Below average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Focused Care At Huntsville during CMS and state inspections, most recent first.
Surveyors found that the facility did not maintain a clean and sanitary environment in the dining room, resident halls, and kitchen. Observations revealed exterior windows covered with green debris, kitchen floors and shelves with accumulated dirt and sticky substances, and incomplete cleaning logs. Staff interviews confirmed that deep cleaning tasks were not routinely performed or assigned, and some staff were unaware of the extent of the issues until pointed out. Residents generally did not complain but acknowledged the dirty windows when asked.
The facility failed to protect residents from various forms of abuse and neglect, including physical, mental, and sexual abuse, as well as physical punishment, by any individual.
A resident with impaired cognition and mobility issues was verbally abused by a CNA who yelled at him and made demeaning remarks after he requested assistance with incontinent care. The incident was reported by the resident and corroborated by another staff member who overheard loud voices. Other staff interviewed were aware of abuse prevention protocols and denied witnessing similar incidents.
A staff member used a resident's debit card for personal transactions after the card was misplaced, resulting in unauthorized charges. The resident, who had moderately impaired cognition and a history of sepsis, was unable to locate the card after using it, and subsequent investigation revealed the staff member's involvement. Facility leadership confirmed that staff are trained not to handle residents' property and that the incident was reported to authorities.
A resident with cognitive and physical impairments reported being yelled at and demeaned by a CNA after an incontinence episode. An LVN heard the incident but did not intervene or report it to the abuse coordinator, contrary to facility policy. This failure to follow abuse prevention and reporting procedures resulted in noncompliance.
The facility failed to maintain an effective infection control program, as evidenced by two CNAs not following proper hand hygiene and soiled linen handling protocols during resident care. This included not changing gloves, not sanitizing hands, and improperly disposing of soiled linens, increasing the risk of infection transmission.
A facility failed to notify and consult with a physician about a resident's high blood sugar readings, despite the resident having a history of Alzheimer's, hypothyroidism, COPD, and Type 2 diabetes. The resident had blood sugar readings over 500 on multiple occasions without proper documentation or notification to the physician, as required by the care plan and physician orders. The DON and Administrator confirmed the oversight, acknowledging the risk of not following the facility's policy on medication administration.
The facility failed to accurately complete MDS assessments for a resident on hospice services, leading to potential risks of inappropriate care. The MDS Coordinator and DON acknowledged the oversight and the importance of accurate assessments.
The facility failed to update the care plans for two residents to reflect their need for mechanical lift transfers, posing a risk of falls and injuries. Staff interviews revealed reliance on outdated Kardex information, and the facility lacked a policy for mechanical lift transfers.
The facility failed to maintain personal hygiene for a resident with multiple diagnoses, including vascular dementia and Alzheimer's disease, by not consistently removing unwanted facial hair. Despite requiring extensive assistance with ADLs, the resident was observed with noticeable facial hair on multiple occasions, which was not addressed until a specific observation prompted action. Staff interviews revealed that shaving was part of the bathing routine but was not consistently performed, and the facility lacked a specific policy on ADL care, including shaving.
The facility failed to ensure a safe environment by not inspecting Hoyer slings for damage, not removing damaged slings from service, and not obtaining physician orders for mechanical lift transfers for two residents with impaired cognition and dependent on transfers.
The facility failed to provide food in the correct pureed consistency for two residents, leading to potential risks of choking and decreased meal intake. Observations showed that the pureed food served contained chunks and was chewy, contrary to the required smooth, pudding-like texture. The Dietary Manager and DON confirmed the inconsistency, acknowledging the potential health risks involved.
Failure to Maintain Clean and Sanitary Environment in Dining, Hallways, and Kitchen
Penalty
Summary
The facility failed to maintain a safe, functional, sanitary, and comfortable environment in several key areas, including one of two dining rooms, all six resident halls, and the kitchen. Observations revealed that the exterior windows throughout the building, including those in the dining room and resident rooms, were covered with a mixed dark and light green substance on the outside, behind the screens, obstructing the view and indicating a lack of regular cleaning. Staff interviews confirmed that the windows had not been cleaned on the outside, and housekeeping staff were not assigned or instructed to clean them. Some staff and residents noticed the dirty windows only when prompted, and no complaints had been made prior to the survey. In the kitchen, significant cleanliness issues were observed, including sticky, thick brown and black substances with accumulated dirt and debris along the floor edges, black buildup and cracks between tiles under the prep table, a white crusty buildup under the prep table, and a brown sticky buildup with dirt and debris in the metal drip pan under the hot water heater. The lower storage shelves also had a thick brown, sticky accumulation of dirt and debris. Review of cleaning logs for the previous three months showed that staff had not completed or signed off on assigned cleaning tasks, and interviews with dietary staff revealed that deep cleaning of baseboards, under equipment, and shelves was not routinely performed. Staff cited lack of time and unclear assignment of deep cleaning duties as reasons for these lapses. Facility policies reviewed required regular cleaning and disinfection of environmental surfaces, including floors and kitchen areas, and assigned responsibility for these tasks to specific staff roles. However, interviews with the DON, dietary manager, and housekeeping staff indicated a lack of oversight and follow-through on these policies. The DON was unaware of the need for deep cleaning in the kitchen, and the administrator had not noticed the extent of the window debris until it was pointed out. Residents interviewed generally did not complain about the cleanliness of their rooms or the dining area, but acknowledged the windows were dirty when asked. The failure to maintain cleanliness and sanitation in these areas was directly observed and confirmed through staff interviews and record review.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect each resident from all types of abuse, including physical, mental, and sexual abuse, physical punishment, and neglect by any individual. The report notes that residents were not adequately safeguarded from these forms of mistreatment, indicating lapses in the facility's responsibility to ensure resident safety and well-being. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Resident Subjected to Verbal Abuse by CNA During Incontinent Care
Penalty
Summary
A deficiency occurred when a certified nursing assistant (CNA) spoke loudly and harshly to a male resident who required substantial assistance with toileting hygiene due to heart failure and an acquired absence of his right leg below the knee. The resident, who had moderately impaired cognition, activated his call light for help with incontinent care after being unable to reach the bathroom in time. The CNA responded by yelling at the resident, making him feel ashamed and scared, and told him he was too old to have accidents and should stay off the call light, instructing him to communicate all his needs at once while she was present. The incident was corroborated by the resident's account during an interview, where he expressed feeling bad and scared as a result of the CNA's behavior. He reported the incident to another staff member the following day. Another staff member, an LVN, recalled hearing loud voices from the resident's room on the night of the incident and stated that it sounded like yelling, though she did not intervene at the time because she was not the assigned nurse for that resident and was unsure of the situation. Interviews with other facility staff indicated that they were aware of the proper procedures for identifying and reporting abuse or neglect, and all denied witnessing similar behavior. The facility's policies required staff to treat residents with kindness, respect, and dignity, and to ensure residents were free from abuse and neglect. The CNA involved in the incident was no longer employed at the facility at the time of the survey.
Staff Misappropriation of Resident's Debit Card
Penalty
Summary
A deficiency occurred when a staff member, identified as a housekeeper, used a resident's debit card for personal use without authorization. The resident, a male with moderately impaired cognition and a history of sepsis, had recently received a new debit card and was assisted by staff in activating it. Surveillance footage showed the resident placing the card on his leg as he returned to his room, and it is believed the card may have fallen off during this time. The resident later reported being unable to find the card, prompting notification of his family and subsequent discovery of unauthorized transactions. A review of bank statements and a police report confirmed multiple unauthorized transactions totaling $501.43, including cash app transfers and purchases at a local store. The staff member in question was identified through the bank statement and was found to have a personal relationship with another individual involved in the transactions. The staff member had passed background checks and abuse training at hire, but nonetheless accessed and used the resident's card after it was misplaced. Interviews with facility leadership, including the Administrator and DON, revealed that staff are routinely trained not to handle or use residents' personal property and are expected to report any found items. The resident had access to a lockbox and a locking drawer, but had used the card earlier in the day and dropped it. The incident was reported to the police, and the resident's family was involved in addressing the financial loss. The resident was reportedly upset by the incident, especially given his health status at the time.
Failure to Implement Abuse Prevention and Reporting Policies
Penalty
Summary
The facility failed to implement its written policies and procedures to prohibit and prevent abuse, neglect, and misappropriation for one resident. Specifically, a resident with moderately impaired cognition and significant physical limitations reported that a CNA yelled at him and made demeaning comments after he had an incontinence episode and requested assistance. The resident stated that the CNA's actions made him feel ashamed and scared, and that he reported the incident to another staff member the following day. An LVN working the night of the incident heard loud voices coming from the resident's room and believed it could have been yelling, but did not intervene or report the situation to the abuse coordinator, as required by facility policy. The LVN later acknowledged that she should have acted to ensure the resident's safety. Other staff interviewed were able to correctly identify abuse and the appropriate reporting procedures, but the LVN's failure to report the incident represented a breakdown in the facility's abuse prevention protocol. The facility's policies required all employees to treat residents with kindness, respect, and dignity, and to report any suspected abuse or neglect immediately to the abuse coordinator. Despite these policies, the failure to report and address the incident in a timely manner constituted noncompliance with the facility's own procedures for preventing and responding to abuse.
Infection Control Deficiencies
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by the actions of two CNAs during care for a resident. CNA E did not change gloves or sanitize/wash hands between glove changes and touched clean items with dirty gloves while providing incontinent care. This occurred despite CNA E having been evaluated as competent in incontinent care. During the observed care, CNA E handled wipes and the resident's brief without proper hand hygiene, increasing the risk of infection transmission. CNA E admitted to not following proper procedures and acknowledged the potential risk to residents. CNA G also failed to adhere to infection control protocols by improperly handling soiled linens after giving a resident a bed bath. Instead of placing the soiled linens in a plastic bag, CNA G carried them in her gloved hands and placed them on the floor before disposing of them in a plastic barrel. This improper handling of soiled linens was observed despite CNA G having been evaluated as competent in this area. CNA G acknowledged the mistake and the potential risk it posed to residents. The ADON and DON confirmed that skills check-offs, including hand hygiene and PPE use, were conducted regularly. However, the observed deficiencies indicated lapses in adherence to infection control protocols. The facility's policies on hand hygiene and handling soiled laundry were not followed, leading to potential risks of infection for the residents. The ADON and DON acknowledged the deficiencies and the need for continued training and random checks to ensure compliance with infection control practices.
Failure to Notify Physician of High Blood Sugar Readings
Penalty
Summary
The facility failed to consult with the resident's physician when there was a need to alter treatment for a resident reviewed for notification of changes. Specifically, the facility did not notify and consult with the physician about the changes in the resident's high blood sugar readings. This failure was observed in the case of a resident with a history of Alzheimer's, hypothyroidism, COPD, and Type 2 diabetes, who had high blood sugar readings over 500 on multiple occasions without proper documentation or notification to the physician as required by the care plan and physician orders. The resident's medical records indicated that she had high blood sugar readings of 506 and 544 on two separate days, which were documented by an LVN. However, there were no progress notes indicating that these high readings were reported to the physician or NP. During interviews, the NP confirmed that she was not notified of these specific high blood sugar readings and would have given additional orders if she had been informed. The LVN responsible for checking the blood sugars stated that she was instructed to notify the physician if the blood sugar was above 500 but could not explain why the MAR did not show that the insulin was administered or that the physician was notified. The DON and the Administrator confirmed that charge nurses were responsible for notifying physicians immediately of any change in condition, including high blood sugar readings. They acknowledged that the resident had elevated blood sugars over 500 in the past and had received orders to increase insulin. However, they were not aware of the specific dates in question where there was no documentation of reporting the high blood sugar to the physician. The facility's policy on medication administration also required notifying the attending physician of abnormal test results or vital signs resulting in medication being held, which was not followed in this case.
Failure to Accurately Complete MDS for Hospice Resident
Penalty
Summary
The facility failed to ensure an accurate MDS was completed for one resident reviewed for MDS assessment accuracy. Specifically, the facility did not code a resident as being on hospice services on her MDS assessments. The resident, who was admitted to the facility with diagnoses including dementia, adult failure to thrive, hypertension, and chronic atrial fibrillation, had an active physician order for hospice services. However, both the Admission MDS and Quarterly MDS assessments did not reflect her hospice status, despite her care plan indicating she was on hospice services. Interviews with the MDS Coordinator and the DON revealed that the MDS Coordinator was responsible for completing the assessments, and the DON signed them after spot-checking for accuracy. The MDS Coordinator admitted that she might have been in a hurry when completing the assessments, leading to the oversight. The DON acknowledged that the assessments should have indicated the resident's hospice status and recognized the risk of residents not receiving appropriate care due to inaccurate assessments.
Failure to Update Care Plans for Mechanical Lift Transfers
Penalty
Summary
The facility failed to develop a person-centered comprehensive care plan to address the medical needs of two residents, specifically regarding their transfer status. Resident #15, a female with moderately impaired cognition and dependent on transfers, had a care plan that did not address the use of mechanical lift transfers with the assistance of two persons. Similarly, Resident #39, a male with moderately impaired cognition and dependent on transfers, had a care plan that required extensive assistance of two persons for transfers but did not indicate the need for mechanical lift transfers. Both residents were observed with mechanical lift pads underneath them, indicating the use of mechanical lifts for transfers, which was not reflected in their care plans or physician orders. Interviews with staff, including a CNA and the DON, revealed that CNAs rely on the Kardex for resident information, and if the care plan is not updated, they may not know the correct transfer status, potentially leading to falls. The MDS nurse confirmed that care plans are updated quarterly, after each MDS assessment, or when there is a change in condition. However, the facility did not have a policy or procedure for mechanical lift transfers, and the care plans for the two residents were not revised to reflect their current transfer needs, posing a risk of falls and injuries.
Failure to Maintain Personal Hygiene for Resident
Penalty
Summary
The facility failed to provide necessary services to maintain personal hygiene for a resident who was unable to perform activities of daily living (ADLs) independently. Specifically, the facility did not remove unwanted facial hair for a resident with multiple diagnoses, including vascular dementia, major depressive disorder, and Alzheimer's disease. The resident required extensive assistance with ADLs and had a care plan indicating the need for bathing and shaving. However, observations revealed that the resident had noticeable facial hair, which she did not like and could not remember when it was last shaved. Interviews with staff indicated that shaving was supposed to be part of the bathing routine, but it was not consistently performed for this resident. The resident was observed with facial hair on multiple occasions, and it was only after a specific observation that a CNA shaved her face, making the resident feel better. Staff interviews revealed that shaving was part of the tasks during bathing, but it was not explicitly included in the resident's scheduled tasks. The ADON confirmed that shaving should be done on shower days and acknowledged the risk of dignity issues for residents with unwanted facial hair. The facility did not have a specific policy regarding ADL care, including shaving, which contributed to the inconsistency in providing this aspect of personal hygiene care for the resident.
Failure to Ensure Safe Mechanical Lift Transfers
Penalty
Summary
The facility failed to ensure the residents' environment remained as free of accident hazards as possible for two residents who required mechanical lift transfers. Specifically, the facility did not develop and implement a policy and procedure to inspect Hoyer slings for signs of damage before each use, nor did it remove damaged mechanical lift slings from service. Additionally, the facility did not obtain physician orders for Hoyer lift transfers for these residents, which could result in inappropriate use of the mechanical lift for transfers. Resident #15, a female with moderately impaired cognition and dependent on transfers, did not have a care plan addressing the use of mechanical lift transfers with assistance of two persons. Furthermore, there was no physician order for mechanical lift transfers for her. During an observation, she was seen in her wheelchair with a lift pad that had faded colors and an unreadable label, indicating wear and tear. Resident #39, a male with moderately impaired cognition and dependent on transfers, also did not have a care plan indicating the need for mechanical lift transfers with assistance of two persons, nor a physician order for such transfers. Observations revealed that his lift pad had multiple loose seams, strings, and ripped areas, indicating significant wear and tear. Interviews with staff confirmed that the lift pads were not consistently inspected for damage before use, and the facility lacked a policy for mechanical lift transfers.
Failure to Provide Proper Pureed Diet Consistency
Penalty
Summary
The facility failed to ensure that residents received food prepared in a form designed to meet their individual needs, specifically for two residents on pureed diets. Resident #3, a male with severe cognitive impairment and feeding difficulties, and Resident #39, a male with moderately impaired cognition and dysphagia, were both served pureed food that did not meet the required smooth, pudding-like consistency. Observations revealed that the pureed turkey and pizza served to these residents contained chunks and were chewy, posing a risk of choking and decreased meal intake. The Dietary Manager and the Director of Nursing (DON) confirmed that the food did not meet the correct texture during a joint interview and acknowledged the potential risks involved. The facility's policy on food preparation, which mandates that food be cut, chopped, ground, or pureed to meet individual needs, was not adhered to. The Dietician, who usually checks food textures, had not requested a puree test tray recently, and the Dietary Manager admitted that it was his responsibility to ensure the correct texture. Despite the facility's policy and the staff's awareness of the risks, the failure to provide the correct food consistency for these residents was evident. Interviews with the Dietician, Dietary Manager, DON, and Administrator highlighted the lapses in ensuring that residents received the appropriate diet texture, which could lead to serious health risks such as choking or aspiration.
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Huntsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Huntsville Health Care Center | 0.8 mi | ★★★★★ | 5 | 0 |
| Mrc Creekside | 1.3 mi | ★★★★★ | 5 | 0 |
| Willis Nursing And Rehabilitation Lp | 19 mi | ★★★★★ | 9 | 0 |
| River Pointe Of Trinity Healthcare And Rehabilitat | 19.6 mi | ★★★★★ | 1 | 0 |
| Trinity Rehabilitation & Healthcare Center | 20.3 mi | ★★★★★ | 37 | 3 |
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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.