Cavalier Healthcare of Trussville

119 Watterson Parkway · Trussville, AL · 35173 · 2056553226

125 certified beds For profit - Corporation Chain: Cavalier Healthcare

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results have improved across recent cycles.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

RN staffing in the bottom 10% nationally

0.16 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.91 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

70% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 79
Serious harm & abuse 20% 100
Staffing 20% 36
Federal penalties 15% 6
Trend 10% 87
Context 5% 60

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day2.913.48 min · 4.1 strong
RN hours / resident-day0.160.55–0.75
Weekend hours / resident-day2.74≈ weekday level
Nursing turnover / year70%median 45%
Fines (3-yr window)7 · $42,603

Inspection citations (11 in the current record)

  • Potential for harm · D June 8, 2023 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected July 12, 2023 · Resident Rights

  • Potential for harm · D June 8, 2023 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected July 12, 2023 · Quality of Life and Care

  • Potential for harm · D May 13, 2021

    Reasonably accommodate the needs and preferences of each resident.

    Corrected June 6, 2021 · Resident Rights

  • Potential for harm · D May 13, 2021

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 6, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D April 11, 2019

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected May 16, 2019 · Quality of Life and Care

  • Potential for harm · D April 11, 2019

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 16, 2019 · Quality of Life and Care

  • Potential for harm · D April 11, 2019

    Provide and implement an infection prevention and control program.

    Corrected July 28, 2019 · Infection Control

  • Potential for harm · D May 3, 2018

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected June 7, 2018 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 3, 2018

    Ensure each resident receives an accurate assessment.

    Corrected June 7, 2018 · Resident Assessment and Care Planning

  • Potential for harm · D May 3, 2018

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 7, 2018 · Resident Assessment and Care Planning

  • Potential for harm · F May 3, 2018

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 7, 2018 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
February 20, 2024Fine$4,938
February 12, 2024Fine$4,938
January 22, 2024Fine$14,434
January 8, 2024Fine$4,178
January 2, 2024Fine$3,529
December 11, 2023Fine$8,469
June 26, 2023Fine$2,117

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 015467 · certified since August 18, 2016. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.