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Huntsville Health & Rehabilitation, LLC
4010 Chris Drive, Huntsville, AL 35802 (opens Google Maps) · Madison County · (256) 883-8656· 105 certified beds · avg 100 residents/day · certified since Nov 18, 1999 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: NHS MANAGEMENT (43 facilities, chain avg rating 2.9★)
1/5
Health inspection rating (on-site)
inspected May 21, 2026
4
Serious findings on record
most recent May 21, 2026
$0
Fines, last 3 years
4.93
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, pattern · 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.
▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 13, 2026 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · 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.
▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jun 23, 2026 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · 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.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 5, 2025 (Past Non-Compliance)
▲ Immediate jeopardy, isolated · 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.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 13, 2026 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 19 inspection findings. Open the full record below to read every finding.
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 F-0689
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 F-0740
The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint F-0604
View all 19 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 21, 2026 | ▲ K · Immediate jeopardy, pattern | 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 · F-0689 |
| May 21, 2026 | ▲ K · Immediate jeopardy, pattern | 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 · F-0740 |
| May 21, 2026 | ▲ J · Immediate jeopardy, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint · F-0604 |
| May 21, 2026 | ▲ J · Immediate jeopardy, isolated | 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 · F-0686 |
| May 21, 2026 | F · Potential for more than minimal harm, widespread | 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 · F-0803 |
| May 21, 2026 | E · Potential for more than minimal harm, pattern | 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 · F-0600 |
| May 21, 2026 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804 |
| May 21, 2026 | E · Potential for more than minimal harm, pattern | 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 · F-0837 |
| May 21, 2026 | E · Potential for more than minimal harm, pattern | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0578 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0607 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0755 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| May 21, 2026 | C · Potential for minimal harm, widespread | 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. · F-0732 |
| Jan 14, 2022 | F · Potential for more than minimal harm, widespread | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Jan 14, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Oct 24, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 16).
All citationsSerious citations (G–L)
2019
All citations: 1
Serious citations (G–L): 0
2022
All citations: 2
Serious citations (G–L): 0
2026
All citations: 16
Serious citations (G–L): 4
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityAlabama averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.93
Alabama average: 4.43
U.S. average: 3.95
Registered Nurse hours
This facility: 0.67
Alabama average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.97
Alabama average: 3.73
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.92 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 5/5 · short-stay residents: 1/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Huntsville Health & Rehabilitation, LLC. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 20 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain NHS Management — 43 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Jacksonville Health and Rehabilitation, LLC — Jacksonville, AL · overall 3/5
- Legacy Health and Rehabilitation of Pleasant Grove — Pleasant Grove, AL · overall 1/5
- Lineville Health and Rehabilitation, LLC — Lineville, AL · overall 5/5
- Luverne Health and Rehabilitation, LLC — Luverne, AL · overall 4/5
- Moundville Health and Rehabilitation, LLC — Moundville, AL · overall 4/5
- Northway Health and Rehabilitation, LLC — Birmingham, AL · overall 3/5
- Oak Knoll Health and Rehabilitation, LLC — Birmingham, AL · overall 3/5
- Opp Health and Rehabilitation, LLC — Opp, AL · overall 3/5
Listed by state, then facility name — not a ranking. Showing 8 of the 42 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 63% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 20 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 | |
| Valley View Health and Rehabilitation, LLC | 11.1 mi | Madison, AL | ★★★★☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 015440.