Skilled nursing · Florence, AL

El Reposo Nursing Facility

260 MILNER CHAPEL ROAD, Florence, AL 35634

4 / 5CMS 60 bedsCapacity Apr 2026Inspected

PALMELLE

Below median

Federal · State

Concerns

The Palmelle read

Worth a closer look. El Reposo Nursing Facility carries a Palmelle Clarity Score of 45 out of 100, derived from federal CMS Care Compare data plus Alabama state records. Health inspection rating sits at 3-star, staffing at 4-star, quality measures at 5-star. Long-stay antipsychotic prescribing is at 28.0 percent versus a 14 percent national median. RN coverage is 0.46 hours per resident per day. Nurse turnover 47 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Alabama DPH

In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This

0.46

National

0.78

Annual nurse turnover

This

47%

National

53%

No federal fines

Zero fines on record in the last 36 months.

Worth asking about

Antipsychotic, long-stay

This

28.0%

National

14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + Alabama state data

The full record.

Federal CMS ratings

Overall★★★★★4 / 5

Health inspection★★★★★3 / 5

Staffing★★★★★4 / 5

Quality measures★★★★★5 / 5

Staffing

RN hours per resident, daily

This

0.46

Nat

0.78

Total nurse hours / resident, daily

This

4.54

Nat

3.62

Annual nurse turnover

This

47%

Nat

53%

Annual RN turnover

This

37%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

28.0%

Nat

14%

Sedative / sleep med

This

48.6%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

7.4%

Nat

1.6%

Penalties & status

No abuse iconNot special focusInspection currentZero federal fines (36mo)

Identity & licensing

CMS ID015402

OwnershipFor profit - Corporation

ChainIndependent

Beds60

Avg residents58

Citations · last 36 months

Flagged by CMS data
Long-stay antipsychotic rate is 28% — above the national median of about 14%. CMS already excludes residents with primary psychotic diagnoses from this measure. Worth asking what specific behaviors the medication is targeting and what non-medication options were tried first.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Long-stay antianxiety / sleep medication rate is 49%. This category often shifts up when antipsychotic prescribing is restricted — different drug class, same effect on the resident. Worth asking the facility's prescribing rate for both classes side by side.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Falls with major injury rate is 7.4% — above the national median of about 3%. A spike usually means call lights aren't getting answered fast enough or the facility is short on aides during transfer-heavy hours like mealtimes. Worth asking how long the call-light response window is during evening shifts.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Unplanned weight loss rate is 9.5% — above the national median of about 6%. In long-stay facilities this is almost always a feeding-assistance failure: residents who need help eating aren't getting it, especially at dinner when staffing thins. Worth asking how dinner-hour staffing compares to lunch.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Long-stay urinary tract infection rate is 11.3% — above the national median of about 2%. UTIs in elders cause confusion that gets misread as dementia progression. Often correlates with catheter overuse and understaffing. Worth asking how the facility tracks and prevents recurrent UTIs.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Alabama DPH · Last reconciled May 6, 2026

Questions families ask

Common questions.

What is the CMS rating for El Reposo Nursing Facility?

El Reposo Nursing Facility has an overall CMS Care Compare rating of 4 out of 5 stars. It scores 3 of 5 on health inspection, 4 of 5 on staffing, and 5 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has El Reposo Nursing Facility been cited for resident harm?

CMS data flagged 5 concerns on the latest reconcile. The full record for El Reposo Nursing Facility appears in the record section above.

Does El Reposo Nursing Facility use antipsychotic medications?

28.0 percent of long-stay residents at El Reposo Nursing Facility are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is also elevated at 48.6 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is El Reposo Nursing Facility's Palmelle Clarity Score?

El Reposo Nursing Facility has a Palmelle Clarity Score of 45 out of 100, putting it below the national median. The score is a composite of federal CMS and Alabama state inspection data. Higher is better.

How can I tour or contact El Reposo Nursing Facility?

El Reposo Nursing Facility is located at 260 MILNER CHAPEL ROAD, Florence, AL 35634. Phone: (256) 757-2143. Website: contact facility. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is El Reposo Nursing Facility a special focus facility?

El Reposo Nursing Facility is not currently on the federal Special Focus Facility list, has no abuse icon on file, and no federal fines in the last 36 months.

What does F-689 mean on El Reposo Nursing Facility's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If El Reposo Nursing Facility has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does El Reposo Nursing Facility compare to other Florence skilled nursing facilities?

El Reposo Nursing Facility holds a Palmelle Clarity Score of 45. The full Florence directory shows nearby facilities ranked by score, antipsychotic prescribing, staffing, and citation history. Browse the full Florence directory to compare more facilities by score, staffing, and inspection record.

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