Cottage of the Shoals
500 John Aldridge Drive · Tuscumbia, AL · 35674 · 2563834541
103 certified beds For profit - Corporation Chain: Genesis Healthcare
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.
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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
63% 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
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.78 | 0.55–0.75 |
| Weekend hours / resident-day | 2.81 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (5 in the current record)
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Potential for harm · D August 5, 2021
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected September 9, 2021 · Resident Rights
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Potential for harm · D August 5, 2021
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 9, 2021 · Resident Assessment and Care Planning
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Potential for harm · D August 5, 2021
Provide and implement an infection prevention and control program.
Corrected September 9, 2021 · Infection Control
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Potential for harm · D May 14, 2019
Provide and implement an infection prevention and control program.
Corrected June 10, 2019 · Infection Control
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Potential for harm · D August 2, 2018
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 25, 2018 · Freedom from Abuse, Neglect, and Exploitation
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 015067 · certified since January 1, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.