Columbiana Health and Rehabilitation, LLC
22969 Highway 25, Columbiana, AL 35051 · Shelby County · 63 certified beds · avg 61 residents/day · certified since Dec 15, 2004
Part of chain: NHS MANAGEMENT (43 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
⚠ 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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Apr 18, 2024 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 16, 2023 (Past Non-Compliance)
All citations in the current public record (4)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 18, 2024 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Apr 18, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Aug 24, 2022 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Oct 17, 2019 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (1 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | D |
| 2022 | 1 | 0 | D |
| 2024 | 2 | 1 | G ▲ |
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)
1 fine totaling $8,018.
| Date | Type | Amount / length |
|---|---|---|
| Apr 18, 2024 | Fine | $8,018 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Alabama avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.05 | 4.43 | 3.95 | bottom 29% in Alabama; top 38% in the U.S. |
| Registered Nurse hours | 0.71 | 0.74 | 0.69 | bottom 50% in Alabama; top 35% in the U.S. |
| Weekend total nurse staffing | 3.50 | 3.73 | 3.50 | bottom 33% in Alabama; top 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.36 | 0.48 | top 43% in Alabama; bottom 43% in the U.S. |
| Total nursing staff turnover (%) | 52.8 | 46.9 | 45.8 | bottom 31% in Alabama; bottom 30% in the U.S. |
| RN turnover (%) | 83.3 | 39.5 | 42.9 | bottom 3% in Alabama; bottom 4% in the U.S. |
Hours are per resident per day, 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 3.51, RN 0.62, weekend 3.04. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Estes, James | Individual | 5% or Greater Indirect Ownership Interest | 51% | 08/21/2002 |
| James N Estes Jr Family Dynasty Tr No 2 | Organization | 5% or Greater Indirect Ownership Interest | 18% | 12/27/2012 |
| James Norman Estes Jr Tr | Organization | 5% or Greater Indirect Ownership Interest | 6% | 06/30/2013 |
| Jennifer E Agee Family Dynasty Tr No 2 | Organization | 5% or Greater Indirect Ownership Interest | 18% | 12/27/2012 |
| Jennifer Lee Estes Tr 031093 | Organization | 5% or Greater Indirect Ownership Interest | 6% | 06/30/2013 |
| Northport Holding Operations, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/21/2002 |
| Cobb, Leigh | Individual | Corporate Director | NOT APPLICABLE | 07/24/2023 |
| Cobb, Leigh | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/24/2023 |
| Columbiana Health Realty, LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 10/01/2019 |
| Estes, James | Individual | Corporate Officer | NOT APPLICABLE | 08/21/2002 |
| Long, Phillip | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2019 |
| Morris, Hilary | Individual | Corporate Director | NOT APPLICABLE | 09/01/2023 |
| Morris, Hilary | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Rasco, Lynn | Individual | Corporate Director | NOT APPLICABLE | 07/29/2013 |
| Rasco, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/29/2013 |
| Regions Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 08/26/2021 |
| Regions Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 08/25/2015 |
| Smith, Kristin | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/26/2024 |
| Smith, Kristin | Individual | ADP of the SNF | NOT APPLICABLE | 02/05/2025 |
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 systems do you use to prevent medication errors, and what happens when one occurs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Shelby Ridge Nursing Home | 13.3 mi | Alabaster, AL | ★★★☆☆ | 3/5 | |
| The Healthcare Center at Buck Creek | 14.2 mi | Alabaster, AL | ★★★☆☆ | 3/5 | |
| Diversicare of Riverchase | 16.9 mi | Birmingham, AL | ★★★☆☆ | 3/5 | |
| Galleria Woods Skilled Nursing Facility | 17.7 mi | Birmingham, AL | ★★☆☆☆ | 2/5 | |
| Aspire Physical Recovery Center at Cahaba River | 18.2 mi | Vestavia, AL | ★☆☆☆☆ | 1/5 | |
| Sylacauga Health and Rehab Services | 18.8 mi | Sylacauga, AL | ★★★★☆ | 4/5 | |
| South Haven Health and Rehabilitation, LLC | 19.2 mi | Birmingham, AL | ★★★☆☆ | 3/5 | |
| Aspire Physical Recovery Center at Hoover, LLC | 19.4 mi | Hoover, AL | ★☆☆☆☆ | 1/5 | |
| Coosa Valley Healthcare Center | 19.6 mi | Sylacauga, AL | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 015453.