Nursing homeActive
Village At Cook Springs Skilled Nursing Facility
415 Cook Springs, Pell City, AL 351252053382221168 certified beds · 132 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2018
Deficiencies
12
● 0● 9● 3
Penalties · 3 yrs
—
none on file
Last survey
2023-12-20
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Alabama Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2023-12-20 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2022-05-05 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2019-07-28 | Standard | 023 | CMS-2567 (Care Compare) | — |
| 2018-08-16 | Standard | 050 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Alabama Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-24Record 015195-20231220-F677
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-24Record 015195-20231220-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2019-08-19Record 015195-20190728-F600
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity JHarm
Care planningRecords
Isolated; immediate jeopardy to resident health or safety.Corrected 2019-08-19Record 015195-20190728-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2019-08-19Record 015195-20190728-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-08-19Record 015195-20190728-F609
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-09-21Record 015195-20190728-F880
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-09-20Record 015195-20180816-F584
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-09-20Record 015195-20180816-F658
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-09-20Record 015195-20180816-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2018-09-20Record 015195-20180816-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-09-20Record 015195-20180816-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.52
Facility
Alabama
National
Alabama 0.65 · National 0.69
Total nurse hours per resident day3.71
Facility
Alabama
National
Alabama 3.88 · National 3.86
Weekend total nurse hours3.18
Facility
Alabama
National
Alabama 3.26 · National 3.42
Total nursing staff turnover58%
Facility
Alabama
National
Alabama 47% · National 46%
Registered nurse turnover57%
Facility
Alabama
National
Alabama 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Alabama | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.3% | 5.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.7% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 26.5% | 21.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.2% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.6% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 12.0% | 12.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.8% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 36.5% | 24.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Blackwell, Crystal Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Buterworth, Beronica Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Estep, Barbara Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hall, Matthew Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kenwright, Karen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Noland Health Services, Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pickell, Randolph Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Renda, Nicholas Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Smothers, Kathy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Urban, Kelley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Adamson, Michele Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Adamson, Michele Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Blackwell, Crystal Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Britton, Isaac Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Britton, Isaac Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Buterworth, Beronica Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Estep, Barbara Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Estep, Barbara Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Estep, Barbara Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Flippo Enterprises LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Flippo, Gregory Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Flippo, Gregory Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goff, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Goff, Robert Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hall, Matthew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hall, Matthew Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Kenwright, Karen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nelson, Debra Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Nelson, Debra Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Noland Health Services, Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Noland Pharmacy LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nutrition Plus, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pickell, Randolph Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pickell, Randolph Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Renda, Nicholas Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Renda, Nicholas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Renda, Nicholas Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Smith, George Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Smith, George Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Smothers, Kathy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Urban, Kelley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Waggoner, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Waggoner, James Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Warren Averett LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Noland Health — 10 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Alabama.
No county cost figures on file for St. Clair.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Diversicare Of Pell City Pell City | 4.6 mi | 2022-03-03 | 000 |
| Meadowview Nursing Center Pell City | 6.1 mi | 2023-06-21 | 000 |
| Cavalier Healthcare Of Trussville Trussville | 12.6 mi | 2021-05-13 | 000 |
| Kirkwood By The River Birmingham | 14.9 mi | 2021-10-07 | 000 |
| Highlands Rehabilitation and Wellness Center Birmingham | 15.9 mi | 2024-05-13 | 135 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |