Nursing homeActive
Health Care Inc
38286 Us Highway 231, Ashville, AL 35953205594514853 certified beds · 48 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
3
since 2019
Deficiencies
6
● 0● 6● 0
Penalties · 3 yrs
—
none on file
Last survey
2022-08-24
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 2
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 |
|---|---|---|---|---|
| 2022-08-24 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2021-08-12 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2019-08-08 | Standard | 030 | 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.
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-23Record 015407-20220824-F656
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 2022-09-23Record 015407-20220824-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-23Record 015407-20220824-F842
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-08-30Record 015407-20190808-F641
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 2019-08-30Record 015407-20190808-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 2019-08-30Record 015407-20190808-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.31
Facility
Alabama
National
Alabama 0.65 · National 0.69
Total nurse hours per resident day3.27
Facility
Alabama
National
Alabama 3.88 · National 3.86
Weekend total nurse hours2.53
Facility
Alabama
National
Alabama 3.26 · National 3.42
Total nursing staff turnover78%
Facility
Alabama
National
Alabama 47% · National 46%
Registered nurse turnover100%
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 | 4.9% | 5.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.5% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 62.5% | 21.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.0% | 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 | 6.1% | 12.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 9.9% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 50.9% | 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 |
|---|---|---|---|---|
| Penland, Pam Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Penland, Pam Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Penland, Pam Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Penland, Pam Individual | CORPORATE OFFICER | NOT 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 St. Clair.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Altoona Health & Rehab Altoona | 11.1 mi | 2022-06-13 | 000 |
| Tlc Nursing Center Oneonta | 10.9 mi | 2026-04-02 | 050 |
| Diversicare Of Oneonta Oneonta | 11.0 mi | 2023-07-23 | 000 |
| Attalla Rehabilitation And Nursing Center Attalla | 13.3 mi | 2022-03-01 | 000 |
| Diversicare Of Pell City Pell City | 19.3 mi | 2022-03-03 | 000 |
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 |