. Within AL, it ranks 151st out of 224 nursing homes. For 2026 staffing: total nurse hours rank #10,854 nationally and RN hours rank #12,283 nationally (#213 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 | 1.27 | #14,042 / 14,703 | #216 / 224 |
| 2023 | 1.59 | #14,069 / 14,703 | #213 / 224 |
| 2024 | 4.13 | #3,552 / 14,703 | #73 / 224 |
| 2025 | 3.06 | #12,573 / 14,703 | #205 / 224 |
| 2026 | 3.32 | #10,854 / 14,703 | #183 / 224 |
Registered Nurse (RN) Hours — Year-by-Year National and State Ranks
| Year | Hours/Day | National Rank | AL State Rank |
|---|---|---|---|
| 2022 | 0.21 | #13,494 / 14,703 | #215 / 224 |
| 2023 | 0.00 | #14,151 / 14,703 | #213 / 224 |
| 2024 | 0.42 | #10,057 / 14,703 | #179 / 224 |
| 2025 | 0.36 | #11,642 / 14,703 | #201 / 224 |
| 2026 | 0.33 | #12,283 / 14,703 | #213 / 224 |
Total Nurse Rank — National (lower = better)
Registered Nurse Rank — National (lower = better)
Frequently Asked Questions
Health Care Inc is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1990-08-22. 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) 594-5148 or your local Medicaid office to verify current eligibility.
Health Care Inc holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (3â
), Staffing (1â
), 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 67.7/100, placing it #9293 of 14703 facilities nationally and #151 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 Health Care Inc receives a reported average of 3 hours 19 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage â 20 minutes; Licensed Practical Nurse (LPN) â 49 minutes; Nurse Aide â 2 hours 10 minutes. On weekends, total nurse staffing is 2 hours 46 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 59.6%. Families are encouraged to ask about current staffing schedules during their facility visit.
The facility has received 16 fine(s) over the 5-year period, totaling $265,544. 2 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 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 18.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Health Care Inc ranks 9293rd out of 14,703 facilities (composite score: 67.7/100), placing it in the below average nationwide. Within AL, it ranks 151st out of 224 nursing homes. For 2026 staffing: total nurse hours rank #10,854 nationally and RN hours rank #12,283 nationally (#213 in AL). Our composite quality score of 67.7/100 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 Ashville, visit: https://nursinghomesnearme.org/alabama/ashville/
Contact and Location
ADR
Address
38286 US HIGHWAY 231, Ashville, AL 35953
Get directions on Google Maps
TEL
Phone
LLC
Legal Name
HEALTH CARE, INC.
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Facility Details
| Certified Beds | 53 |
| Avg Residents / Day | 49 (94% occupancy) |
| Ownership Type | For profit – Individual |
| Provider Type | Medicare and Medicaid |
| County | St. Clair County, AL |
| City | Ashville, AL |
| ZIP Code | 35953 |
| Approved Since | August 22, 1990 |
| Resident Council | ✅ Yes |
| Auto Sprinklers | ✅ All areas |
| Ownership Changed | No |
| CMS Certification # | 015407 |
| Last Inspection | August 24, 2022 |
| 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