Huntsville Health & Rehabilitation, LLC
4010 Chris Drive, Huntsville, AL 35802 · Madison County · 105 certified beds · avg 100 residents/day · certified since Nov 18, 1999
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: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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)
▲ Immediate jeopardy, repeated · May 21, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jul 13, 2026 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · May 21, 2026 · F-0740 · triggered by a complaint
The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Why it matters: A resident's untreated mental health needs can worsen and take a toll on their physical health too.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jun 23, 2026 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · May 21, 2026 · F-0604 · triggered by a complaint
The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Why it matters: Unneeded restraints can cause injuries, muscle loss, and deep emotional distress.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 5, 2025 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · May 21, 2026 · F-0686 · triggered by a complaint
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 13, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (19)
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 |
|---|---|---|
| May 21, 2026 | ▲ K · Immediate jeopardy, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 21, 2026 | ▲ K · Immediate jeopardy, repeated | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint |
| May 21, 2026 | ▲ J · Immediate jeopardy, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| May 21, 2026 | ▲ J · Immediate jeopardy, 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. · from a complaint |
| May 21, 2026 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| May 21, 2026 | E · Potential for harm, repeated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 21, 2026 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| May 21, 2026 | E · Potential for harm, repeated | The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility. · from a complaint |
| May 21, 2026 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| May 21, 2026 | D · Potential for harm, one-off | 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. · from a complaint |
| May 21, 2026 | 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. · from a complaint |
| May 21, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| May 21, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| May 21, 2026 | 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. · from a complaint |
| May 21, 2026 | 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. |
| May 21, 2026 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Jan 14, 2022 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Jan 14, 2022 | 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. |
| Oct 24, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 16).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | D |
| 2022 | 2 | 0 | F |
| 2026 | 16 | 4 | K ▲ |
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) | 4.93 | 4.43 | 3.95 | top 22% in Alabama; top 14% in the U.S. |
| Registered Nurse hours | 0.67 | 0.74 | 0.69 | bottom 40% in Alabama; top 39% in the U.S. |
| Weekend total nurse staffing | 3.97 | 3.73 | 3.50 | top 30% in Alabama; top 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.36 | 0.48 | bottom 29% in Alabama; bottom 25% in the U.S. |
| Total nursing staff turnover (%) | 63.0 | 46.9 | 45.8 | bottom 9% in Alabama; bottom 12% in the U.S. |
| RN turnover (%) | 65.0 | 39.5 | 42.9 | bottom 10% in Alabama; bottom 16% 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 3.92, RN 0.54, weekend 3.16. 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: 2/5 · long-stay residents: 5/5 · 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 | 51% | 07/28/2011 |
| 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% | 07/28/2011 |
| Capital Funding LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/01/2014 |
| Capital Funding LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 05/01/2014 |
| Chandler, Anita | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/02/2024 |
| Chandler, Anita | Individual | ADP of the SNF | NOT APPLICABLE | 01/31/2025 |
| Cox, Tammy | Individual | Corporate Director | NOT APPLICABLE | 10/23/2023 |
| Cox, Tammy | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/23/2023 |
| Estes, James | Individual | Corporate Officer | NOT APPLICABLE | 07/28/2011 |
| Huntsville Health Realty, LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 11/30/2017 |
| 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 |
| Servisfirst Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 08/29/2018 |
| Ward, Sonny | Individual | Corporate Director | NOT APPLICABLE | 05/10/2024 |
| Ward, Sonny | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/10/2024 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What mental health services do you provide on-site, and who delivers them?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Who owns and governs this facility, and how long has the current administrator been here?"
- "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 at Magnolia Trace | 1.3 mi | Huntsville, AL | ★★★★★ | 3/5 | |
| Rocket City Rehabilitation and Healthcare Center | 1.3 mi | Huntsville, AL | ★☆☆☆☆ | 1/5 | |
| Diversicare of Big Springs | 3.0 mi | Huntsville, AL | ★★★★☆ | 4/5 | |
| Brookshire Healthcare Center | 3.9 mi | Huntsville, AL | ★★★☆☆ | 3/5 | |
| Windsor House | 3.9 mi | Huntsville, AL | ★☆☆☆☆ | 1/5 | |
| Fairview at Redstone Village | 5.2 mi | Huntsville, AL | ★★★★☆ | 4/5 | |
| Regency Health Care and Rehabilitation Center | 5.7 mi | Huntsville, AL | ★☆☆☆☆ | 1/5 | |
| The Health Center at Research Park | 7.0 mi | Huntsville, AL | ★☆☆☆☆ | 1/5 | abuse |
| South Hampton Nursing & Rehabilitation Center | 9.5 mi | Owens Cross Roads, AL | ★★★☆☆ | 3/5 | |
| Madison Manor Nursing Home | 9.9 mi | Madison, AL | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 015440.