Florala Health and Rehabilitation LLC
23621 Goldenrod Avenue, Florala, AL 36442 · Covington County · 85 certified beds · avg 75 residents/day · certified since Aug 6, 2003
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: ★★★☆☆3/5 · CMS overall rating: 3/5
⚠ 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 (3)
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 |
|---|---|---|
| Aug 24, 2022 | F · Potential for harm, facility-wide | 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. |
| Dec 13, 2018 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Dec 13, 2018 | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 2 | 0 | D |
| 2022 | 1 | 0 | F |
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) | 4.32 | 4.43 | 3.95 | bottom 43% in Alabama; top 28% in the U.S. |
| Registered Nurse hours | 0.87 | 0.74 | 0.69 | top 22% in Alabama; top 23% in the U.S. |
| Weekend total nurse staffing | 3.71 | 3.73 | 3.50 | top 48% in Alabama; top 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.40 | 0.36 | 0.48 | top 31% in Alabama; top 48% in the U.S. |
| Total nursing staff turnover (%) | 47.1 | 46.9 | 45.8 | bottom 49% in Alabama; bottom 44% in the U.S. |
| RN turnover (%) | 46.2 | 39.5 | 42.9 | bottom 38% in Alabama; bottom 42% 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 3.80, RN 0.76, weekend 3.26. Staffing rating: 4/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Estes, James | Individual | 5% or Greater Indirect Ownership Interest | 51% | 08/16/2002 |
| 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% | 08/16/2002 |
| Braswell, Crystal | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/23/2023 |
| Braswell, Crystal | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/17/2020 |
| Capital Funding LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 09/01/2013 |
| Capital Funding LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 09/01/2013 |
| Estes, James | Individual | Corporate Officer | NOT APPLICABLE | 08/16/2002 |
| Florala Health Realty LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 09/01/2013 |
| Holding Facilities Group LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 09/01/2013 |
| Howell, Rhonda | Individual | Corporate Director | NOT APPLICABLE | 10/23/2023 |
| Howell, Rhonda | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/23/2023 |
| 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 |
| Richburg, Julie | Individual | Corporate Director | NOT APPLICABLE | 12/11/2014 |
| Richburg, Julie | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/11/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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)
No other Medicare-certified nursing homes within 20 miles in the current records.
Facility data as of CMS processing date 2026-08-01. CCN 015451.