01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2022-03-17 | 5 | 2022-03-17 | 5 |
| Cycle 2 | 2019-05-21 | 2 | 2019-05-21 | 3 |
| Cycle 3 | 2018-05-24 | 1 | 2018-05-24 | 2 |
CMS CCN 0151272026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Brookshire Healthcare Center
4320 Judith Lane · Huntsville, AL 35805 · Madison County
Certified beds129CMS provider file
Recent citation rows18current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
18 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2022-03-17 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2022-04-192022-03-17 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2022-04-192022-03-17 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2022-04-192022-03-17 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2022-04-192022-03-17 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2022-04-192022-03-17 · FIREK0351Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2022-04-042022-03-17 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2022-04-042022-03-17 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2022-04-042022-03-17 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2022-04-042022-03-17 · FIREK0741Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2022-04-042019-05-21 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2019-06-222019-05-21 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2019-06-222019-05-21 · FIREK0293Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2019-06-102019-05-21 · FIREK0351Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2019-06-282019-05-21 · FIREK0521Severity C · widespread; potential for minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Waiver has been granted · 2019-05-302018-05-24 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2018-06-232018-05-24 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2018-06-302018-05-24 · FIREK0521Severity C · widespread; potential for minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2018-06-3003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AOP SNF OPERATIONS HOLDINGS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 03/01/2023
- CH AOP HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST48% · since 03/01/2023
- MS AOP HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST23% · since 03/01/2023
- SS AOP HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST23% · since 03/01/2023
- GOODMAN, MENUCHAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/01/2025
- GOODMAN, MENUCHAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2025
- AOP OPCO MANAGER LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2023
- MELB OPCO MANAGER LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2025
- VERTEX FINANCIAL SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2025
- CODY, BRENDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/25/2025
- GOODMAN, MENUCHAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2025
- WAGNER, JOHNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2023
- STRAUSS, SUSANIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 12/30/2025
- MELB OPCO MANAGER LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/30/2025
- VERTEX FINANCIAL SERVICES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/30/2025
- CODY, BRENDAIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/25/2025
- WAGNER, JOHNIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/01/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.98per resident day
RN hours0.92per resident day
Weekend nurse hours3.26per resident day
Staff turnover52.1%CMS reported field
06 / LOCAL RECORDS
Open the Huntsville ledger →Other published facilities nearby
Diversicare Of Big Springs145 beds · CMS overall 4/516 citation rowsFairview At Redstone Village56 beds · CMS overall 4/58 citation rowsHuntsville Health & Rehabilitation, Llc105 beds · CMS overall 1/542 citation rowsRegency Health Care And Rehabilitation Center90 beds · CMS overall 1/520 citation rowsRocket City Rehabilitation And Healthcare Center159 beds · CMS overall 1/531 citation rowsThe Health Center At Research Park91 beds · CMS overall 1/523 citation rowsWillowbrooke Ct Skilled Care Ctr At Magnolia Trace59 beds · CMS overall 5/513 citation rowsWindsor House117 beds · CMS overall 1/528 citation rows