Valley View Health and Rehabilitation, LLC
5968 Wall Triana Highway, Madison, AL 35757 · Madison County · 155 certified beds · avg 147 residents/day · certified since Mar 19, 1996
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: ★★★☆☆3/5 · 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 22, 2022 | 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. |
| Apr 22, 2022 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Apr 22, 2022 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Apr 22, 2022 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Apr 22, 2022 | 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. |
| Aug 22, 2019 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Aug 22, 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. |
| Jul 12, 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. |
| Jul 12, 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. |
| Jul 12, 2018 | C · Minimal risk, facility-wide | The facility did not dispose of garbage and refuse properly. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 3 | 0 | F |
| 2019 | 2 | 0 | D |
| 2022 | 5 | 0 | E |
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) | 4.94 | 4.43 | 3.95 | top 21% in Alabama; top 14% in the U.S. |
| Registered Nurse hours | 0.80 | 0.74 | 0.69 | top 34% in Alabama; top 27% in the U.S. |
| Weekend total nurse staffing | 4.32 | 3.73 | 3.50 | top 15% in Alabama; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.36 | 0.48 | top 25% in Alabama; top 43% in the U.S. |
| Total nursing staff turnover (%) | 70.8 | 46.9 | 45.8 | bottom 4% in Alabama; bottom 5% in the U.S. |
| RN turnover (%) | 75.0 | 39.5 | 42.9 | bottom 5% in Alabama; bottom 9% 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 4.42, RN 0.72, weekend 3.87. 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: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Estes, James | Individual | 5% or Greater Indirect Ownership Interest | 83% | 10/08/2002 |
| James N Estes Jr Family Dynasty Tr No 2 | Organization | 5% or Greater Indirect Ownership Interest | 8% | 09/30/2019 |
| Jennifer E Agee Family Dynasty Tr No 2 | Organization | 5% or Greater Indirect Ownership Interest | 8% | 09/30/2019 |
| Millennium Health Operations, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/08/2002 |
| 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 | 10/08/2002 |
| 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 |
| Regions Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 08/27/2012 |
| Valley View Health Realty LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 12/01/2002 |
| Ward, Sonny | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/10/2024 |
| Ward, Sonny | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/02/2024 |
| Ward, Sonny | Individual | ADP of the SNF | NOT APPLICABLE | 02/04/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Madison Manor Nursing Home | 5.0 mi | Madison, AL | ★★★☆☆ | 3/5 | |
| The Health Center at Research Park | 5.0 mi | Huntsville, AL | ★☆☆☆☆ | 1/5 | abuse |
| Brookshire Healthcare Center | 7.4 mi | Huntsville, AL | ★★★☆☆ | 3/5 | |
| Windsor House | 7.4 mi | Huntsville, AL | ★☆☆☆☆ | 1/5 | |
| Regency Health Care and Rehabilitation Center | 8.9 mi | Huntsville, AL | ★☆☆☆☆ | 1/5 | |
| Diversicare of Big Springs | 9.7 mi | Huntsville, AL | ★★★★☆ | 4/5 | |
| Rocket City Rehabilitation and Healthcare Center | 10.9 mi | Huntsville, AL | ★☆☆☆☆ | 1/5 | |
| Huntsville Health & Rehabilitation, LLC | 11.1 mi | Huntsville, AL | ★☆☆☆☆ | 1/5 | |
| Willowbrooke Ct Skilled Care Ctr at Magnolia Trace | 12.4 mi | Huntsville, AL | ★★★★★ | 3/5 | |
| Athens Health and Rehabilitation LLC | 13.3 mi | Athens, AL | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 015431.