Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Nhc Healthcare, Moulton during CMS and state inspections, most recent first.
A resident with severe cognitive impairment, a history of falls, and major mobility limitations did not consistently have ordered fall precautions in place. Although the care plan and PCT called for a low bed and fall mat, surveyors observed the mat folded away or not positioned beside the bed, and staff gave conflicting accounts about whether the mat was being used. An RN stated the resident had multiple falls and attempted to transfer without assistance, and other nursing staff said they expected the fall interventions to be followed.
A resident with ESRD on dialysis, a vascular catheter, and frequent urinary and bowel incontinence was on EBP per care plan and orders. During observed incontinence care, two CNAs wore gloves but did not don gowns, despite signage indicating EBP and staff interviews confirming gowns and gloves were expected for incontinence care; the IP stated she had educated the CNAs incorrectly before the care was provided.
Failure to Implement Fall Precautions for a High-Risk Resident
Penalty
Summary
The facility failed to implement fall-related interventions for a resident with a history of falls and significant mobility and cognitive impairments. The resident was admitted with diagnoses including a nondisplaced intertrochanteric fracture of the left femur, muscle wasting and atrophy, difficulty walking, dementia, hypertension, and history of falling. The admission MDS showed a BIMS score of 4, indicating severe cognitive impairment, and documented that the resident required substantial to maximal assistance with bed mobility and was dependent on staff for standing and transfers. The care plan identified the resident as at risk for falls due to multiple factors, and interventions included assisting the resident to bed after lunch as allowed and providing a low bed and fall mat to reduce injury. During observations, the resident was seen sleeping in bed while the fall mat was folded underneath a wheelchair at the foot of the bed or folded at the foot of the bed, and no fall mat was observed on the side of the bed. Staff interviews showed inconsistent understanding and implementation of the resident’s fall precautions. One CNA stated the fall mats were no longer used because the resident had tripped over one before, while another CNA stated fall mats were still being used because the resident was a high fall risk and tended to attempt to get out of bed and roll out of bed. An RN stated the resident had several falls in the facility and attempted to transfer independently between the bed and wheelchair, and that fall mats should have been in place. Other nursing staff stated they expected the fall interventions listed in the care plan and PCT to be followed.
Failure to Follow Enhanced Barrier Precautions During Incontinence Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program related to enhanced barrier precautions (EBP) for a resident with a vascular catheter. The resident was admitted with diagnoses including end stage renal disease, dependence on renal dialysis, and functional urinary incontinence. The annual MDS indicated the resident had intact cognition, required substantial to maximal assistance with toileting hygiene, and was frequently incontinent of urine and bowel. The care plan and active orders directed staff to implement EBP because of the vascular catheter. During observed incontinence care, two CNAs performed hand hygiene, gathered supplies, entered the room, and both donned clean gloves, but neither wore a gown while providing care. One CNA explained the procedure and the other assisted with positioning while incontinence care was performed. After the care was completed, the CNAs repositioned the resident, gathered used supplies, removed gloves, and performed hand hygiene before leaving the room. Interviews with the CNAs, RN unit manager, IP, ADON, and Administrator showed differing understanding of EBP, but all stated that gowns and gloves were expected during incontinence care for a resident on EBP. The IP stated she had educated the CNAs incorrectly before the care was provided and expected staff to wear a gown and gloves during incontinence care.
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What surveyors actually found near you
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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 Moulton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Decatur Health & Rehab Center | 16.9 mi | ★★★★★ | 0 | 0 |
| River City Center | 19.3 mi | ★★★★★ | 0 | 0 |
| Summerford Health And Rehab, Llc | 22.4 mi | ★★★★★ | 0 | 0 |
| Hendrix Health And Rehabilitation | 22.7 mi | ★★★★★ | 0 | 0 |
| Falkville Rehabilitation And Healthcare Center | 22.9 mi | ★★★★★ | 0 | 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 October 2026) and official state health department websites.