Gadsden Health and Rehab Center
1945 Davis Drive · Gadsden, AL · 35904 · 2565474938
168 certified beds For profit - Individual Chain: Preston Health Services
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Cleaner inspection record than most facilities nationally.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Weekends run noticeably short-staffed
Weekend staffing is 72% of the overall level. Visit on a Saturday or Sunday before deciding.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.09 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 2.96 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (6 in the current record)
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Potential for harm · D July 15, 2021
Assess the resident when there is a significant change in condition
Corrected August 13, 2021 · Resident Assessment and Care Planning
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Potential for harm · D July 15, 2021
Ensure each resident receives an accurate assessment.
Corrected August 13, 2021 · Resident Assessment and Care Planning
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Potential for harm · D July 15, 2021
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 August 13, 2021 · Quality of Life and Care
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Potential for harm · D December 5, 2019
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 3, 2020 · Resident Assessment and Care Planning
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Potential for harm · D November 1, 2018
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected December 3, 2018 · Pharmacy Service
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Potential for harm · D November 1, 2018
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 3, 2018 · Nutrition and Dietary
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 015180 · certified since February 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.