Nursing Care Index

Opp Health And Rehabilitation, LLC

Opp, Covington County, Alabama · CCN 015210 · For-profit (Corporation) · part of Nhs Management (43 facilities, chain average 2.9 stars)

CMS rates Opp Health And Rehabilitation, LLC 3 of 5 overall as of August 2026. 197 certified beds, 163 residents a day on average. 6 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★★★☆☆ 3 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay3 / 2 of 5

Staffing

Total nurse staffing3.3954 hours per resident per day
Registered nurses0.4551 hours per resident per day
Weekend total2.86849 hours per resident per day
Nursing staff turnover45.3% (registered nurses 41.2%)
Administrators who left1

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
2020-03-02 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2020-04-05
2019-05-22 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2019-06-25
2019-05-22 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
2019-06-25
2019-05-22 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-06-25
2018-07-26 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
2018-08-30
2018-07-26 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
2018-08-30

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%2002-11-08
James Norman Estes Jr Tr
Organization
5% or greater indirect ownership interest5%2002-11-08
Jennifer Lee Estes Tr 031093
Organization
5% or greater indirect ownership interest5%2002-11-08
Nhs Facilities Group LLC
Organization
5% or greater security interest2022-05-01
Opp Health Realty, LLC
Organization
5% or greater security interest2008-09-12
Regions Bank
Organization
5% or greater security interest2011-08-29
Servisfirst Bank
Organization
5% or greater security interest2022-05-01
Estes, James
Individual
5% or greater indirect ownership interest89%2002-11-08
Perkins, Jeanell
Individual
adp of the snf2025-02-07
Rasco, Lynn
Individual
corporate director2022-07-01
Richburg, Julie
Individual
corporate director2014-12-11
Estes, James
Individual
corporate officer2002-11-08
Long, Phillip
Individual
corporate officer2019-10-01
Baggett, Bryan
Individual
managing control - governing body2024-05-27
Richburg, Julie
Individual
managing control - governing body2014-12-11
Baggett, Bryan
Individual
operational/managerial control2024-05-27
Perkins, Jeanell
Individual
operational/managerial control2023-11-27
Rasco, Lynn
Individual
operational/managerial control2022-07-01
Richburg, Julie
Individual
operational/managerial control2014-12-11

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 Covington County.