Nursing homeActive

Troy Health & Rehabilitation Center

515 Elba Highway, Troy, AL 360793345660880220 certified beds · 130 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2018
Deficiencies
10
0100
Penalties · 3 yrs
none on file
Last survey
2022-10-20
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Alabama Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2022-10-20Standard060CMS-2567 (Care Compare)
2019-10-24Standard020CMS-2567 (Care Compare)
2018-10-25Standard020CMS-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.

2022-10-20Standard survey · 6 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-24Record 015213-20221020-F550
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-24Record 015213-20221020-F755
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-11-24Record 015213-20221020-F801
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 2022-11-24Record 015213-20221020-F812
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-11-24Record 015213-20221020-F814
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-11-24Record 015213-20221020-F880
2019-10-24Standard survey · 2 deficienciesOfficial report
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 2019-11-28Record 015213-20191024-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 2019-11-28Record 015213-20191024-F880
2018-10-25Standard survey · 2 deficienciesOfficial report
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-11-29Record 015213-20181025-F690
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 2018-11-29Record 015213-20181025-F812

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.48
Facility
Alabama
National
Alabama 0.65 · National 0.69
Total nurse hours per resident day3.50
Facility
Alabama
National
Alabama 3.88 · National 3.86
Weekend total nurse hours2.89
Facility
Alabama
National
Alabama 3.26 · National 3.42
Total nursing staff turnover40%
Facility
Alabama
National
Alabama 47% · National 46%
Registered nurse turnover18%
Facility
Alabama
National
Alabama 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityAlabamaNational
Percentage of long-stay residents with pressure ulcers
lower is better
10.3%5.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.3%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
21.6%21.2%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.9%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
10.8%12.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.7%5.4%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
24.3%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)
EntityRoleInterestSinceRegistry
Marx, V.
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST90%
Kelly, James
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST5%
Marx IV, Victor
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST5%
Kelly, James
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Marx IV, Victor
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Marx, V.
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Walden, Ovida
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Walden, Ovida
Individual
CORPORATE OFFICERNOT APPLICABLE

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 Pike.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Luverne Health And Rehabilitation, LLC
Luverne
18.3 mi2021-07-29000
Elba Nursing And Rehabilitation Center, LLC
Elba
25.1 mi2022-05-17000
Ozark Health And Rehabilitation, LLC
Ozark
28.6 mi2023-06-16000
Southern Springs Healthcare Facility
Union Springs
29.7 mi2023-08-01000
Oakview Manor Health Care Center
Ozark
30.6 mi2023-07-13000
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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01