The Healthcare Center at Buck Creek
A nursing home in Alabaster, Alabama 35007
850 9th Street, Northwest, Alabaster, Alabama 35007. (205) 663-3859.
- Not fully inspected in over two years (CMS flag)
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 3 health citations at the latest inspection cycle Alabama average: 4.0
- 3.58 nurse hours per resident per day Alabama average: 3.90
- 2 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
3 health citations at the latest inspection cycle
The Alabama average is 4.0.
Last standard inspection Jan 25, 2024.
Most serious in three years: actual harm (G), at a complaint inspection on May 3, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
9 citations in 3 months of the last 36. Last cited Sep 2024. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 9 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 9 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Sep 29, 2024: complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 3, 2024: complaint inspection4 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Protect each resident from the wrongful use of the resident’s belongings or money.
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Honor the resident’s right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Jan 25, 2024: standard and complaint inspection3 citations
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Post nurse staffing information every day.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jun 1, 1976.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 198 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $16,801 in all.
- 1 Medicare payment denial in the last three years.
- 9 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| May 3, 2024 | Medicare payment denial | Not given |
| May 3, 2024 | Fine | $8,401 |
| May 3, 2024 | Fine | $8,400 |
Who does the caring?
3.58 nurse hours per resident per day
The Alabama average is 3.90.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Alabama average |
|---|---|---|
| Nurse hours per resident per day | 3.58 | 3.90 |
| Of which registered nurses | 0.49 | 0.66 |
| At weekends | 3.21 | 3.27 |
| Nursing staff turnover | 51.4% | 46.8% |
| Registered nurse turnover | 71.4% | 40% |
| Administrators who left | Not given | Not given |
Who owns it?
- Rock Hill Acquisition III LLC owns 75% directly since Oct 25, 2021; Bmj Saltaire, LLC owns 16.35% directly since Aug 2, 2023.
- Diversicare Management Services LP. runs it.
- 8 owners or officers are people: Alan Litt (owns 5% or more through other companies, 25%); Jonathan Litt (owns 5% or more through other companies, 25%); Thomas Lally (owns 5% or more through other companies, 25%); Alan Litt (corporate officer); Jonathan Litt (corporate officer); Jessica N Miller (managing employee (on the payroll)); Thomas Lally (corporate officer); Joseph Borenstein (corporate officer).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Rock Hill Acquisition III LLC | Owns 5% or more directly | 75% | Oct 25, 2021 |
| Bmj Saltaire, LLC | Owns 5% or more directly | 16.35% | Aug 2, 2023 |
| 850 9th St Propco LLC | Other role (CMS gives no detail) | Oct 25, 2021 | |
| Diversicare Management Services LP. | Runs it (operational or managerial control) | May 1, 2023 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Alabama average 3.3).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 13.9 miles, this one had the 7th most health citations at the latest inspection cycle (3; the middle value was 3.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| The Healthcare Center at Buck Creek This nursing home | 3 | |
| Shelby Ridge Nursing Home | 1.0 | 3 |
| Galleria Woods Skilled Nursing Facility | 8.0 | 4 |
| Diversicare of Riverchase | 8.8 | 1 |
| Oaks on Parkwood Skilled Nursing Facility | 9.9 | 2 |
| South Haven Health and Rehabilitation, LLC | 10.5 | 1 |
| Aspire Physical Recovery Center at Hoover, LLC | 10.8 | 8 |
| Diversicare of Bessemer | 12.4 | 13 |
| Plantation Manor Nursing Home | 12.9 | 5 |
| Aspire Physical Recovery Center at Cahaba River | 13.2 | 8 |
| Stonehaven Health and Rehabilitation Center | 13.8 | 6 |
| Northgate Health and Rehabilitation Center | 13.9 | 2 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.