Mitchell-Hollingsworth Nursing & Rehabilitation — nursing home in Florence, AL

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 222 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 196.8 CMS, MDS-derived
CMS Certification Number: 015031
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1967
Ownership type: For profit - Limited Liability company
Operator (legal business name): Mitchell-Hollingsworth Nursing & Rehab Center
CMS chain: Preston Health Services 5 facilities
Phone: (256) 740-5400
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Sep 18, 2025

Citations

18

11 health · 7 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D14	E3	F1
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 015031
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 222
First approved: Jan 1, 1967
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Alabama.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Sep 18, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Sep 18, 2025	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
Sep 5, 2019	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Sep 5, 2019	Health	Health Standard	1	Potential harm	—	Open →
Aug 2, 2018	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Aug 2, 2018	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D14	E3	F1
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Sep 18, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 12, 2025
Sep 18, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 5, 2025	Complaint
Sep 18, 2025	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 5, 2025
Sep 18, 2025	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 5, 2025
Sep 18, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 5, 2025
Sep 18, 2025	F-0700	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 5, 2025
Sep 18, 2025	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 5, 2025
Sep 5, 2019	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 8, 2019
Sep 5, 2019	K-0343	Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 8, 2019
Sep 5, 2019	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 8, 2019
Sep 5, 2019	F-0635	Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 8, 2019
Aug 2, 2018	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 8, 2018
Aug 2, 2018	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 9, 2018
Aug 2, 2018	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 8, 2018
Aug 2, 2018	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 4, 2018
Aug 2, 2018	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 4, 2018
Aug 2, 2018	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Sep 4, 2018
Aug 2, 2018	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 4, 2018

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.8

Staffingstate 3.7

Quality measuresstate 3.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.27

State avg 3.90US avg 3.90

Registered nurse (RN)0.68

State avg 0.66US avg 0.69

Licensed practical nurse0.89

State avg 0.78US avg 0.86

Nurse aide1.70

State avg 2.46US avg 2.35

Weekend total nurse2.68

State avg 3.27US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.84 (case-mix index 1.19).

Staff turnover

Total nursing staff turnover39.9%

State avg 46.8%US avg 45.3%

Registered nurse turnover21.2%

State avg 40.0%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Sep 18, 2025
Cycle 1 health score: 24
Total weighted score: 19

Operating entity

Mitchell-Hollingsworth Nursing & Rehab Center

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Preston Health Services

5 facilities in 1 states. CMS chain ID 702.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.2

Ownership disclosures

Disclosures

3

Organizations

0

Individuals

3

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
James Walker	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jul 1, 2002

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
James Walker	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jul 1, 2002
James Walker	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2002
Kenneth Rose	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Jan 1, 2023

Same chain in Alabama

All 4 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Limestone Nursing and Rehabilitation Center, LLC 1600 West Hobbs Street, Athens, AL 35611 CCN 015024	170	Feb 13, 2020	13	—
Gadsden Health and Rehab Center 1945 Davis Drive, Gadsden, AL 35904 CCN 015180	168	Jul 15, 2021	17	—
Marshall Manor Nursing Home 3120 North Street, Guntersville, AL 35976 CCN 015378	91	Jun 23, 2023	11	—
South Hampton Nursing & Rehabilitation Center 213 Wilson Mann Road, Owens Cross Roads, AL 35763 CCN 015448	81	Jul 14, 2023	18	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 805 Flagg Circle, Florence, AL 35631
ZIP: 35631
County: Lauderdale County FIPS 01077
State: Alabama
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
El Reposo Nursing Facility 260 Milner Chapel Road, Florence, AL 35634 CCN 015402	1.4 km	60	Jul 3, 2024	12	—
Florence Nursing and Rehabilitation Ctr, LLC 2107 Cloyd Blvd, Florence, AL 35630 CCN 015169	4.7 km	147	Jan 14, 2020	24	—
Glenwood Center 211 Ana Drive, Florence, AL 35630 CCN 015147	5.7 km	125	Feb 28, 2024	32	—
Keller Landing 813 Keller Lane, Tuscumbia, AL 35674 CCN 015028	7.6 km	109	Feb 24, 2022	14	—
Cypress Cove Care Center 200 Alabama Avenue, Muscle Shoals, AL 35661 CCN 015392	8.5 km	90	Jan 9, 2020	16	—
Cottage of the Shoals 500 John Aldridge Drive, Tuscumbia, AL 35674 CCN 015067	9.1 km	103	Aug 5, 2021	8	—
Lauderdale Christian Nursing Home 2019 County Road 394, Killen, AL 35645 CCN 015361	20.6 km	58	Sep 20, 2023	16	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	015031	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	015031	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 015031

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction