facebook tracking Cottage of the Shoals, Tuscumbia AL: CMS Ratings
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Cottage of the Shoals

All states › Alabama › Tuscumbia › Cottage of the Shoals

500 John Aldridge Drive Tuscumbia, AL 35674 · Colbert County

(256) 383-4541

All 2 nursing homes in Tuscumbia, AL (2 take Medicaid)

Accepts Medicare Accepts Medicaid 103 certified beds For profit

CMS certification number 015067 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Cottage of the Shoals a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Cottage of the Shoals as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Alabama average of 3.0. Inspectors issued 5 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.42 hours per resident per day at Cottage of the Shoals, below the Alabama median of 3.90 (US median: 3.72). About 0.74 of those hours are from registered nurses. On weekends it falls to 2.85 hours, 16% below its all-week average. Ask how weekends are staffed. 53.3% of nursing staff left within a year (Alabama median 46.2%).

Nursing care per resident per day 3.42 hours
Below the Alabama median of 3.90 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.74 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.85 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 53.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 63.2% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds103
Residents per day 89 About 87% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 1972
Part of a chainGenesis Healthcare
Legal business nameSUNBRIDGE HEALTHCARE LLC

Paying for care at Cottage of the Shoals: Medicare and Medicaid

Cottage of the Shoals is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Alabama's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on August 5, 2021 and found 3 deficiencies. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 5 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 5 citations at Cottage of the Shoals across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 5 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were infection control (2) and freedom from abuse, neglect, and exploitation (1). The most serious was cited under the CMS rule to "let each resident or the resident's legal representative access or purchase copies of all the resident's records" (tag F0573, level D, August 5, 2021). 1 citation was under CMS's abuse, neglect and exploitation rules.

August 5, 2021 · 3 citations

DLet each resident or the resident's legal representative access or purchase copies of all the resident's records.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0573 · Deficient, Provider has date of correction (Sep 9, 2021)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Sep 9, 2021)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 9, 2021)

May 14, 2019 · 1 citation

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 10, 2019)

August 2, 2018 · 1 citation

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Aug 25, 2018)

Questions to ask on a tour of Cottage of the Shoals

  1. CMS cited the home under its abuse and neglect rules on August 2, 2018. How are staff trained, and how are concerns reported?
  2. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
  4. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  5. The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 2/5 3/5
August 2026 4/5 4/5 2/5 4/5
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Location

Hospitals near Cottage of the Shoals

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 1.4 mi
    Shoals Hospital Muscle Shoals
    Emergency room
    Median ER visit 1h 43m for patients treated and sent home
  • 1.8 mi
    Helen Keller Memorial Hospital Sheffield
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 3h 8m for patients treated and sent home
  • 4.7 mi
    North Alabama Medical Center Florence
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 27m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Keller Landing Tuscumbia · 1.9 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 109 beds · Medicaid
Cypress Cove Care Center Muscle Shoals · 2.6 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 90 beds · Medicaid
El Reposo Nursing Facility Florence · 5.0 mi away ★★★★☆ Inspection 3/5 · Staffing 4/5 60 beds · Medicaid
Mitchell-Hollingsworth Nursing & Rehabilitation Florence · 5.6 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 222 beds · Medicaid
Florence Nursing and Rehabilitation Center Florence · 7.8 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 147 beds · Medicaid

More nursing homes near Cottage of the Shoals ›   All nursing homes in Tuscumbia ›

Compare Cottage of the Shoals with the 3 closest homes side by side ›

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Other Genesis Healthcare nursing homes in Alabama

Affiliation comes from CMS's affiliated-entity data, October 2026. All 183 Genesis Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/alabama/tuscumbia/cottage-of-the-shoals/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.