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Athens Health and Rehabilitation LLC
611 West Market Street, Athens, AL 35611 (opens Google Maps) · Limestone County · (256) 232-1620· 149 certified beds · avg 139 residents/day · certified since Jan 1, 1967 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: NHS MANAGEMENT (43 facilities, chain avg rating 2.9★)
4/5
Health inspection rating (on-site)
inspected Apr 14, 2022
0
Serious findings on record
$0
Fines, last 3 years
3.94
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 10 inspection findings. Open the full record below to read every finding.
The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. F-0602
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. F-0580
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658
View all 10 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 29, 2019 | E · Potential for more than minimal harm, pattern | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · F-0602 |
| Aug 29, 2019 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| Aug 29, 2019 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Aug 29, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Jul 19, 2018 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Jul 19, 2018 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Jul 19, 2018 | D · Potential for more than minimal harm, isolated | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · F-0661 |
| Jul 19, 2018 | D · Potential for more than minimal harm, isolated | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · F-0687 |
| Jul 19, 2018 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Jul 19, 2018 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
Inspection trend by year
All citationsSerious citations (G–L)
2018
All citations: 6
Serious citations (G–L): 0
2019
All citations: 4
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 6 | 0 | D |
| 2019 | 4 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityAlabama averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.94
Alabama average: 4.43
U.S. average: 3.95
Registered Nurse hours
This facility: 0.71
Alabama average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.43
Alabama average: 3.73
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Alabama avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.94 | 4.43 | 3.95 | bottom 20% in Alabama; top 42% in the U.S. |
| Registered Nurse hours | 0.71 | 0.74 | 0.69 | bottom 49% in Alabama; top 35% in the U.S. |
| Weekend total nurse staffing | 3.43 | 3.73 | 3.50 | bottom 29% in Alabama; top 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.36 | 0.48 | top 36% in Alabama; bottom 50% in the U.S. |
| Total nursing staff turnover (%) | 43.7 | 46.9 | 45.8 | top 36% in Alabama; top 46% in the U.S. |
| RN turnover (%) | 26.3 | 39.5 | 42.9 | top 28% in Alabama; top 23% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.86, RN 0.70, weekend 3.36.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.86 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Athens Health and Rehabilitation LLC. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Estes, James | Individual | 5% or Greater Indirect Ownership Interest | 51% | 10/06/2015 |
| James N Estes Jr Family Dynasty Tr No 2 | Organization | 5% or Greater Indirect Ownership Interest | 18% | 10/06/2015 |
| James Norman Estes Jr Tr | Organization | 5% or Greater Indirect Ownership Interest | 6% | 10/06/2015 |
| Jennifer E Agee Family Dynasty Tr No 2 | Organization | 5% or Greater Indirect Ownership Interest | 18% | 10/06/2015 |
| Jennifer Lee Estes Tr 031093 | Organization | 5% or Greater Indirect Ownership Interest | 6% | 10/06/2015 |
| Northport Holding Operations, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/06/2015 |
| Best Health, LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 01/01/2016 |
| Cox, Tammy | Individual | Corporate Director | NOT APPLICABLE | 10/23/2023 |
| Cox, Tammy | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/23/2023 |
| Estes, James | Individual | Corporate Officer | NOT APPLICABLE | 10/06/2015 |
| Lawrence, Hunter | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/01/2022 |
| Lawrence, Hunter | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2022 |
| Long, Phillip | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2019 |
| Rasco, Lynn | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Rasco, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
| Regions Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 08/01/2016 |
| Ward, Sonny | Individual | Corporate Director | NOT APPLICABLE | 05/10/2024 |
| Ward, Sonny | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/10/2024 |
All 18 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain NHS Management — 43 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Civic Center Health and Rehabilitation, LLC — Birmingham, AL · overall 2/5
- Columbiana Health and Rehabilitation, LLC — Columbiana, AL · overall 4/5
- Cordova Health and Rehabilitation, LLC — Cordova, AL · overall 1/5abuse
- Crossville Health and Rehabilitation, LLC — Crossville, AL · overall 5/5
- Florala Health and Rehabilitation LLC — Florala, AL · overall 3/5
- Georgiana Health and Rehabilitation, LLC — Georgiana, AL · overall 4/5
- Glen Haven Health and Rehabilitation, LLC — Northport, AL · overall 1/5
- Gulf Coast Health and Rehabilitation, LLC — Mobile, AL · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 42 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
- "How is routine foot care handled here, and does a podiatrist visit regularly?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Alabama midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 44% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Limestone Nursing and Rehabilitation Center, LLC | 0.8 mi | Athens, AL | ★★★☆☆ | 3/5 | |
| Valley View Health and Rehabilitation, LLC | 13.3 mi | Madison, AL | ★★★★☆ | 3/5 | |
| River City Center | 15.0 mi | Decatur, AL | ★☆☆☆☆ | 1/5 | |
| Elk River Health and Nursing Center of Ardmore, LL | 15.1 mi | Ardmore, TN | ★★★★☆ | 4/5 | |
| Madison Manor Nursing Home | 15.2 mi | Madison, AL | ★★★☆☆ | 3/5 | |
| Decatur Health & Rehab Center | 16.2 mi | Decatur, AL | ★☆☆☆☆ | 1/5 | |
| The Health Center at Research Park | 18.2 mi | Huntsville, AL | ★☆☆☆☆ | 1/5 | abuse |
Facility data as of CMS processing date 2026-08-01. CCN 015016.