Alabama ›Madison

Valley View Health and Rehabilitation, LLC

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5968 Wall Triana Highway, Madison, AL 35757 (opens Google Maps) · Madison County · (256) 830-2316· 155 certified beds · avg 147 residents/day · certified since Mar 19, 1996 · 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★)

3/5
Health inspection rating (on-site)
inspected Apr 22, 2022
0
Serious findings on record
$0
Fines, last 3 years
4.94
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: ★★★☆☆3/5 · 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. E · Potential for more than minimal harm, pattern

    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. F-0880

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

    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. F-0677

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

    The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. F-0679

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 22, 2022E · Potential for more than minimal harm, patternThe 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 22, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0677
Apr 22, 2022D · Potential for more than minimal harm, isolatedThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679
Apr 22, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0693
Apr 22, 2022D · 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
Aug 22, 2019D · Potential for more than minimal harm, isolatedThe facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685
Aug 22, 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
Jul 12, 2018F · 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
Jul 12, 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
Jul 12, 2018C · Potential for minimal harm, widespreadThe facility did not dispose of garbage and refuse properly. · F-0814

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 5).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2018
All citations: 3
Serious citations (G–L): 0
2019
All citations: 2
Serious citations (G–L): 0
2022
All citations: 5
Serious citations (G–L): 0

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

YearCitationsSerious (G–L)Worst severity that year
201830F
201920D
202250E

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: 4.94
Alabama average: 4.43
U.S. average: 3.95
Registered Nurse hours
This facility: 0.80
Alabama average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.32
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)4.944.433.95top 21% in Alabama; top 14% in the U.S.
Registered Nurse hours0.800.740.69top 34% in Alabama; top 27% in the U.S.
Weekend total nurse staffing4.323.733.50top 15% in Alabama; top 15% in the U.S.
Weekend RN hours (not acuity-adjusted)0.430.360.48top 25% in Alabama; top 43% in the U.S.
Total nursing staff turnover (%)70.846.945.8bottom 4% in Alabama; bottom 5% in the U.S.
RN turnover (%)75.039.542.9bottom 5% in Alabama; bottom 9% 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 4.42, RN 0.72, weekend 3.87.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.42 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Valley View 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.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

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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 Interest83%10/08/2002
James N Estes Jr Family Dynasty Tr No 2Organization5% or Greater Indirect Ownership Interest8%09/30/2019
Jennifer E Agee Family Dynasty Tr No 2Organization5% or Greater Indirect Ownership Interest8%09/30/2019
Millennium Health Operations, LLCOrganization5% or Greater Direct Ownership Interest100%10/08/2002
Cox, TammyIndividualCorporate DirectorNOT APPLICABLE10/23/2023
Cox, TammyIndividualOperational/Managerial ControlNOT APPLICABLE10/23/2023
Estes, JamesIndividualCorporate OfficerNOT APPLICABLE10/08/2002
Long, PhillipIndividualCorporate OfficerNOT APPLICABLE10/01/2019
Rasco, LynnIndividualCorporate DirectorNOT APPLICABLE07/01/2022
Rasco, LynnIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2022
Regions BankOrganization5% or Greater Security InterestNOT APPLICABLE08/27/2012
Valley View Health Realty LLCOrganization5% or Greater Security InterestNOT APPLICABLE12/01/2002
Ward, SonnyIndividualManaging Control - Governing BodyNOT APPLICABLE05/10/2024
Ward, SonnyIndividualOperational/Managerial ControlNOT APPLICABLE12/02/2024
Ward, SonnyIndividualADP of the SNFNOT APPLICABLE02/04/2025

All 15 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.

  • "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?"

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 71% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 15 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 (12 closest of 15 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Madison Manor Nursing Home5.0 miMadison, AL★★★☆☆3/5
The Health Center at Research Park5.0 miHuntsville, AL★☆☆☆☆1/5abuse
Brookshire Healthcare Center7.4 miHuntsville, AL★★★☆☆3/5
Windsor House7.4 miHuntsville, AL★☆☆☆☆1/5
Regency Health Care and Rehabilitation Center8.9 miHuntsville, AL★☆☆☆☆1/5
Diversicare of Big Springs9.7 miHuntsville, AL★★★★☆4/5
Rocket City Rehabilitation and Healthcare Center10.9 miHuntsville, AL★☆☆☆☆1/5
Huntsville Health & Rehabilitation, LLC11.1 miHuntsville, AL★☆☆☆☆1/5
Willowbrooke Ct Skilled Care Ctr at Magnolia Trace12.4 miHuntsville, AL★★★★★3/5
Athens Health and Rehabilitation LLC13.3 miAthens, AL★★★★★4/5
Limestone Nursing and Rehabilitation Center, LLC14.1 miAthens, AL★★★☆☆3/5
Fairview at Redstone Village15.0 miHuntsville, AL★★★★☆4/5

Compare this facility with the 3 closest →

All facilities in Madison →

Facility data as of CMS processing date 2026-08-01. CCN 015431.

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