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Nursing HomeMedicaid Investigative

Troy Health & Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

515 Elba Highway, Troy, AL 36079220 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.2/5

based on 9 Google reviews

5
4
3
2
1
Troy Health & Rehabilitation Center Nursing Home in Troy, AL — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (6 vs median 3.0)

Bottom 25% in AL · Below recommended RN staffing · Significantly below average staffing · No penalties on record

Source: Medicare data

What this means for your family

Due to the lack of detailed, objective feedback and the presence of conflicting reports, it is highly recommended that you conduct an in-person tour and request recent state inspection reports. Please be aware that some positive reviews appear to be from employees and reference a different facility name, which warrants additional caution during your evaluation.

Google Reviews

Google Reviews

9 reviews on Google
Reviews for Troy Health & Rehabilitation Center are extremely limited in descriptive content, making it difficult to assess the quality of care. The few negative comments express serious concerns regarding safety and administration, while positive reviews are either empty star ratings or written by staff members identifying the facility by a different name.

Quality Themes

Tap a score for details
FoodN/AStaff3.0CleanN/AActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Long-term staff tenure
  • Commitment to resident care

Concerns

  • Serious allegations regarding administration and resident safety

Rating Trends

Tap a year to see what changed

2343.72019(3)5.02020(1)1.02024(1)3.42025(5)

Distribution · 10 analyzed

5
6
4
0
3
0
2
0
1
4

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent focus on administrative oversight, what specific steps is leadership taking to ensure resident safety and improve the overall quality of care?
  • 2I noticed the facility has a 1-star CMS health inspection rating; what is the current plan for addressing those specific health and safety deficiencies?
  • 3With a staffing rating of 2 stars, how are you currently supporting your team to ensure residents receive consistent, high-quality attention throughout the day?
  • 4Some families have mentioned long-term staff tenure as a strength; how do you foster that stability to ensure residents build meaningful, long-term relationships with their caregivers?
  • 5What does a typical daily activity schedule look like for residents to ensure they remain engaged and socially active?
  • 6How does your nursing team coordinate with local hospitals to manage medical emergencies and ensure seamless transitions for residents requiring higher levels of care?

Personalized based on this facility's data


Key Review Excerpts

I have worked here at Charlton Place for 27 years. I absolutely love working here and being able to take care of our lovely residents!

Employee · 2025★★★★★

They have a drunken administration. Nobody can pass a drug test. Beating on my sister.

Family member · 2019☆☆☆☆

Would not recommend putting a loved one in this place.

General visitor · 2025☆☆☆☆
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.48hrs
64%
Registered nurses for medical care
Total Nursing
3.51hrs
86%
All nurses + aides combined
Staff Turnover
36%
Lower is better (< 30% = good)
RN Turnover
18%
Lower is better (< 30% = good)

Both 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

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

6

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility59.3%
Worse than Avg
Here
59.3%
US
93.4%
AL
91.7%
Pike
96.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility10.0%
Better than Avg
Here
10.0%
US
19.4%
AL
13.3%
Pike
22.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
AL
1.4%
Pike
8.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.8%
Worse than Avg
Here
21.8%
US
15.5%
AL
21.4%
Pike
14.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility23.0%
Mixed vs Avgs
Here
23.0%
US
19.5%
AL
24.7%
Pike
28.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.6%
Better than Avg
Here
10.6%
US
15.3%
AL
13.3%
Pike
16.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility33.8%
Worse than Avg
Here
33.8%
US
79.8%
AL
80.3%
Pike
83.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility55.4%
Worse than Avg
Here
55.4%
US
81.8%
AL
84.8%
Pike
87.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
AL
2.0%
Pike
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Well above state avg (3.9)

Troy Health & Rehabilitation Center shows a concerning pattern of recurring deficiencies, particularly with food safety and preparation issues appearing across all three surveys from 2018-2022. The facility has struggled with fire safety systems, infection control, and building maintenance. While all deficiencies were reportedly corrected, the persistence of food safety problems across multiple years raises questions about sustained compliance and quality oversight.

Oct 20, 2022Routine
19
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0025Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0232Potential for harm · IsolatedCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

Oct 24, 2019Routine
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Oct 25, 2018Routine
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Troy Health & Rehabilitation Center

Organization Type

for profit

Ownership & Management

Owners

Marx, V.

Owner

90%

Kelly, James

Owner (parent company)

5%

Marx IV, Victor

Owner (parent company)

5%

Key personnel

Kelly, JamesW-2 Managing EmployeeMarx IV, VictorW-2 Managing EmployeeMarx, V.W-2 Managing EmployeeWalden, OvidaW-2 Managing EmployeeWalden, OvidaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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