Nursing Care Index

Georgiana Health And Rehabilitation, LLC

Georgiana, Butler County, Alabama · CCN 015182 · For-profit (Corporation) · part of Nhs Management (43 facilities, chain average 2.9 stars)

CMS rates Georgiana Health And Rehabilitation, LLC 4 of 5 overall as of August 2026. 91 certified beds, 79 residents a day on average. 5 citations on record from the current inspection cycles; no fines on record.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay3 / 1 of 5

Staffing

Total nurse staffing4.29467 hours per resident per day
Registered nurses0.50395 hours per resident per day
Weekend total3.24729 hours per resident per day
Nursing staff turnover38.5% (registered nurses 36.4%)
Administrators who left2

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2019-12-05 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-12-21
2018-12-13 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-01-09
2018-12-13 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-01-09
2018-12-13 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-01-03
2018-02-22 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2018-03-12

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Nhs Operations LLC
Organization
5% or greater direct ownership interest100%2003-04-28
James Norman Estes Jr Tr
Organization
5% or greater indirect ownership interest5%2003-04-28
Jennifer Lee Estes Tr 031093
Organization
5% or greater indirect ownership interest5%2003-04-28
Georgiana Health Realty, LLC
Organization
5% or greater security interest2008-10-08
Nhs Facilities Group LLC
Organization
5% or greater security interest2022-05-01
Regions Bank
Organization
5% or greater security interest2012-08-27
Servisfirst Bank
Organization
5% or greater security interest2022-05-01
Estes, James
Individual
5% or greater indirect ownership interest89%2003-04-23
Macdonald-Lamier, Starann
Individual
corporate director2023-08-28
Rasco, Lynn
Individual
corporate director2022-07-01
Simmons, Alice
Individual
corporate director2024-01-22
Estes, James
Individual
corporate officer2003-04-28
Long, Phillip
Individual
corporate officer2019-10-01
Hartley, Matilda
Individual
operational/managerial control2015-07-20
Macdonald-Lamier, Starann
Individual
operational/managerial control2023-08-28
Rasco, Lynn
Individual
operational/managerial control2022-07-01
Simmons, Alice
Individual
operational/managerial control2024-01-22
Hartley, Matilda
Individual
w-2 managing employee2015-07-20

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Butler County.