Eastern Shore Rehabilitation and Health Center
101 Villa Drive, Daphne, AL 36526 · Baldwin County · 117 certified beds · avg 98 residents/day · certified since Jan 23, 1967
Part of chain: NOLAND HEALTH (10 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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.
All citations in the current public record (7)
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 |
|---|---|---|
| Mar 26, 2021 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Mar 26, 2021 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Mar 26, 2021 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jan 31, 2019 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Jan 31, 2019 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 31, 2019 | 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. |
| Feb 15, 2018 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 1 | 0 | D |
| 2019 | 3 | 0 | D |
| 2021 | 3 | 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)
No fines or payment denials in the published 3-year window.
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) | 4.90 | 4.43 | 3.95 | top 23% in Alabama; top 15% in the U.S. |
| Registered Nurse hours | 0.87 | 0.74 | 0.69 | top 23% in Alabama; top 23% in the U.S. |
| Weekend total nurse staffing | 4.21 | 3.73 | 3.50 | top 18% in Alabama; top 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.46 | 0.36 | 0.48 | top 21% in Alabama; top 37% in the U.S. |
| Total nursing staff turnover (%) | 47.7 | 46.9 | 45.8 | bottom 47% in Alabama; bottom 43% in the U.S. |
| RN turnover (%) | 27.8 | 39.5 | 42.9 | top 33% in Alabama; top 25% 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 4.06, RN 0.72, weekend 3.49. Staffing rating: 5/5.
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: 3/5 · long-stay residents: 2/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Noland Health Services, INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 05/13/2016 |
| Adamson, Michele | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/26/2020 |
| Blackwell, Crystal | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/09/2025 |
| Blackwell, Crystal | Individual | ADP of the SNF | NOT APPLICABLE | 03/09/2025 |
| Britton, Isaac | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/14/2007 |
| Estep, Barbara | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2024 |
| Estep, Barbara | Individual | Corporate Director | NOT APPLICABLE | 04/01/2024 |
| Estep, Barbara | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Estep, Barbara | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Goff, Robert | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/02/1987 |
| Hall, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/31/2022 |
| Hall, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 01/31/2022 |
| Hall, Randall | Individual | ADP of the SNF | NOT APPLICABLE | 05/13/2016 |
| Kenwright, Karen | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/27/2017 |
| Kenwright, Karen | Individual | ADP of the SNF | NOT APPLICABLE | 11/27/2017 |
| Morrison Management Specialists INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/13/2016 |
| Nelson, Debra | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/26/2020 |
| Noland Health Services, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/13/2016 |
| Noland Health Services, INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/13/2016 |
| Noland Pharmacy LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| Willowbrooke Ct Skilled Care Ctr Westminster VLG | 3.8 mi | Spanish Fort, AL | ★★★★☆ | 3/5 | |
| Altera Health and Rehabilitation Center | 4.0 mi | Fairhope, AL | ★★★★☆ | 3/5 | |
| Fairhope Health & Rehab | 6.3 mi | Fairhope, AL | ★★☆☆☆ | 2/5 | |
| Allen Health and Rehabilitation | 9.5 mi | Mobile, AL | ★★★☆☆ | 3/5 | |
| Kensington Health and Rehabilitation | 10.3 mi | Mobile, AL | ★★★★★ | 5/5 | |
| Little Sisters of the Poor Sacred Heart Residence | 11.3 mi | Mobile, AL | ★★★★★ | 5/5 | |
| Camellia Health and Rehabilitation Center | 11.8 mi | Mobile, AL | ★★★☆☆ | 3/5 | |
| Crowne Health Care of Mobile | 11.8 mi | Mobile, AL | ★★★☆☆ | 3/5 | |
| Ashland Place Health and Rehabilitation, LLC | 12.0 mi | Mobile, AL | ★★★☆☆ | 3/5 | |
| Twin Oaks Rehabilitation and Healthcare Center | 12.3 mi | Mobile, AL | ★★★★☆ | 4/5 | |
| Palm Gardens Health and Rehabilitation, LLC | 13.0 mi | Mobile, AL | ★★★★★ | 5/5 | |
| Lynwood Rehabilitation and Healthcare Center | 13.7 mi | Mobile, AL | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 015049.