Limestone Nursing and Rehabilitation Center, LLC

Name: Limestone Nursing and Rehabilitation Center, LLC
Address: 1600 WEST HOBBS STREET, Athens, AL, 35611, US
Telephone: 2562323461

1600 West Hobbs Street, Athens, AL 35611 · Limestone County · 170 certified beds · avg 144 residents/day · certified since Jan 1, 1979

Part of chain: PRESTON HEALTH SERVICES (5 facilities, chain avg rating 3.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.48

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · 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 (10)

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
Feb 13, 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.
Feb 13, 2020	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Feb 13, 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.
Mar 20, 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.
Mar 20, 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.
Feb 15, 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.
Feb 15, 2018	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Feb 15, 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.
Feb 15, 2018	D · Potential for harm, one-off	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.
Feb 15, 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 increased between the last two inspection cycles (2 → 3).

Year	Citations	Worst severity that year
2018	5	F
2019	2	F
2020	3	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)	3.48	4.43	3.95	bottom 8% in Alabama; bottom 36% in the U.S.
Registered Nurse hours	0.41	0.74	0.69	bottom 5% in Alabama; bottom 24% in the U.S.
Weekend total nurse staffing	3.13	3.73	3.50	bottom 14% in Alabama; bottom 38% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.36	0.48	bottom 37% in Alabama; bottom 28% in the U.S.
Total nursing staff turnover (%)	48.3	46.9	45.8	bottom 45% in Alabama; bottom 41% in the U.S.
RN turnover (%)	31.6	39.5	42.9	top 39% in Alabama; top 32% 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 3.36, RN 0.40, weekend 3.02. Staffing rating: 2/5.

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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Walker, James	Individual	5% or Greater Direct Ownership Interest	100%	11/08/2021
Bowling, Sherry	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2021
Hanserd, Matthew	Individual	Contracted Managing Employee	NOT APPLICABLE	01/01/2022
Preston Health Services INC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2022

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 you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"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
Athens Health and Rehabilitation LLC	0.8 mi	Athens, AL	★★★★★	4/5
Valley View Health and Rehabilitation, LLC	14.1 mi	Madison, AL	★★★★☆	3/5
River City Center	15.2 mi	Decatur, AL	★☆☆☆☆	1/5
Elk River Health and Nursing Center of Ardmore, LL	15.4 mi	Ardmore, TN	★★★★☆	4/5
Madison Manor Nursing Home	15.9 mi	Madison, AL	★★★☆☆	3/5
Decatur Health & Rehab Center	16.3 mi	Decatur, AL	★☆☆☆☆	1/5
The Health Center at Research Park	19.0 mi	Huntsville, AL	★☆☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in Athens →

Facility data as of CMS processing date 2026-08-01. CCN 015024.

The Care File

Visit checklist — Limestone Nursing and Rehabilitation Center, LLC

1600 West Hobbs Street, Athens, AL 35611 · 2562323461

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 015024 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)