Gulf Coast Health and Rehabilitation, LLC
8002 Grelot Road, Mobile, AL 36695 · Mobile County · 100 certified beds · avg 94 residents/day · certified since Aug 2, 2006
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: ★★☆☆☆2/5 · CMS overall rating: 2/5
⚠ 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 (11)
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 |
|---|---|---|
| Jan 9, 2020 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 9, 2020 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jan 9, 2020 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jan 9, 2020 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Jan 9, 2020 | 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. |
| Nov 8, 2018 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 8, 2018 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Nov 8, 2018 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Nov 8, 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. |
| Jan 4, 2018 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 4, 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
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 6 | 0 | F |
| 2020 | 5 | 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) | 4.79 | 4.43 | 3.95 | top 27% in Alabama; top 17% in the U.S. |
| Registered Nurse hours | 0.68 | 0.74 | 0.69 | bottom 41% in Alabama; top 38% in the U.S. |
| Weekend total nurse staffing | 4.00 | 3.73 | 3.50 | top 28% in Alabama; top 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.23 | 0.36 | 0.48 | bottom 23% in Alabama; bottom 18% in the U.S. |
| Total nursing staff turnover (%) | 50.9 | 46.9 | 45.8 | bottom 38% in Alabama; bottom 35% in the U.S. |
| RN turnover (%) | 43.8 | 39.5 | 42.9 | bottom 43% in Alabama; bottom 46% 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 3.96, RN 0.56, weekend 3.31. 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: 4/5 · long-stay residents: 4/5 · 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% | 03/29/2013 |
| James N Estes Jr Family Dynasty Tr No 2 | Organization | 5% or Greater Indirect Ownership Interest | 18% | 03/29/2013 |
| 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% | 03/29/2013 |
| 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% | 03/29/2013 |
| Capital Funding LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/01/2013 |
| Capital Funding LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 07/01/2013 |
| Estes, James | Individual | Corporate Officer | NOT APPLICABLE | 03/29/2013 |
| Gulf Coast Health Realty LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 07/01/2013 |
| Holding Facilities Group LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 07/01/2013 |
| Long, Phillip | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2019 |
| Macdonald-Lamier, Starann | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/28/2023 |
| Macdonald-Lamier, Starann | Individual | Corporate Director | NOT APPLICABLE | 08/28/2023 |
| Ransome, Maanami | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/08/2024 |
| Ransome, Maanami | Individual | ADP of the SNF | NOT APPLICABLE | 01/31/2025 |
| Rasco, Lynn | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Rasco, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
| Servisfirst Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 08/29/2018 |
| Simmons, Alice | Individual | Corporate Director | 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.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can I see where garbage is stored and how often it's removed?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "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 |
|---|---|---|---|---|---|
| Mobile Nursing and Rehabilitation Center | 1.6 mi | Mobile, AL | ★★☆☆☆ | 2/5 | |
| Knollwood Healthcare | 3.5 mi | Mobile, AL | —/5 | SFF | |
| Springhill Senior Residence | 4.9 mi | Mobile, AL | ★★★★☆ | 4/5 | |
| Crowne Health Care of Springhill | 5.1 mi | Mobile, AL | ★★★★★ | 4/5 | |
| Lynwood Rehabilitation and Healthcare Center | 5.2 mi | Mobile, AL | ★★☆☆☆ | 2/5 | |
| Crowne Health Care of Mobile | 6.7 mi | Mobile, AL | ★★★☆☆ | 3/5 | |
| Palm Gardens Health and Rehabilitation, LLC | 7.1 mi | Mobile, AL | ★★★★★ | 5/5 | |
| Ashland Place Health and Rehabilitation, LLC | 7.8 mi | Mobile, AL | ★★★☆☆ | 3/5 | |
| Camellia Health and Rehabilitation Center | 8.1 mi | Mobile, AL | ★★★☆☆ | 3/5 | |
| Little Sisters of the Poor Sacred Heart Residence | 8.2 mi | Mobile, AL | ★★★★★ | 5/5 | |
| Pine Haven Rehabilitation and Wellness Center | 8.8 mi | Eight Mile, AL | ★★☆☆☆ | 2/5 | |
| Twin Oaks Rehabilitation and Healthcare Center | 9.2 mi | Mobile, AL | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 015456.