Skilled nursing · TUSCUMBIA, AL

COTTAGE OF THE SHOALS

500 JOHN ALDRIDGE DRIVE, TUSCUMBIA, AL 35674

103 bedsFor profit - Corporation
7.6Clarity
Score history
Sep 20267.6 flagged
Aug 20267.6 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 3 Aug 2026

The record on Cottage of the Shoals cuts both ways. On one side, inspectors rated the last health survey 4 out of 5 and levied no fines. On the other, sedative and sleep-medication use runs 2.1 times the national median, and falls with major injury far outpace the national rate. The sections below show exactly where each number comes from — read them before you tour.

palmelle

Written by Palmelle from federal and state records. Last updated 3 Aug 2026. Not paid for or edited by the facility.

In their own words

No description from the operator yet. If you manage this facility, claim this listing to tell families your side — and respond to the record below. Claimed pages also stop showing nearby alternatives: the page becomes yours alone.
Pets: not answered yetNo state publishes this. We ask operators directly.

The record

CMS Care Compare · Jul 2026
Federal ratings
Overall★★★★☆ 4 of 5
Health inspection★★★★☆ 4 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★☆ 4 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
48 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
3 hr 17 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
58.8%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is better

This home
8.9%
National
14%

On sedatives / sleep medicationlower is better

This home
30.8%
National
15%

Falls causing major injurylower is bettersee why ↓

This home
4.1%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$0 · zero penalties
Abuse iconNot flagged
Conflict flags in latest reconcile1

AL does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Mixed — a strong record with one number that needs an answer.

  • The falls number is the outlier: 3× the national rate. 4.1% of long-stay residents had a fall with major injury vs 1.6% nationally. Combined with the staffing picture, ask hard questions: one bad cluster, a reporting artifact, or a real problem.
  • Clean accountability record. There are no fines, flags, or abuse findings on the federal record.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for COTTAGE OF THE SHOALS?
COTTAGE OF THE SHOALS has an overall CMS Care Compare rating of 4 out of 5 stars.
Has COTTAGE OF THE SHOALS been cited for resident harm?
COTTAGE OF THE SHOALS has no abuse icon and no federal fines on record in the last 36 months.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.

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