Federal inspection record · CMS data as of October 1, 2026
Columbiana Health And Rehabilitation, LLC
22969 Highway 25, Columbiana, AL · (205) 669-1712
- Certified beds
- 63
- Residents per day
- 61
- Ownership
- For-Profit
- Chain
- Nhs Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 15, 2004
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Alabama.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Alabama homes
Columbiana Health And Rehabilitation, LLC carries 10 inspection points. That is fewer than 70% of Alabama's 223 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Alabama: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–3 pts
- 4★ 3–12 pts
- 3★ 12–23 pts
- 2★ 23–46 pts
- 1★ over 46 pts
Bars show every rated home in Alabama by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
4 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
Keep residents' personal and medical records private and confidential.
Pharmacy Service1D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspection history
2022-08-24
1 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (1 deficiency)
2019-10-17
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2018-11-20
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 42 min of nursing staff time a day, 44 min of it from a registered nurse.
This home
3 h 42 min
Alabama average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 71% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,018 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-18 | Fine | $8,018 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.7 pts better | 99.5% | 92.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.6 pts better | 100.0% | 95.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts worse | 5.6% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.5 pts better | 0.0% | 1.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.5 pts better | 1.9% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.4 pts worse | 27.7% | 24.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.1 pts worse | 24.4% | 21.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.5 pts better | 0.0% | 0.5% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.3 pts better | 9.7% | 11.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2 pts better | 9.5% | 11.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 1.6% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.1 pts better | 10.1% | 12.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts worse | 7.3% | 5.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.7 pts better | 99.3% | 85.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.3 pts worse | 13.0% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse | 2.4% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.8 pts better | 100.0% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.7 pts better | 22.7% | 24.4% | 23.4% |
·
Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Northport Holding Operations, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 16 facilities |
| Estes, James | 5% Or Greater Indirect Ownership Interest · Individual | 51% | 43 facilities |
| James N Estes Jr Family Dynasty Tr No 2 | 5% Or Greater Indirect Ownership Interest · Organization | 18% | 24 facilities |
| Jennifer E Agee Family Dynasty Tr No 2 | 5% Or Greater Indirect Ownership Interest · Organization | 18% | 24 facilities |
| James Norman Estes Jr Tr | 5% Or Greater Indirect Ownership Interest · Organization | 6% | 40 facilities |
| Jennifer Lee Estes Tr 031093 | 5% Or Greater Indirect Ownership Interest · Organization | 6% | 40 facilities |
| Cobb, Leigh | Corporate Director · Individual | 0% | 5 facilities |
| Cobb, Leigh | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Columbiana Health Realty, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Estes, James | Corporate Officer · Individual | 0% | 43 facilities |
| Long, Phillip | Corporate Officer · Individual | 0% | 44 facilities |
| Morris, Hilary | Corporate Director · Individual | 0% | 5 facilities |
| Morris, Hilary | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Rasco, Lynn | Corporate Director · Individual | 0% | 43 facilities |
| Rasco, Lynn | Operational/Managerial Control · Individual | 0% | 43 facilities |
| Regions Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 51 facilities |
| Regions Bank | 5% Or Greater Security Interest · Organization | 0% | 51 facilities |
| Smith, Kristin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Smith, Kristin | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2E
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress1E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
·
Other homes nearby
-
Shelby Ridge Nursing Home
Alabaster, AL · Rehab Select
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 4 h 55 min
- Fines
- $0
-
The Healthcare Center At Buck Creek
Alabaster, AL
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 35 min
- Fines
- $16,801
-
Diversicare Of Riverchase
Birmingham, AL · Diversicare Healthcare
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 8 min
- Fines
- $0