High Shoals Health and Rehabilitation
Strong Medicare quality ratings; families often praise compassionate end-of-life care. Still worth an in-person visit.
based on 41 Google reviews
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What this means for your family
While some families report positive experiences with the rehab team and end-of-life care, the facility has a recurring pattern of severe neglect, particularly regarding hygiene and response times. We strongly advise families to conduct unannounced visits during weekends and evenings to verify the standard of care, as these times are frequently cited as problematic.
Google Reviews
Google Reviews
41 reviews on Google“High Shoals Health and Rehabilitation receives highly polarized feedback, with some families praising the staff's compassion and professional care, while others report severe neglect. Multiple reviewers have documented distressing incidents involving patients being left in soiled clothing for extended periods, medication management errors, and poor communication from nursing staff. Families considering this facility should be aware of these significant inconsistencies in care quality.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate end-of-life care
- Effective rehab therapy team
- Professional and helpful administrative staff
- Clean and modern facility appearance
Concerns
- Patients left in soiled clothing/hygiene neglect (mentioned by 9 reviewers)
- Slow or non-responsive call lights (mentioned by 4 reviewers)
- Poor communication and rude staff behavior (mentioned by 5 reviewers)
- Inadequate meal delivery or assistance (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 45 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1Given the facility's 3-star staffing rating, what specific protocols are in place to ensure residents receive timely assistance when using their call lights?
- 2I noticed some feedback regarding hygiene and personal care; could you walk me through your daily routine for ensuring residents are kept clean and comfortable?
- 3How does your nursing team coordinate with the rehabilitation department to ensure consistent care, especially during shift changes or busy meal times?
- 4I see that you actively respond to feedback online; how do you use that input to improve daily communication between your staff and family members?
- 5Could you describe the daily activity schedule and how your team encourages residents to participate in social engagement throughout the week?
- 6What is your process for monitoring and managing medications to ensure accuracy and safety for residents with complex health needs?
Personalized based on this facility's data
Key Review Excerpts
“Our dad had to sit in his own urine and poop for 18 1/2 hrs!!!! THIS IS UNACCEPTABLE!!!”
“Everyone was so supportive and nurturing during mom’s end of life. Grief support is offered and is helpful especially after the first few days…”
“I shouldn’t have to call and ask why my mom hasn’t received her medications or why she sat in her own urine for 10+ hours at a time or why she had no access to call lights or water.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
3
measures
1
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of complaint-triggered deficiencies, with families filing reports that led to 8 of 17 total violations across three surveys. The most frequent problem areas involve resident rights issues, safety system failures, and care planning deficiencies. While all deficiencies have correction dates, the facility continues to receive new violations in 2025, suggesting ongoing operational challenges that families should carefully consider.
Mar 27, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 27, 2025Routine7
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Nov 16, 2023Complaint6
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.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Nov 13, 2022Routine2
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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.
Ownership & Operations
Who Operates This Facility
High Shoals Health and Rehabilitation
nonprofit
Chain Affiliation
Ethica Health
50 facilities nationwide
Chain avg rating: 3.6/5 · Rank 12 of 48 (Best)
Ownership & Management
Owners
Sheffield, Kimberly
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
41 reviews from families & visitors
Official Website
Visit highshoalshealth.org
Medicare data downloads
Original nursing home datasets
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