Wetumpka Health and Rehabilitation, LLC
1825 Holtville Road, Wetumpka, AL 36092 · Elmore County · 121 certified beds · avg 114 residents/day · certified since Jul 24, 1967
Part of chain: NHS MANAGEMENT (43 facilities, chain avg rating 2.9★)
1/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.31
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
⚠ 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 (18)
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 |
|---|---|---|
| Dec 7, 2023 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Dec 7, 2023 | 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. |
| Dec 7, 2023 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Dec 7, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Dec 7, 2023 | E · Potential for harm, repeated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Dec 7, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Dec 7, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Dec 7, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Dec 7, 2023 | 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. |
| Dec 7, 2023 | 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. |
| Dec 7, 2023 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint |
| Dec 7, 2023 | 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. |
| Dec 7, 2023 | 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. |
| Dec 7, 2023 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Dec 7, 2023 | C · Minimal risk, facility-wide | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Apr 25, 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 25, 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 25, 2019 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | F |
| 2023 | 15 | 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) | 4.31 | 4.43 | 3.95 | bottom 42% in Alabama; top 29% in the U.S. |
| Registered Nurse hours | 0.64 | 0.74 | 0.69 | bottom 33% in Alabama; top 43% in the U.S. |
| Weekend total nurse staffing | 3.56 | 3.73 | 3.50 | bottom 36% in Alabama; top 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.36 | 0.48 | bottom 47% in Alabama; bottom 35% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 46.9 | 45.8 | bottom 42% in Alabama; bottom 38% in the U.S. |
| RN turnover (%) | 61.9 | 39.5 | 42.9 | bottom 12% in Alabama; bottom 19% 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 3.72, RN 0.55, weekend 3.07. 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: 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 |
|---|---|---|---|---|
| Estes, James | Individual | 5% or Greater Indirect Ownership Interest | 89% | 08/20/2002 |
| James Norman Estes Jr Tr | Organization | 5% or Greater Indirect Ownership Interest | 5% | 08/20/2002 |
| Jennifer Lee Estes Tr 031093 | Organization | 5% or Greater Indirect Ownership Interest | 5% | 08/20/2002 |
| NHS Operations LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/20/2002 |
| Algarin, Lisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/07/2022 |
| Algarin, Lisa | Individual | ADP of the SNF | NOT APPLICABLE | 02/07/2025 |
| Baggett, Bryan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/27/2024 |
| Baggett, Bryan | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/27/2024 |
| Berkadia Commercial Mortgage LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/26/2006 |
| Berkadia Commercial Mortgage LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 07/26/2006 |
| Estes, James | Individual | Corporate Officer | NOT APPLICABLE | 08/20/2002 |
| 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 | 08/29/2011 |
| Richburg, Julie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/11/2014 |
| Richburg, Julie | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/11/2014 |
| Wetumpka Health Realty LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 10/01/2002 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "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 |
|---|---|---|---|---|---|
| Merry Wood Lodge | 5.9 mi | Elmore, AL | ★☆☆☆☆ | 1/5 | abuseSFF |
| Montgomery Children's Specialty Center | 10.1 mi | Montgomery, AL | ★★★☆☆ | 2/5 | |
| Charlton Place Rehab and Healthcare Center | 11.9 mi | Deatsville, AL | ★★★★★ | 5/5 | |
| Hillview Terrace | 12.4 mi | Montgomery, AL | ★★☆☆☆ | 2/5 | |
| Crowne Health Care of Montgomery | 12.4 mi | Montgomery, AL | ★★★★☆ | 4/5 | |
| Prattville Health and Rehabilitation, LLC | 13.3 mi | Prattville, AL | ★☆☆☆☆ | 1/5 | |
| Capitol Hill Healthcare Center | 13.8 mi | Montgomery, AL | ★★★★☆ | 4/5 | |
| Diversicare of Montgomery | 14.2 mi | Montgomery, AL | ★★☆☆☆ | 2/5 | |
| Father Purcell Memorial Exceptional Children's Ctr | 15.6 mi | Montgomery, AL | ★☆☆☆☆ | 1/5 | |
| Tallassee Health and Rehabilitation, LLC | 16.5 mi | Tallassee, AL | ★★☆☆☆ | 2/5 | |
| Rivertown Health and Rehabilitation Center | 16.6 mi | Montgomery, AL | ★☆☆☆☆ | 1/5 | |
| John Knox Manor INC I I | 16.7 mi | Montgomery, AL | ★★☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 015027.