Cottage of the Shoals: Staffing, Turnover, and Inspection Record
Cottage of the Shoals is a 103-bed for-profit nursing home in Tuscumbia, Alabama, part of Genesis Healthcare. In the CMS August 2026 release it reported 1.79 nurse aide hours per resident per day, 27% below the Alabama average of 2.44, and 58.8% nursing staff turnover (Alabama average 46.9%).
Cottage of the Shoals
500 John Aldridge DriveTuscumbia, AL 35674
Colbert County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Cottage of the Shoals, nurse aides logged 1.79 hours per resident per day, 27% below the Alabama average. With about 91 residents a day, that works out to roughly 162 aide hours a day, or about 20 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | Alabama avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.79 | 2.44 | 2.32 |
| Licensed practical nurses | 0.71 | 0.79 | 0.86 |
| Registered nurses | 0.79 | 0.65 | 0.69 |
| All nursing staff | 3.29 | 3.88 | 3.86 |
| All nursing staff, weekends | 2.75 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
58.8% of nursing staff at Cottage of the Shoals left over the year CMS measured, against a Alabama average of 46.9% and a US average of 45.8%. Registered nurse turnover was 60.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 5, 2021. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (Alabama average 4.0). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Cottage of the Shoals holds 4 of 5 overall; the Alabama average is 3.0.
About Cottage of the Shoals
- Ownership: For profit - Corporation
- Chain: Genesis Healthcare, 184 homes
- Legal name: Sunbridge Healthcare LLC
- Medicare and Medicaid certified since: Jan 1, 1972
- Councils: resident and family councils
- Area: urban
Nursing homes near Cottage of the Shoals
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Keller Landing Tuscumbia | 1.9 | 109 | 1.76 | 3.27 | 46.3% | 5 | None |
| Cypress Cove Care Center Muscle Shoals | 2.6 | 90 | 1.74 | 3.33 | 38.0% | 5 | None |
| El Reposo Nursing Facility Florence | 5.0 | 60 | 3.39 | 4.78 | 42.4% | 3 | None |
| Mitchell-Hollingsworth Nursing & Rehabilitation Florence | 5.6 | 222 | 1.81 | 3.38 | 36.6% | 3 | None |
| Florence Nursing and Rehabilitation Ctr, LLC Florence | 7.8 | 147 | 1.83 | 3.43 | 36.0% | 3 | None |
| Glenwood Center Florence | 7.8 | 125 | 1.72 | 3.06 | 52.8% | 1 | None |
| Terrace Manor Nursing & Rehabilitation Center, Inc Russellville | 15.0 | 63 | 2.31 | 4.01 | 37.3% | 5 | None |
| Burns Nursing Home, Inc. Russellville | 15.0 | 57 | 2.46 | 4.06 | 44.8% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.