Below average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hanceville Nursing & Rehab Center, Inc during CMS and state inspections, most recent first.
A facility failed to serve the full menu portion of pureed stewed tomatoes and pureed white rice to residents on a Pureed Diet at lunch. Staff used a blue #16 disher instead of the ordered 1/2 cup portion, and the DA said she used a heaping scoop when the 4-ounce scoop was unavailable. Surveyors observed five Pureed trays with incorrect portions, and the CDM and RD confirmed the menu was not followed.
Food storage, sink drainage, and dishwashing sanitation practices were out of compliance. A pot and pan rack and a walk-in cooler shelf were observed less than 6 inches from the floor, and a drainpipe from the 3-compartment sink was resting in the floor drain, eliminating the air gap. The dishwasher final rinse was also observed at 198 degrees F, above the manufacturer’s range and the FDA limit.
Dumpster Door Left Open and Debris Observed Near Waste Area: A Maintenance Worker observed one of six dumpsters with a side door open and food-related items, including a spoon, straw, and fork, on the ground near the dumpster area. Facility policy required dumpsters to be kept closed when not in use and the surrounding area kept free of debris, and the CDM and RD stated open dumpsters and trash around the area could attract rodents, bugs, and other creatures.
Oxygen signage was not posted outside the room doors of two residents who were using O2 by nasal cannula. One resident had CHF, COPD, and dependence on supplemental oxygen with intact cognition, and the other had COPD and vascular dementia with moderate cognitive impairment. Both residents were observed on oxygen during the initial tour, and staff later acknowledged that the required door signs were missing and that the facility policy was not followed.
A resident with a PEG tube had a feeding syringe used for water flushes hanging in a bag without a name or date to show when it was changed, despite an order for daily use and staff stating the syringe should be labeled. The facility also had unsanitary ice machines with brown and pink residue, a scoop left inside an insulated cooler instead of stored properly, and an open gap around a window AC unit that could allow pests inside. Staff identified the ice machines as dirty and said the scoop should not be left in the cooler.
Dining table left cluttered during meal service. Five residents needing feeding assist were seated at one table while staff removed meal plates from trays, opened drinks, and left stacked lids with trash, including empty beverage containers, crumbled foil, and napkins, on the table in the residents’ line of vision. A CNA, UM, CDM, and RD all stated the items should not have been left there and that it was not a homelike, attractive, or dignified dining environment.
A resident's rescue inhaler was found on the bedside table instead of secured in the med cart, even though the resident had no order to self-administer meds. In a separate medication room, an unlabeled and undated used vial of Lidocaine 1% was found in a drawer, and staff said it should have been labeled with the date opened and expiration date and stored on the med cart.
Pureed Diet Portions Not Served Per Menu
Penalty
Summary
The facility failed to ensure residents receiving a Pureed Diet at lunch were served the full 1/2 cup portion of pureed stewed tomatoes and pureed white rice listed on the Week 4 menu. The facility’s Menu Planning policy stated menus are planned and approved by the Dietary Manager and Registered Dietitian, are planned for four-week cycles, and include diet textures such as pureed. The Menu Planning and Requirements policy stated menus are to provide nourishing, palatable, attractive meals that meet residents’ nutritional needs. On the lunch tray line, surveyors observed blue-handled #16 dishers/scoops, which are 1/4 cup (2-ounce), being used for the pureed rice and pureed stewed tomatoes, and the AM [NAME] stated the server was to use 2 scoops per serving for those items. The Week 4 Pureed Menu for lunch on Wednesday indicated a 1/2 cup serving for both pureed white rice and pureed stewed tomatoes. When the Dietary Aide was asked why only one scoop was being used, she said she was giving a heaping scoop and later stated she normally used a 4-ounce scoop for pureed rice, meat, and vegetables, but did not have a 4-ounce scoop that day. She said that if the correct scoop was unavailable, she used the blue #16 scoop and heaped the serving size. Surveyors observed five Pureed trays receiving incorrect portion sizes of pureed rice and stewed tomatoes. The Certified Dietary Manager stated the menu was supposed to be followed and that the residents’ nutrition was not adequate if they did not get enough food. The Registered Dietitian stated there was no problem if two scoops were used, but confirmed staff used a heaping scoop instead of double scoops and that residents potentially would not get what they needed due to receiving less than a full portion.
Food Storage, Drainage, and Dishwasher Sanitizing Temperature Deficiencies
Penalty
Summary
The facility failed to ensure food and equipment were stored at least 6 inches above the floor. During kitchen observations, a pot and pan shelving rack and a shelf in the walk-in cooler were seen too low to the floor. The Maintenance Supervisor measured the walk-in cooler shelf at 2 3/4 inches from the floor, and measured the bottom of the pot and pan shelving rack at 3 inches on one end and 4 inches on the other end. The Maintenance Supervisor stated the shelf was not far enough away from the floor, could not be seen or cleaned under, and rodents could hide there. The Certified Dietary Manager and the Registered Dietitian both identified the concern with the shelving being less than 6 inches off the floor as inadequate room to clean underneath and, for the cooler shelf, inadequate air flow under it. The facility policy for Food and Equipment Storage stated that food and equipment should be stored at a minimum of 6 inches above the ground, and the FDA Food Code required food and cleaned equipment and utensils to be stored at least 6 inches above the floor. The facility also failed to maintain proper separation for a drainpipe from the three-compartment sink. During observation, one of the sink drains was seen resting inside the floor drain. The Maintenance Supervisor stated the drainpipe came from the rinse sink, that a strap had broken, and that the drainpipe was in the floor drain. He said waste water could come back into the sink from the floor drain. The CDM and RD both identified the issue as a lack of air gap and a potential backflow or cross connection. In addition, the dishwasher final rinse temperature exceeded the manufacturer’s specified range and the FDA Food Code limit. The dishwasher manual required a final rinse temperature between 180 and 195 degrees F, while the FDA Food Code stated the sanitizing rinse may not be more than 194 degrees F. During observation, the dishwasher final rinse was seen at 198 degrees F, and the Maintenance Supervisor confirmed the temperature could be adjusted. The CDM stated the normal final rinse temperature was between 180 and 198 degrees F, and the RD stated the concern with the temperature being too high was the potential flash evaporation of the final rinse water.
Dumpster Door Left Open and Food-Related Trash on Ground
Penalty
Summary
The facility failed to ensure a dumpster door was closed and that food-related trash was not left on the ground in the dumpster area. During observation on 12/09/2025 at 9:13 AM, a Maintenance Worker observed six dumpsters, and one of the dumpsters had a side door open. Plastic food-related items, including a spoon, a straw, and a fork, were also observed on the ground by the dumpster. The facility policy titled, Dumpsters, dated 05/06/2021, stated dumpsters will be kept closed when not in use and the area surrounding dumpsters will be kept clean and free from debris. The U.S. FDA 2022 Food Code required outside receptacles used with materials containing food residue to have tight-fitting lids, doors, or covers and to be kept covered when outside the food establishment. During interviews, the Maintenance Worker, Certified Dietary Manager, and Registered Dietitian all stated that an open dumpster door and trash around the dumpster could attract rodents, bugs, and other creatures, and that the dumpster area was intended for pest control.
Oxygen Signage Not Posted for Residents Using Oxygen
Penalty
Summary
Provide safe and appropriate respiratory care for a resident when needed was not maintained when oxygen signage was not posted outside the room doors of two residents who were using oxygen. One resident had diagnoses including chronic diastolic congestive heart failure, chronic obstructive pulmonary disease, and dependence on supplemental oxygen, and was documented as cognitively intact with a BIMS score of 15 of 15. That resident’s quarterly MDS also coded oxygen use, and physician orders included oxygen use. During the initial tour, the resident was observed wearing oxygen by nasal cannula, but no oxygen sign was posted on the door. A second resident had diagnoses including chronic obstructive pulmonary disease and vascular dementia, with a BIMS score of 10 of 15 indicating moderate cognitive impairment. That resident’s quarterly MDS also coded oxygen use, and physician orders included oxygen use. During the initial tour, the resident was observed wearing oxygen by nasal cannula, but no oxygen sign was posted on the door. An LPN stated that a sign is placed outside the door to let everyone know a resident is on oxygen, and the UM later stated that after surveyors arrived she realized the oxygen signs were not on the doors and placed them on four doors, including the two residents’ doors. The UM also stated that residents on oxygen were to have a sign on the door and that company policy was not followed.
Infection Control Lapses With Feeding Syringe, Ice Machines, Scoop Storage, and Open Exterior Gap
Penalty
Summary
The facility failed to ensure infection prevention and control practices were followed for a resident with a feeding tube. RI #121 was admitted with dysphagia, had a PEG tube, and had an order to receive a 200 ml bolus of water daily, along with an order to change the administration set and bag at bedtime. On 12/09/2025, 12/10/2025, and 12/11/2025, a syringe used for water bolus flushes was observed hanging in a plastic bag on the feeding pump pole in the resident’s room without a resident name or date on the outside of the bag to show when it had been changed. The unit manager stated feeding syringes were changed every day and that the outside of the bag should show the resident’s name, date, time, and who changed it. The facility also failed to maintain ice machines in a sanitary condition. The FDA Food Code defines ice as food and requires food contact surfaces to be cleaned and sanitized. On 12/09/2025, the certified dietary manager attempted to wipe a brown substance from an ice machine and said she did not know what it was. On 12/10/2025, the maintenance supervisor stated the ice machine was deep-cleaned quarterly and the filter changed every three months or sooner if needed. Later that day, one ice machine was observed with a pink substance in the ice collection bin that could be wiped off with a paper towel, and staff did not know when it had last been cleaned. Another ice machine had pink/brown particles on the plastic shield inside and a dirty wall filter; the maintenance supervisor stated the machine was filthy. The report also documented improper storage of an ice scoop and an opening around a window air conditioner unit. An insulated cooler on one unit contained ice with a blue plastic scoop left inside, and nursing staff stated the cooler should be emptied and the scoop rinsed, dried, and placed in the scoop holder rather than left inside the cooler. The unit manager stated the scoop should not be left inside because it could grow bacteria. In addition, the maintenance supervisor observed a half-inch opening around the air conditioner window unit that extended to the outside, and stated the opening should have been filled or sealed to prevent entry of pests such as spiders, ants, and rats.
Dining Table Left Cluttered During Meal Service
Penalty
Summary
The facility failed to ensure trays, insulated lids, and trash were not stacked and left on the dining room table in Room Locator #3 while residents were eating. On 12/09/2025 at 12:09 PM, five residents requiring feeding assistance were seated at one large table and served trays. Six facility employees were assisting them by removing meal plates from the trays, unwrapping utensils, and opening drink containers to pour beverages into cups or sippy cups. During the meal, three stacks of lids filled with trash, including empty beverage containers, crumbled foil, and crumbled napkins, were observed sitting on trays on the table in front of the residents and within each resident’s line of vision near their plates. Staff interviews confirmed the concern. A CNA stated she did not know why the meal plates were taken off the trays and placed directly on the table and said she thought it was because it was more like a house or a home, but acknowledged the trays with lids and trash should not have been left on the table. A UM stated the trays and lids with trash should have been removed and said this was needed so it would be more homelike. The CDM stated the trash should have been placed in the garbage and not in the lid cover, describing it as a sanitation and dignity concern. The RD stated that stacking trays, lid covers, and trash on the dining table while residents were eating would not be an attractive environment and dining experience.
Medication Storage and Labeling Deficiencies
Penalty
Summary
Drugs and biologicals were not stored and labeled in accordance with accepted professional principles when RI #180's rescue inhaler was found on the corner of the resident's bedside table instead of secured in the medication cart. RI #180 was admitted with diagnoses including COPD, CHF, and acute and chronic respiratory failure with hypoxia, and had a BIMS score of 15/15 indicating intact cognition. The physician's order for Albuterol Sulfate HFA was for 2 inhalations every 6 hours as needed for shortness of breath or wheezing, and staff interviews confirmed RI #180 did not have an order to self-administer medications and that the inhaler should not have been left in the room. RI #180 stated a nurse had let him/her keep the inhaler and that it was kept on the bedside table. An unlabeled and undated used vial of Lidocaine 1% was also found in a drawer in a medication room. The vial had no resident name, date, time opened, or expiration date. Staff interviews confirmed that after a multi-dose medication is opened it should be labeled with the date opened and expiration date, and that the medication should be stored on the medication cart. Staff stated that without labeling, they would not know how long the medication had been there or when it was last used.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Hanceville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Woodland Village Rehabilitation And Healthcare Cen | 7.5 mi | ★★★★★ | 0 | 0 |
| Folsom Rehabilitation And Healthcare Center | 8.8 mi | ★★★★★ | 0 | 0 |
| Cullman Health Care Center | 10 mi | ★★★★★ | 0 | 0 |
| Diversicare Of Oneonta | 19 mi | ★★★★★ | 0 | 0 |
| Tlc Nursing Center | 19.3 mi | ★★★★★ | 12 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.