The home failed to let residents or their legal representatives access or buy copies of their records. Cited August 2021 — isolated incident, potential for harm.
View the original federal record
F-Tag 573 — 42 CFR §483.10 — S/S: D
Nursing home report
COTTAGE OF THE SHOALS
TUSCUMBIA, AL · Medicare-certified · 103 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
COTTAGE OF THE SHOALS in Tuscumbia, AL has an overall rating of 4 out of 5 stars, with strong health inspection and quality ratings but a low staffing rating of 2 out of 5 stars. Reported nurse staffing is 3.29 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2908 hrs/resident/day
Quality measures
Last inspection: August 5, 2021Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2908.
Staffing detail
- Registered nurses
- 0.79
- Licensed practical nurses
- 0.71
- Nurse aides
- 1.79
- Weekend nursing
- 2.75
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 60%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4.3%14.8%Worsening
Residents with a fall causing major injury
2.9%4.2%Worsening
Residents with pressure ulcers (bedsores)
5.1%1.3%Improving
Residents with a urinary tract infection
2.9%0%Improving
Residents who lost too much weight
5.6%3.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.7%5.6%No change
Residents whose ability to walk got worse
8.6%15.4%Worsening
Long-stay residents on antianxiety or sleep medication
27.3%24.6%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1%0%Improving
Residents with new or worsening incontinence
15%11.6%Improving
Residents with depressive symptoms
13.4%4.3%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.8%—
Long-stay residents given the pneumonia vaccine
100%95.8%Worsening
Short-stay residents given the seasonal flu vaccine
—96.4%—
Short-stay residents given the pneumonia vaccine
100%96.1%Worsening
What the inspectors found
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited August 2021 — isolated incident, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2021 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited August 2018 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of GENESIS HEALTHCARE · 185 homes · 2.4 stars avg
- Occupancy
- 90.7 residents on an average day (88% of 103 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 54 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.