Nursing Care Index

Huntsville Health & Rehabilitation, LLC

Huntsville, Madison County, Alabama · CCN 015440 · For-profit (Corporation) · part of Nhs Management (43 facilities, chain average 2.9 stars)

CMS rates Huntsville Health & Rehabilitation, LLC 1 of 5 overall as of August 2026. 105 certified beds, 100 residents a day on average. 19 citations on record from the current inspection cycles, 4 at immediate jeopardy; no fines 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★☆☆☆☆ 1 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay5 / 1 of 5

Staffing

Total nurse staffing3.9204 hours per resident per day
Registered nurses0.53682 hours per resident per day
Weekend total3.15755 hours per resident per day
Nursing staff turnover63% (registered nurses 65%)
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
2026-05-21
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2026-07-13
2026-05-21
complaint survey
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · tag F0740
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2026-06-23
2026-05-21
complaint survey
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604
J Immediate jeopardy to resident health or safety; isolated Past Non-Compliance
2025-08-05
2026-05-21
complaint survey
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2026-07-13
2026-05-21
complaint survey
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · tag F0803
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-06-23
2026-05-21
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-06-23
2026-05-21
complaint survey
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-06-23
2026-05-21
complaint survey
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Administration Deficiencies · tag F0837
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-07-13
2026-05-21 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-07-13
2026-05-21
complaint survey
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-23
2026-05-21
complaint survey
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
2026-06-23
2026-05-21
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-23
2026-05-21
complaint survey
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0697
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2026-04-08
2026-05-21
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2026-04-08
2026-05-21 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
2026-06-23
2026-05-21 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2026-06-23
2022-01-14 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · tag F0814
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2022-02-18
2022-01-14 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
2022-02-18
2019-10-24 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
2019-11-28

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
Northport Holding Operations, LLC
Organization
5% or greater direct ownership interest100%2011-07-28
James N Estes Jr Family Dynasty Tr No 2
Organization
5% or greater indirect ownership interest18%2012-12-27
James Norman Estes Jr Tr
Organization
5% or greater indirect ownership interest6%2013-06-30
Jennifer E Agee Family Dynasty Tr No 2
Organization
5% or greater indirect ownership interest18%2012-12-27
Jennifer Lee Estes Tr 031093
Organization
5% or greater indirect ownership interest6%2013-06-30
Capital Funding LLC
Organization
5% or greater mortgage interest2014-05-01
Capital Funding LLC
Organization
5% or greater security interest2014-05-01
Huntsville Health Realty, LLC
Organization
5% or greater security interest2017-11-30
Servisfirst Bank
Organization
5% or greater security interest2018-08-29
Estes, James
Individual
5% or greater indirect ownership interest51%2011-07-28
Chandler, Anita
Individual
adp of the snf2025-01-31
Cox, Tammy
Individual
corporate director2023-10-23
Rasco, Lynn
Individual
corporate director2022-07-01
Ward, Sonny
Individual
corporate director2024-05-10
Estes, James
Individual
corporate officer2011-07-28
Long, Phillip
Individual
corporate officer2019-10-01
Chandler, Anita
Individual
operational/managerial control2024-12-02
Cox, Tammy
Individual
operational/managerial control2023-10-23
Rasco, Lynn
Individual
operational/managerial control2022-07-01
Ward, Sonny
Individual
operational/managerial control2024-05-10

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 Madison County.