facebook tracking Shoals Hospital, Muscle Shoals, AL: ER Visit 1h 43m

Shoals Hospital, Muscle Shoals, AL

201 W Avalon Ave, Muscle Shoals, AL 35661Colbert County

Acute care hospital 47 beds (Medicare cost report FY2025) Emergency room

Independent directory · data from CMS, not from this hospital

Shoals Hospital is a for-profit acute care hospital in Muscle Shoals, Alabama, with an emergency department. According to HospitalsInEachState.com's analysis of the July 2026 CMS release, patients treated and sent home spend a median of 1 hr 43 min in its emergency department, 49 min shorter than the average across Alabama hospitals (2 hr 32 min).

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Median ER visit 1 hr 43 min treated & sent home −49 min vs AL hospitals' avg
Medicare star ratingNot ratedReason below
Beds47Medicare cost report FY2025

CMS did not publish an overall star rating for this hospital; hospitals that report too few quality measures are not rated.

Source: CMS Care Compare, July 2026 releaseER figures are medians, not live waitsAbout the data

Visiting Shoals Hospital

Address 201 W Avalon Ave
Muscle Shoals, AL 35661
County: Colbert
Directions Apple Maps Call (256) 386-1600
Emergency room Yes. For patients treated and sent home, the median ER visit here lasts 1 hr 43 min (average across AL hospitals: 2 hr 32 min). Medicare's median time in the ER for patients treated and sent home; not a live wait. ER times across AL
What to bring
  • Photo ID and your insurance, Medicare or Medicaid card
  • A list of your medicines, doses and allergies
  • Your doctor's name and phone number
  • A phone charger
Visiting hours and parking vary: call ahead.

Official links: Website for Shoals Hospital (opens the hospital's site)

Quick answers about Shoals Hospital

How long is the ER wait at Shoals Hospital?

CMS doesn't publish live wait times. Over the 12 months CMS reported, patients treated and sent home spent a median of 1 hr 43 min in the Shoals Hospital emergency room (the average across Alabama hospitals is 2 hr 32 min). 1% of ER patients left before being seen. For tonight's wait, check the hospital's website (opens the hospital's own site) or call (256) 386-1600. In an emergency, call 911.

What is the phone number for Shoals Hospital?

The main phone number for Shoals Hospital is (256) 386-1600, from Medicare's hospital records.

Call (256) 386-1600
What is the address of Shoals Hospital?

Shoals Hospital is at 201 W Avalon Ave, Muscle Shoals, AL 35661.

Directions (opens Google Maps)
Does Shoals Hospital have an emergency room?

Yes. Shoals Hospital has an emergency department, according to Medicare data.

Quality and performance

Centers for Medicare & Medicaid Services · data as of July 2026

Patients treated and sent home from the emergency department at Shoals Hospital spend a median of 1 hour 43 minutes there. That is 49 minutes shorter than the average across Alabama hospitals (2 hours 32 minutes).

Left before seen 1%
ER volume low
Type Acute Care
Ownership For-profit

Source: CMS Hospital General Information and Timely & Effective Care. Wait times are a median over a past 12-month reporting period, not live data. Not affiliated with CMS or with Shoals Hospital. For a medical emergency, call 911.

Compare ER waits across Alabama · How we source this data · Something wrong on this page? Tell us

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What patients say

CMS patient survey (HCAHPS) · 40 completed surveys · patients discharged Oct 2024 – Sep 2025

84% would definitely recommend it (U.S. average 71%). 81% rated it 9 or 10 out of 10.

Would definitely recommend 84% U.S. 71% · AL 71%
Rated 9 or 10 of 10 81% U.S. 72% · AL 70%
Survey response rate 14% of patients surveyed
Nurse communicationDid nurses treat you with courtesy and respect, listen carefully and explain things clearly?
88% always · 4% sometimes or never · U.S. 80% always
Doctor communicationDid doctors treat you with courtesy and respect, listen carefully and explain things clearly?
88% always · 4% sometimes or never · U.S. 80% always
Communication about medicinesBefore giving you a new medicine, did staff tell you what it was for and its possible side effects?
66% always · 24% sometimes or never · U.S. 62% always
Discharge informationDid staff talk with you about help you would need at home and symptoms to watch for?
85% yes · 15% no · U.S. 86% yes
CleanlinessHow often were your room and bathroom kept clean?
82% always · 9% sometimes or never · U.S. 74% always
Quiet at nightHow often was the area around your room quiet at night?
76% always · 4% sometimes or never · U.S. 60% always
Overall hospital ratingUsing any number from 0 to 10, what number would you use to rate this hospital?
81% 9 or 10 · 6% 6 or lower · U.S. 72% 9 or 10
Would recommendWould you recommend this hospital to your friends and family?
84% definitely yes · 6% no · U.S. 71% definitely yes

The patient survey (HCAHPS) asks a random sample of adult patients about their recent hospital stay. CMS adjusts the results for the mix of patients and how the survey was done, so hospitals can be compared fairly. CMS gives a star rating only to hospitals with at least 100 completed surveys, so this hospital has answer percentages but no stars. These results come from fewer than 100 completed surveys, so CMS advises using them with caution. About the data.

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Infections, complications and deaths

Centers for Medicare & Medicaid Services · compared with hospitals nationwide

Shoals Hospital was no different from the national benchmark on the one hospital-acquired infection CMS could compare. Its rate of serious complications was same as national.

Hospital-acquired infections

C. diff intestinal infectionsClostridioides difficile infections, a bacteria that causes severe diarrhea, often after antibiotics.
Same as national 0 infections vs 2.7 predicted · ratio 0.00

Serious complications

Serious complications (CMS PSI 90)Combines patient safety problems such as falls with fractures, bed sores, collapsed lungs, blood clots and infections after surgery. 1.00 is the national value; lower is better.
Same as national Ratio 0.97

Death rates within 30 days

Patients treated forThis hospitalU.S.
Hospital-wide, all conditions 4.1% 3.9%

Risk-adjusted rates. CMS has not published a statistical better/worse comparison for these death rates in the current release, so small differences from the U.S. rate may be chance.

Other complications

None of the other safety indicators CMS compares was statistically better or worse than national.

All 3 complication measures
MeasureThis hospitalU.S.CMS comparison
Pressure ulcers (bed sores)per 1,000 patients 0.58 0.63 Same as national
Falls in the hospital that caused a broken boneper 1,000 patients 0.27 0.27 Same as national
Collapsed lung caused by a medical procedureper 1,000 patients 0.21 0.21 Same as national

"Better" or "worse" means CMS found the difference from the national benchmark statistically significant; most hospitals are "no different". Infection results compare the infections a hospital reported with the number predicted for a hospital of its size and type (a ratio below 1 means fewer than predicted), for Oct 2024 – Sep 2025. Death and complication rates are risk-adjusted for how sick patients were. Each death rate counts deaths within 30 days of a hospital stay, pooled over one to three years of Medicare patients depending on the measure. About the data.

Readmissions and return visits

Centers for Medicare & Medicaid Services · Medicare patients

On the 1 readmission and return-visit measures CMS could compare, Shoals Hospital was no different from the national rate or its expected level.

Return trips after a stay or procedure

Hospital visits within 7 days of an outpatient colonoscopyUnplanned hospital visits per 1,000 colonoscopies.
Same as national 12.6 per 1,000 procedures · U.S. 13

Readmission rates count Medicare patients who were admitted to any acute-care hospital within 30 days of leaving this one, adjusted for how sick they were. "Better" or "worse" means CMS found the difference from the national rate statistically significant; most hospitals are "no different". Return-day and outpatient-surgery measures compare the hospital with what CMS expected for its own patients. The Readmissions Reduction Program ratios are shown as CMS publishes them; whether a hospital's payments are reduced depends on how its ratios compare with similar hospitals, so a ratio above 1.00 alone doesn't mean a penalty. About the data.

Timely and effective care

Centers for Medicare & Medicaid Services · all patients unless noted · Oct 2024 – Sep 2025

Shoals Hospital's emergency department is classed by CMS as low volume.

MeasureThis hospitalU.S.
Typical time in the ER before going homeMedian minutes from arrival to leaving, for ER patients sent home (not counting mental health patients or transfers). Lower is better. 348 patients. 103 min 162 min
Typical ER time for mental health patients sent homeMedian minutes from arrival to leaving. Lower is better. 24 patients. 160 min 257 min
Typical ER time for patients transferred to another facilityMedian minutes from arrival to leaving. Lower is better. 18 patients. 234 min 287 min
Patients who left the ER before being seenLower is better. 9,078 patients. 1% 2%
Health care workers vaccinated against fluHigher is better. 280 patients. 62% 78%
Discharged on two opioids, or an opioid and a benzodiazepinePatients sent home with prescriptions that raise the risk of overdose when combined. Lower is better. 194 patients. 13% 15%
Colonoscopy: right follow-up interval for average-risk patientsHigher is better. 73 patients. 100% 93%

CMS publishes these process-of-care measures without a better/worse verdict, so the U.S. figure is shown for context; small differences, or results based on few patients, may not mean much. About the data.

Medicare spending and payment programs

Centers for Medicare & Medicaid Services

Hospital-acquired conditions · FY 2026
No penalty
Not in the worst-performing quarter on infections and patient-safety problems. 719 of 3,012 hospitals were penalized.
Medicare spending per patient
0.97
3% less than the national median per hospital stay (about $26,594 vs $27,417), counting Medicare spending from 3 days before admission to 30 days after discharge.

The Hospital-Acquired Condition Reduction Program cuts Medicare payments by 1% for the quarter of hospitals with the worst scores. The Hospital Value-Based Purchasing Program withholds a small share of every hospital's Medicare payments and pays it back according to the total performance score. A spending ratio of 1.00 equals the national median; spending reflects prices, the services patients received and care after discharge, not quality. Some hospitals, such as critical access, children's and cancer hospitals, are not part of these programs. About the data.

Care after a stay at Shoals Hospital

Medicare-certified providers near this hospital, with their CMS ratings. A hospital discharge planner can make the referral.

Skilled nursing facilities nearby

  • 1.4mi Cottage of the Shoals Tuscumbia, AL · 103 beds Medicare overall 4 of 5 stars · Short-stay quality 1 of 5
  • 1.7mi Keller Landing Tuscumbia, AL · 109 beds Medicare overall 5 of 5 stars · Short-stay quality 4 of 5
  • 2.2mi Cypress Cove Care Center Muscle Shoals, AL · 90 beds Medicare overall 5 of 5 stars · Short-stay quality 3 of 5

Skilled nursing ratings and inspections at Nursing Homes In Each State

Dialysis centers nearby See more

Home health agencies nearby See more

Hospice care providers nearby See more

Source: CMS Care Compare. Distances are approximate.

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Inpatient psychiatric unit

In a mental health crisis? Free, 24/7 Suicide & Crisis Lifeline. Emergency? Call 911.

CMS Inpatient psychiatric care Quality Reporting Program, data through March 2025 · unit CCN 010157

Shoals Hospital runs an inpatient psychiatric unit that reports its own results to Medicare. Follow-up within 7 days: 46% here, against 37% nationally. Where CMS compares facilities statistically, this one is no different from the national rate.

After discharge

Follow-up within 7 days Patients who had a follow-up visit with a mental health provider within 7 days of leaving the hospital. Based on 55 patients. Jul 2023 – Jun 2024.
46% U.S. 37% · top 10% 53%
Follow-up within 30 days Patients who had a follow-up visit with a mental health provider within 30 days of leaving. Based on 55 patients. Jul 2023 – Jun 2024.
67% U.S. 60% · top 10% 77%
Readmitted within 30 days Patients readmitted to any hospital within 30 days of discharge (risk-adjusted). CMS compares each facility with the national rate. Based on 160 patients. Jul 2022 – Jun 2024.
22% U.S. 19% Same as national
Discharge record sent Patients whose discharge record, with the required details, was sent with them or to their next provider. Based on 330 patients. Jan 2024 – Dec 2024.
86% U.S. 63% · top 10% 99%

During the stay

Physical restraint use Hours patients spent in physical restraints for every 1,000 hours of inpatient care. Lower is better. Jan 2024 – Dec 2024.
0.13 U.S. 0.29
Seclusion use Hours patients spent in seclusion for every 1,000 hours of inpatient care. Lower is better. Jan 2024 – Dec 2024.
0.31 U.S. 0.36
Screened for metabolic disorders Patients on antipsychotic medication who were screened for metabolic problems such as diabetes and high cholesterol. Based on 158 patients. Jan 2024 – Dec 2024.
85% U.S. 82% · top 10% 100%
Alcohol use help offered Patients with risky alcohol use who were given or offered a brief intervention. Based on 30 patients. Jan 2024 – Dec 2024.
97% U.S. 60% · top 10% 100%
Addiction treatment offered at discharge Patients with an alcohol or drug use disorder who were given or offered treatment when they left. Based on 28 patients. Jan 2024 – Dec 2024.
21% U.S. 72% · top 10% 100%
Tobacco treatment offered at discharge Tobacco users who were given or offered help to quit when they left. Based on 61 patients. Jan 2024 – Dec 2024.
20% U.S. 58% · top 10% 98%
Flu vaccination checked Patients assessed for and, where appropriate, given a flu vaccine. Based on 125 patients. Oct 2024 – Mar 2025.
83% U.S. 76% · top 10% 99%

Source: CMS Inpatient psychiatric care Quality Reporting Program (Provider Data Catalog). Better/worse labels appear only where CMS itself compared the facility with the national rate; other figures are shown next to the national figure for context. If you or someone you know is in crisis, call or text 988 (Suicide and Crisis Lifeline) or call 911.

Inpatient rehabilitation unit

CMS Inpatient rehabilitation Quality Reporting Program, data through December 2025 · unit CCN 01T157

Shoals Hospital runs an inpatient rehabilitation unit that reports its own results to Medicare. Returned home or to the community: 65% here, against 67% nationally. Where CMS compares facilities statistically, this one is no different from the national rate.

Results

Returned home or to the community Medicare patients who went home (or to another community setting) after rehab and stayed out of hospitals and nursing homes for at least 31 days. Risk-standardized; CMS compares it with the national rate. Based on 781 patients. Oct 2023 – Sep 2025.
65% U.S. 67% Same as national
Preventable readmissions after discharge Medicare patients readmitted to a hospital within 30 days of leaving, for problems that good care could have prevented (risk-standardized). Based on 784 patients. Oct 2023 – Sep 2025.
11% U.S. 9.4% Same as national
Preventable readmissions during the stay Medicare patients sent back to a hospital during their rehab stay for problems that good care could have prevented (risk-standardized). Based on 852 patients. Oct 2023 – Sep 2025.
5.2% U.S. 4.7% Same as national
Met their expected function at discharge Patients who were at or above the expected ability to care for themselves and move around when they left. Based on 594 patients. Jan 2025 – Dec 2025.
79% U.S. 69%
Met expected self-care at discharge Patients at or above the expected ability to care for themselves (eating, bathing, dressing) when they left. Based on 594 patients. Jan 2025 – Dec 2025.
79% U.S. 65%
Met expected mobility at discharge Patients at or above the expected ability to move around when they left. Based on 594 patients. Jan 2025 – Dec 2025.
75% U.S. 62%

Safety

Falls with major injury Patients who had one or more falls with a major injury during their stay. Based on 681 patients. Jan 2025 – Dec 2025.
0.3% U.S. 0.2%
New or worsened pressure ulcers Patients with pressure ulcers or injuries that were new or got worse during the stay (risk-adjusted). Based on 679 patients. Jan 2025 – Dec 2025.
1.3% U.S. 0.9%
Catheter urinary tract infections Standardized infection ratio: actual infections divided by the number predicted. Below 1 means fewer than predicted. Oct 2024 – Sep 2025.
0.82 U.S. 1.00 Same as national
C. diff infections Standardized infection ratio for Clostridioides difficile infections. Below 1 means fewer than predicted. Oct 2024 – Sep 2025.
0.00 U.S. 0.34
Medications reviewed Patients whose medicines were reviewed, with follow-up when a problem was found. Based on 681 patients. Jan 2025 – Dec 2025.
99% U.S. 98%
Medication list sent to next provider Patients whose current medication list went to their next care provider. Based on 592 patients. Jan 2025 – Dec 2025.
100% U.S. 97%
Medication list given to patient Patients (or their family or caregiver) given a current medication list at discharge. Based on 87 patients. Jan 2025 – Dec 2025.
99% U.S. 99%
Staff flu vaccination Health care staff who got a flu shot for the season. Based on 97 patients. Oct 2024 – Mar 2025.
70% U.S. 77%

Cost

Medicare spending per patient Medicare spending for a rehab stay and the 30 days after, compared with the national median facility (1.00). Below 1 means less spending. Based on 797 patients. Oct 2022 – Sep 2024.
0.98 U.S. 1.00

Source: CMS Inpatient rehabilitation Quality Reporting Program (Provider Data Catalog). Better/worse labels appear only where CMS itself compared the facility with the national rate; other figures are shown next to the national figure for context.

Doctors at Shoals Hospital

97 Medicare-enrolled doctors and other clinicians list this hospital as an affiliation, across 25 specialties.

See all 97 clinicians

Find doctors in Muscle Shoals

Medicare-enrolled specialists with a practice in Muscle Shoals, with addresses, phone numbers and the hospitals they work with.

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What Medicare paid at Shoals Hospital

Centers for Medicare & Medicaid Services · original Medicare patients · 2024

Average hospital charges and actual payments for the procedures Medicare patients most often had here, compared with the average for Alabama.

Hospital stays

StayStaysAvg billedAvg payment (Medicare + patient)vs state
Alcohol, drug abuse or dependence without rehabilitation therapy without major complicationsDRG 897 21 $16,848 $8,136 −2%

Outpatient services

ServiceServicesAvg billedAvg allowed
Level 1 Intraocular ProceduresAPC 5491 108 $10,607 $1,907
Level 3 Vascular ProceduresAPC 5183 25 $19,073 $2,204
Comprehensive Observation ServicesAPC 8011 18 $14,590 $2,308

Charges are the hospital's list prices; payments are what Medicare, the patient and any other insurer actually paid (for outpatient services, Medicare's allowed amount). Private insurance prices differ. "vs state" compares this hospital's average payment with the state average for the same stay. All procedure costs.

Size and finances

Medicare cost report · fiscal year ending Mar 2025

Beds
47
Reported to Medicare, FY2025
Employees
190
Full-time equivalent
Discharges
1,644
Inpatient stays a year
Patient revenue
$44.4 million
Net of discounts
Operating margin
-12.1%
On patient care
Charity care
$1.4 million
2.8% of expenses
Bad debt
$4.7 million
Unpaid patient bills

As reported by the hospital to CMS; not audited. Operating margin is income from patient care divided by net patient revenue and leaves out investment income and donations. Compare Alabama hospital finances.

Who owns Shoals Hospital

Medicare enrollment and ownership records (PECOS)

Medicare lists the hospital's legal name as Rchp - Florence LLC, a for-profit organization, incorporated 2010.

Regionalcare Hospital Partners LLC Owns 5% or more directly · 100% · since 2019 For-profit
DSB Acquisition LLC Owns 5% or more indirectly · 100% · since 2015 For-profit
Lifepoint Health Inc Owns 5% or more indirectly · 100% · since 2011 For-profit
Rchp LLC Owns 5% or more indirectly · 100% · since 2016 For-profit

163 doctors and other clinicians list Shoals Hospital as a hospital affiliation in Medicare's clinician directory.

Organizations with 5% or more ownership (directly or through other companies), partnership interests or operational control, as the hospital reported them to Medicare. Records can lag behind recent sales. Individuals are not listed. Who owns America's hospitals.

The area around Shoals Hospital

HRSA shortage designations and BLS pay data

Primary care: Parts of Colbert are federally designated health professional shortage areas (1 designation). Highest shortage score 17.

Mental health: Colbert is a federally designated health professional shortage area. Highest shortage score 12.

Nurse pay: registered nurses in Alabama earn a median $77,080 a year. Healthcare salaries in Alabama.

Shortage areas are designated by the Health Resources and Services Administration where there are too few primary care, mental health or dental providers for the population; scores run from 0 to 25 for primary and mental health care and 0 to 26 for dental care, higher meaning greater need. Alabama shortage areas

Healthcare pay in Alabama

Registered nurses across Alabama (all employers) earned a median of $77,080 a year (BLS, May 2025).Registered Nurse (RN) salary in AlabamaNurse Practitioner salary in AlabamaRespiratory Therapist salary in AlabamaHealthcare salaries in Alabama

Cite this data

Writing about Shoals Hospital? You're welcome to quote these figures. They are free to use under CC BY 4.0: please credit HospitalsInEachState.com and link to this page.

Figures as of the July 2026 CMS release Updated automatically when CMS publishes new data Permanent link: hospitalsineachstate.com/hospitals/alabama/muscle-shoals/shoals-hospital/201-w-avalon-ave/

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