Moundville Health and Rehabilitation, LLC
Third Avenue, Moundville, AL 35474 · Hale County · 68 certified beds · avg 65 residents/day · certified since Oct 1, 1977
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: ★★★★☆4/5 · CMS overall rating: 4/5
⚠ 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 |
|---|---|---|
| Apr 4, 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. |
| Apr 4, 2019 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 4, 2019 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 4, 2019 | 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. |
| Apr 4, 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. |
| Apr 4, 2019 | 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. |
| Mar 22, 2018 | 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. |
| Mar 22, 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. |
| Mar 22, 2018 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 22, 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
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 4 | 0 | D |
| 2019 | 6 | 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) | 4.38 | 4.43 | 3.95 | bottom 46% in Alabama; top 26% in the U.S. |
| Registered Nurse hours | 0.68 | 0.74 | 0.69 | bottom 42% in Alabama; top 38% in the U.S. |
| Weekend total nurse staffing | 3.79 | 3.73 | 3.50 | top 43% in Alabama; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.36 | 0.48 | top 45% in Alabama; bottom 42% in the U.S. |
| Total nursing staff turnover (%) | 44.0 | 46.9 | 45.8 | top 37% in Alabama; top 47% in the U.S. |
| RN turnover (%) | 57.1 | 39.5 | 42.9 | bottom 19% in Alabama; bottom 26% 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 0.62, weekend 3.45. 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: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Estes, James | Individual | 5% or Greater Indirect Ownership Interest | 89% | 11/08/2002 |
| James Norman Estes Jr Tr | Organization | 5% or Greater Indirect Ownership Interest | 5% | 11/08/2002 |
| Jennifer Lee Estes Tr 031093 | Organization | 5% or Greater Indirect Ownership Interest | 5% | 11/08/2002 |
| NHS Operations LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/08/2002 |
| Boyd, Casey | Individual | Corporate Director | NOT APPLICABLE | 04/28/2023 |
| Boyd, Casey | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/28/2023 |
| Duffy, Marcia | Individual | Corporate Director | NOT APPLICABLE | 12/12/2003 |
| Duffy, Marcia | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/12/2003 |
| Estes, James | Individual | Corporate Officer | NOT APPLICABLE | 11/08/2002 |
| Long, Phillip | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2019 |
| Milligan, Brett | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/24/2023 |
| Milligan, Brett | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/24/2023 |
| Moundville Health Realty, LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 09/12/2008 |
| NHS Facilities Group LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 05/01/2022 |
| Rasco, Lynn | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Rasco, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
| Regions Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 08/27/2012 |
| Servisfirst Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 05/01/2022 |
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?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "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 |
|---|---|---|---|---|---|
| Heritage Health Care & Rehab INC | 16.6 mi | Tuscaloosa, AL | ★★★☆☆ | 3/5 | |
| Aspire Physical Recovery Center of West Alabama | 16.7 mi | Northport, AL | ★★★★☆ | 4/5 | |
| Forest Manor Health and Rehab | 17.1 mi | Northport, AL | ★★★☆☆ | 3/5 | |
| Glen Haven Health and Rehabilitation, LLC | 17.1 mi | Northport, AL | ★☆☆☆☆ | 1/5 | |
| Park Manor Health and Rehabilitation, LLC | 17.2 mi | Northport, AL | ★★★☆☆ | 3/5 | |
| Hunter Creek Health and Rehabilitation, LLC | 17.2 mi | Northport, AL | ★★★☆☆ | 3/5 | |
| Greene County Nursing Home | 18.3 mi | Eutaw, AL | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 015187.