CMS Verified · Updated March 2026
Terrace Manor Nursing & Rehabilitation Center, Inc
66.8
Score /100
5.0★
CMS Overall
5.0★
Health Inspection
3.0★
Quality Care
4.0★
Staffing
#5164
National Rank
#5164
of 14703 nationally
National Rank
#1
of 4 in county
County Rank
#1
of 3 in ZIP 35653
ZIP Rank
Facility
Terrace Manor Nursing & Rehabilitation Center, Inc
Address
390 Underwood Road, Russellville, AL 35653
Phone
Care Offered
- Long-Term Care
- Rehab / Short-Term
Medicare & Medicaid
- Accepts Medicare
- Accepts Medicaid
Facility Details
- 63 Certified Beds
- Ownership: For profit – Corporation
- Resident Council: Resident
- Auto Sprinklers: Yes
- Network: ADVANCED HEALTH CARE MANAGEMENT
Quick Verdict
Overall Quality
✅ Excellent (5★) overall
Health Inspection
✅ Excellent (5★) health inspection
Staffing
✅ Above Average (4★) staffing
Quality of Care
⚠️ Average (3★) quality of care
Compliance
✅ No fines in 5 years
5-Year Trend
➡️ Stable over 5 years
Composite Quality Score
66.8
/ 100
Composite Quality Score
Built from 5 components using official CMS data. How it’s calculated →
Safety & Inspections (35 pts)
35.0 / 35
35.0 / 35
Quality of Care (25 pts)
12.5 / 25
12.5 / 25
Nurse Staffing (20 pts)
7.0 / 20
7.0 / 20
Compliance History (15 pts)
14.8 / 15
14.8 / 15
Staff Stability (10 pts)
5.3 / 10
5.3 / 10
Improvement Trend (+5 pts)
2.5 / 5
2.5 / 5
Is This Facility Right For Your Loved One?
⚠️ Dementia / Alzheimer’s
16.5% antipsychotic use — near the national average of 16.7%.
⚠️ Short-Stay Rehab
22.1% rehospitalization rate — near the national average of 23.9%.
⚠️ Bedridden / Immobile Residents
6.7% pressure ulcer rate — near the national average.
✅ ️ Fall-Risk Residents
Only 1.2% of residents experience falls with major injury — well below the national average of 3.3%. Strong fall prevention program.
Overall Rating 2022–2026
Total Nurse Hours/Day 2022–2026
Quality Measures vs National Average
Long-Stay Residents
Antipsychotic Medication Uselong-stay
16.5%
-0.2% vs national
-0.2% vs national
National avg: 16.7% | 4-quarter average (2024Q4–2025Q3)
Falls with Major Injurylong-stay
1.2%
-2.1% vs national
-2.1% vs national
National avg: 3.3% | 4-quarter average (2024Q4–2025Q3)
Pressure Ulcerslong-stay
6.7%
+1.6% vs national
+1.6% vs national
National avg: 5.1% | 4-quarter average (2024Q4–2025Q3)
Daily Activity Declinelong-stay
20.3%
+5.4% vs national
+5.4% vs national
National avg: 14.9% | 4-quarter average (2024Q4–2025Q3)
Walking/Mobility Worsenedlong-stay
13.6%
-2.7% vs national
-2.7% vs national
National avg: 16.3% | 4-quarter average (2024Q4–2025Q3)
Urinary Tract Infectionslong-stay
1.8%
+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
5.5%
+0.2% vs national
+0.2% vs national
National avg: 5.4% | 4-quarter average (2024Q4–2025Q3)
Short-Stay / Rehab Residents
Rehospitalized After Admissionshort-stay
22.1%
-1.7% vs national
-1.7% vs national
National avg: 23.9% | 4-quarter average (2024Q4–2025Q3)
Emergency Dept. Visit Rateshort-stay
13.1%
+1.1% vs national
+1.1% 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
★★★★★5 / 5
Health Inspection
★★★★★5 / 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 InsightTerrace Manor Nursing & Rehabilitation Center, Inc currently provides 3 hours 57 minutes of total nurse staffing per resident per day, including 46 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 68 min/day (2022) to 46 min/day (2026) â a trend families should be aware of. Total nursing staff turnover stands at 47.1% â above the national average of ~35%.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 57 minutes
Nurse Aide Hours2 hours 10 minutes
Licensed Practical Nurse (LPN) Hours1 hour 1 minute
Registered Nurse (RN) Hours46 minutes
Physical Therapist Hours6 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 3 minutes
Weekend Registered Nurse (RN) Hours18 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)20
Citations causing actual harm (severity G+)0
Immediate jeopardy citations (most serious)0
Complaint-driven citations0
Abuse / neglect related citations5
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
#5,164
of 14,703
National
Above average
Nationally, Terrace Manor Nursing & Rehabilitation Center, Inc ranks 7135th out of 14,703 facilities (composite score: 72.5/100), placing it in the above average nationwide. Within AL, it ranks 95th out of 224 nursing homes. In Russellville, it ranks 2nd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 3. For 2026 staffing: total nurse hours rank #5,176 nationally and RN hours rank #4,066 nationally (#55 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 | 3.78 | #5,795 / 14,703 | #98 / 224 |
| 2023 | 3.77 | #5,663 / 14,703 | #114 / 224 |
| 2024 | 3.86 | #5,180 / 14,703 | #116 / 224 |
| 2025 | 4.03 | #4,422 / 14,703 | #91 / 224 |
| 2026 | 3.94 | #5,176 / 14,703 | #112 / 224 |
Registered Nurse (RN) Hours — Year-by-Year National and State Ranks
| Year | Hours/Day | National Rank | AL State Rank |
|---|---|---|---|
| 2022 | 1.14 | #1,402 / 14,703 | #5 / 224 |
| 2023 | 0.97 | #1,954 / 14,703 | #14 / 224 |
| 2024 | 0.93 | #2,176 / 14,703 | #12 / 224 |
| 2025 | 0.84 | #3,028 / 14,703 | #26 / 224 |
| 2026 | 0.76 | #4,066 / 14,703 | #55 / 224 |
Total Nurse Rank — National (lower = better)
Registered Nurse Rank — National (lower = better)
Frequently Asked Questions
Terrace Manor Nursing & Rehabilitation Center, Inc is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1976-08-01. 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) 332-3826 or your local Medicaid office to verify current eligibility.
Terrace Manor Nursing & Rehabilitation Center, Inc holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (5â
), 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 72.5/100, placing it #7135 of 14703 facilities nationally and #95 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 Terrace Manor Nursing & Rehabilitation Center, Inc receives a reported average of 3 hours 57 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage â 46 minutes; Licensed Practical Nurse (LPN) â 1 hour 1 minute; Nurse Aide â 2 hours 10 minutes. On weekends, total nurse staffing is 3 hours 3 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 47.1%. Families are encouraged to ask about current staffing schedules during their facility visit.
Terrace Manor Nursing & Rehabilitation Center, Inc has received zero fines across all five years of available data (2022â2026), reflecting a strong regulatory compliance record. No substantiated complaints have been recorded in the available data. 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 0.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Terrace Manor Nursing & Rehabilitation Center, Inc ranks 7135th out of 14,703 facilities (composite score: 72.5/100), placing it in the above average nationwide. Within AL, it ranks 95th out of 224 nursing homes. In Russellville, it ranks 2nd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 3. For 2026 staffing: total nurse hours rank #5,176 nationally and RN hours rank #4,066 nationally (#55 in AL). Our composite quality score of 72.5/100 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 Russellville, visit: https://nursinghomesnearme.org/alabama/russellville/
Contact and Location
ADR
Address
390 UNDERWOOD ROAD, Russellville, AL 35653
Get directions on Google Maps
TEL
Phone
LLC
Legal Name
FRANKLIN LTC, LLC
MAP
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Facility Details
| Certified Beds | 63 |
| Avg Residents / Day | 51 (82% occupancy) |
| Ownership Type | For profit – Corporation |
| Provider Type | Medicare and Medicaid |
| County | Franklin County, AL |
| City | Russellville, AL |
| ZIP Code | 35653 |
| Approved Since | August 1, 1976 |
| Resident Council | ✅ Yes |
| Auto Sprinklers | ✅ All areas |
| Ownership Changed | No |
| CMS Certification # | 015066 |
| Last Inspection | August 26, 2021 |
| 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