Alabama ›Moundville

Moundville Health and Rehabilitation, LLC

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Third Avenue, Moundville, AL 35474 (opens Google Maps) · Hale County · (205) 371-2252· 68 certified beds · avg 65 residents/day · certified since Oct 1, 1977 · 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★)

4/5
Health inspection rating (on-site)
inspected Oct 7, 2021
0
Serious findings on record
$0
Fines, last 3 years
4.38
Nurse hours/resident/day (adjusted)

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: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →

⚠ 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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 10 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    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. F-0812

  2. D · Potential for more than minimal harm, isolated

    The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641

  3. D · Potential for more than minimal harm, isolated

    The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658

View all 10 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.

DateSeverityWhat the facility was cited for
Apr 4, 2019F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Apr 4, 2019D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Apr 4, 2019D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Apr 4, 2019D · Potential for more than minimal harm, isolatedThe 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. · F-0686
Apr 4, 2019D · Potential for more than minimal harm, isolatedThe 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
Apr 4, 2019C · Potential for minimal harm, widespreadThe 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
Mar 22, 2018D · Potential for more than minimal harm, isolatedThe 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. · F-0656
Mar 22, 2018D · Potential for more than minimal harm, isolatedThe 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
Mar 22, 2018D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Mar 22, 2018D · Potential for more than minimal harm, isolatedThe 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 by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2018
All citations: 4
Serious citations (G–L): 0
2019
All citations: 6
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
201840D
201960F

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityAlabama averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.38
Alabama average: 4.43
U.S. average: 3.95
Registered Nurse hours
This facility: 0.68
Alabama average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.79
Alabama average: 3.73
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityAlabama avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.384.433.95bottom 46% in Alabama; top 26% in the U.S.
Registered Nurse hours0.680.740.69bottom 42% in Alabama; top 38% in the U.S.
Weekend total nurse staffing3.793.733.50top 43% in Alabama; top 29% in the U.S.
Weekend RN hours (not acuity-adjusted)0.350.360.48top 45% in Alabama; bottom 42% in the U.S.
Total nursing staff turnover (%)44.046.945.8top 37% in Alabama; top 47% in the U.S.
RN turnover (%)57.139.542.9bottom 19% in Alabama; bottom 26% 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 3.98, RN 0.62, weekend 3.45.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.98 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Moundville Health and 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.

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Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
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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 / managerTypeRoleStakeSince
Estes, JamesIndividual5% or Greater Indirect Ownership Interest89%11/08/2002
James Norman Estes Jr TrOrganization5% or Greater Indirect Ownership Interest5%11/08/2002
Jennifer Lee Estes Tr 031093Organization5% or Greater Indirect Ownership Interest5%11/08/2002
NHS Operations LLCOrganization5% or Greater Direct Ownership Interest100%11/08/2002
Boyd, CaseyIndividualCorporate DirectorNOT APPLICABLE04/28/2023
Boyd, CaseyIndividualOperational/Managerial ControlNOT APPLICABLE04/28/2023
Duffy, MarciaIndividualCorporate DirectorNOT APPLICABLE12/12/2003
Duffy, MarciaIndividualOperational/Managerial ControlNOT APPLICABLE12/12/2003
Estes, JamesIndividualCorporate OfficerNOT APPLICABLE11/08/2002
Long, PhillipIndividualCorporate OfficerNOT APPLICABLE10/01/2019
Milligan, BrettIndividualW-2 Managing EmployeeNOT APPLICABLE02/24/2023
Milligan, BrettIndividualOperational/Managerial ControlNOT APPLICABLE02/24/2023
Moundville Health Realty, LLCOrganization5% or Greater Security InterestNOT APPLICABLE09/12/2008
NHS Facilities Group LLCOrganization5% or Greater Security InterestNOT APPLICABLE05/01/2022
Rasco, LynnIndividualCorporate DirectorNOT APPLICABLE07/01/2022
Rasco, LynnIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2022
Regions BankOrganization5% or Greater Security InterestNOT APPLICABLE08/27/2012
Servisfirst BankOrganization5% or Greater Security InterestNOT APPLICABLE05/01/2022

All 18 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.

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

Full visit checklist →

Print visit checklist

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?"

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 44% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 18 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)

FacilityDistanceCityOverallInspectionFlags
Heritage Health Care & Rehab INC16.6 miTuscaloosa, AL★★★☆☆3/5
Aspire Physical Recovery Center of West Alabama16.7 miNorthport, AL★★★★☆4/5
Forest Manor Health and Rehab17.1 miNorthport, AL★★★☆☆3/5
Glen Haven Health and Rehabilitation, LLC17.1 miNorthport, AL★☆☆☆☆1/5
Park Manor Health and Rehabilitation, LLC17.2 miNorthport, AL★★★☆☆3/5
Hunter Creek Health and Rehabilitation, LLC17.2 miNorthport, AL★★★☆☆3/5
Greene County Nursing Home18.3 miEutaw, AL★☆☆☆☆1/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Hale, AL — 2 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Moundville →

Facility data as of CMS processing date 2026-08-01. CCN 015187.

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