Georgiana Health and Rehabilitation, LLC
206 Palmer Avenue, Georgiana, AL 36033 · Butler County · 91 certified beds · avg 79 residents/day · certified since Aug 1, 1977
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.
All citations in the current public record (5)
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 |
|---|---|---|
| Dec 5, 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. |
| Dec 13, 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. |
| Dec 13, 2018 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| 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. |
| Feb 22, 2018 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 4 | 0 | D |
| 2019 | 1 | 0 | D |
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) | 5.14 | 4.43 | 3.95 | top 16% in Alabama; top 11% in the U.S. |
| Registered Nurse hours | 0.60 | 0.74 | 0.69 | bottom 29% in Alabama; top 48% in the U.S. |
| Weekend total nurse staffing | 3.89 | 3.73 | 3.50 | top 35% in Alabama; top 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.10 | 0.36 | 0.48 | bottom 1% in Alabama; bottom 1% in the U.S. |
| Total nursing staff turnover (%) | 38.5 | 46.9 | 45.8 | top 26% in Alabama; top 32% in the U.S. |
| RN turnover (%) | 36.4 | 39.5 | 42.9 | top 46% in Alabama; top 40% 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 4.29, RN 0.50, weekend 3.25. 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: 3/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Estes, James | Individual | 5% or Greater Indirect Ownership Interest | 89% | 04/23/2003 |
| James Norman Estes Jr Tr | Organization | 5% or Greater Indirect Ownership Interest | 5% | 04/28/2003 |
| Jennifer Lee Estes Tr 031093 | Organization | 5% or Greater Indirect Ownership Interest | 5% | 04/28/2003 |
| NHS Operations LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/28/2003 |
| Estes, James | Individual | Corporate Officer | NOT APPLICABLE | 04/28/2003 |
| Georgiana Health Realty, LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 10/08/2008 |
| Hartley, Matilda | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/20/2015 |
| Hartley, Matilda | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/20/2015 |
| Long, Phillip | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2019 |
| Macdonald-Lamier, Starann | Individual | Corporate Director | NOT APPLICABLE | 08/28/2023 |
| Macdonald-Lamier, Starann | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/28/2023 |
| NHS Facilities Group LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 05/01/2022 |
| 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 | 08/27/2012 |
| Servisfirst Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 05/01/2022 |
| Simmons, Alice | Individual | Corporate Director | NOT APPLICABLE | 01/22/2024 |
| Simmons, Alice | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/22/2024 |
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 show me an example care plan, and how are families included when it's created and updated?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "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 |
|---|---|---|---|---|---|
| Crowne Health Care of Greenville | 15.3 mi | Greenville, AL | ★★★★★ | 4/5 | |
| Evergreen Nursing Home | 19.3 mi | Evergreen, AL | ★★★★★ | 4/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 015182.