Jacksonville Health and Rehabilitation, LLC
410 Wilson Drive Southwest, Jacksonville, AL 36265 · Calhoun County · 167 certified beds · avg 148 residents/day · certified since Oct 23, 1986
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: 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 (12)
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 |
|---|---|---|
| Sep 29, 2023 | 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. |
| Sep 29, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Sep 29, 2023 | E · Potential for harm, repeated | 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. |
| Sep 29, 2023 | C · Minimal risk, facility-wide | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Sep 19, 2019 | 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. |
| Sep 19, 2019 | E · Potential for harm, repeated | 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. |
| Sep 19, 2019 | 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. |
| Sep 19, 2019 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Sep 6, 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. |
| Sep 6, 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. |
| Sep 6, 2018 | 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. |
| Sep 6, 2018 | C · Minimal risk, facility-wide | The facility did not dispose of garbage and refuse properly. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 4 | 0 | D |
| 2019 | 4 | 0 | F |
| 2023 | 4 | 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) | 4.24 | 4.43 | 3.95 | bottom 37% in Alabama; top 31% in the U.S. |
| Registered Nurse hours | 0.41 | 0.74 | 0.69 | bottom 4% in Alabama; bottom 23% in the U.S. |
| Weekend total nurse staffing | 3.68 | 3.73 | 3.50 | bottom 48% in Alabama; top 34% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.12 | 0.36 | 0.48 | bottom 3% in Alabama; bottom 2% in the U.S. |
| Total nursing staff turnover (%) | 44.5 | 46.9 | 45.8 | top 41% in Alabama; top 49% in the U.S. |
| RN turnover (%) | 44.4 | 39.5 | 42.9 | bottom 42% in Alabama; bottom 45% 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 3.98, RN 0.38, weekend 3.46. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Estes, James | Individual | 5% or Greater Indirect Ownership Interest | 51% | 01/12/2000 |
| 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% | 01/31/2003 |
| 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 |
| 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 | 01/12/2000 |
| Holding Facilities Group LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 09/01/2013 |
| Holding Facilities Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/05/2025 |
| Jacksonville Health Realty LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 09/01/2013 |
| Long, Phillip | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2019 |
| Odell, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/03/2024 |
| Odell, David | Individual | ADP of the SNF | NOT APPLICABLE | 02/05/2025 |
| Patterson, Derek | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/15/2024 |
| Patterson, Derek | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/15/2024 |
| Rasco, Lynn | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
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?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "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 monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "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 |
|---|---|---|---|---|---|
| Piedmont Health Care Center | 11.2 mi | Piedmont, AL | ★★★★★ | 5/5 | |
| Anniston Health and Rehab Services | 11.2 mi | Anniston, AL | ★★★★☆ | 3/5 | |
| NHC Healthcare, Anniston | 12.6 mi | Anniston, AL | ★★☆☆☆ | 2/5 | abuse |
| Coosa Valley Health and Rehab | 13.5 mi | Glencoe, AL | ★★★☆☆ | 3/5 | |
| Diversicare of Oxford | 14.4 mi | Oxford, AL | ★☆☆☆☆ | 1/5 | |
| Cleburne County Nursing Home | 15.7 mi | Heflin, AL | ★★★★★ | 5/5 | |
| McGuffey Health & Rehabilitation Center | 18.4 mi | Gadsden, AL | ★★★★☆ | 4/5 | |
| Northside Health Care | 19.5 mi | Gadsden, AL | ★★★☆☆ | 3/5 | |
| Gadsden Health and Rehab Center | 19.6 mi | Gadsden, AL | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 015391.