Alabama › Colbert County › Tuscumbia
Cottage of the Shoals
500 John Aldridge Drive, Tuscumbia, AL 35674
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 103 beds, Cottage of the Shoals serves Tuscumbia in Colbert County, Alabama and has taken Medicare and Medicaid residents since 1972.
CMS gives it 4 of 5 stars overall, above the Alabama median of 3; the health inspection rating is 4, staffing 2 and quality measures 4.
Inspectors recorded 5 health deficiencies across the three most recent survey cycles (3, 1, 1 by cycle, most recent first), none at the actual-harm level. That is 4.9 per 100 beds, fewer than the state median of 7.7.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.3 hours per resident per day (0.8 RN), close to the Alabama median of 3.9; nursing staff turnover is 58.8%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Colbert Co. median | Alabama median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 5 | 4 | 9 | 28.7 |
| Citations per 100 beds | 4.9 | 4.4 | 7.7 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.3 | 3.9 | 3.9 |
| RN hours per resident day | 0.8 | 1.1 | 0.6 | 0.7 |
| Nursing staff turnover | 58.8% | 46.3% | 46.7% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (3 in the county, 224 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Alabama average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Aug 2021, 14 May 2019.
Severity mix: D ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 5 Aug 2021 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Standard survey | 9 Sep 2021 |
| 5 Aug 2021 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 9 Sep 2021 |
| 5 Aug 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 9 Sep 2021 |
| 14 May 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Jun 2019 |
| 2 Aug 2018 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 25 Aug 2018 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Alabama average. Turnover: nursing staff 58.8%, RNs 60.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Alabama median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.8% | 11.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.5% | 1.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.5% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.1% | 11.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.7% | 20.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Sunbridge Healthcare Llc. Chain: Genesis Healthcare (184 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Genesis Holdings LLC | 5% or greater direct ownership interest | 100% | 02/02/2015 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 12/01/2012 |
| Gen Operations I LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 12/01/2012 |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2015 |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 12/01/2012 |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 12/01/2012 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Colbert County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Cypress Cove Care Center | Muscle Shoals | 90 | 5 | 5 | 4 | 4 | 4.4 | — | 9 Jan 2020 |
| Keller Landing | Tuscumbia | 109 | 5 | 5 | 4 | 3 | 2.8 | — | 20 Jun 2019 |
All 3 facilities in Colbert County
Questions and answers
How many deficiencies has Cottage of the Shoals been cited for?
5 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Alabama median is 9 per facility.
Has Cottage of the Shoals been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Cottage of the Shoals compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Alabama median of 3.9 and a national average of 3.9.
Who operates Cottage of the Shoals?
It is part of the Genesis Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Genesis Holdings LLC, Fc-Gen Operations Investment LLC and Gen Operations I LLC. Individual owners and managers are not listed on this site.
When was Cottage of the Shoals last inspected?
The most recent survey or investigation in the CMS record is dated 5 Aug 2021; the most recent standard health survey was 5 Aug 2021.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.