Federal inspection record · CMS data as of October 1, 2026
Crossville Health And Rehabilitation, LLC
8922 Highway 227, Crossville, AL · (256) 528-7844
- Certified beds
- 143
- Residents per day
- 135
- Ownership
- For-Profit
- Chain
- Nhs Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1977
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
Crossville Health And Rehabilitation, LLC carries 7 inspection points. That is fewer than 78% 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
12 health citations on record since 2018. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Ensure each resident receives an accurate assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care2D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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
2021-11-04
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2019-11-14
1 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2018-09-27
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 43 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
3 h 43 min
Alabama average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 57% 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
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.4 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.5 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.2 pts better | 100.0% | 92.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.9 pts worse | 92.5% | 95.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts better | 2.2% | 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 weight2.1 pts better | 3.3% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.5 pts worse | 30.8% | 24.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication21.1 pts worse | 42.4% | 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 worsened6.7 pts better | 4.3% | 11.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.9 pts better | 5.6% | 11.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.1% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 1.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.5 pts better | 7.7% | 12.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.6 pts better | 1.6% | 5.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.4 pts better | 100.0% | 85.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts worse | 13.3% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts worse | 2.9% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.9 pts better | 90.1% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.6 pts better | 18.8% | 24.4% | 23.4% |
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Who owns and runs it
21 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 |
| Capital Funding LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 21 facilities |
| Capital Funding LLC | 5% Or Greater Security Interest · Organization | 0% | 21 facilities |
| Cox, Tammy | Corporate Director · Individual | 0% | 7 facilities |
| Cox, Tammy | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Crossville Health Realty, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Estes, James | Corporate Officer · Individual | 0% | 43 facilities |
| Holding Facilities Group LLC | 5% Or Greater Security Interest · Organization | 0% | 10 facilities |
| Long, Phillip | Corporate Officer · Individual | 0% | 44 facilities |
| Patterson, Derek | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Patterson, Derek | Adp Of The SNF · Individual | 0% | 7 facilities |
| Rasco, Lynn | Corporate Director · Individual | 0% | 43 facilities |
| Rasco, Lynn | Operational/Managerial Control · Individual | 0% | 43 facilities |
| Servisfirst Bank | 5% Or Greater Security Interest · Organization | 0% | 21 facilities |
| Ward, Sonny | Corporate Director · Individual | 0% | 5 facilities |
| Ward, Sonny | Operational/Managerial Control · Individual | 0% | 5 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4D
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install an approved automatic sprinkler system.
Egress2E
- D
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.
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
Collinsville Healthcare & Rehab
Collinsville, AL
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 29 min
- Fines
- $0
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Diversicare Of Boaz
Boaz, AL · Diversicare Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h
- Fines
- $0
-
Albertville Nursing Home
Albertville, AL · Rehab Select
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 21 min
- Fines
- $0