Federal inspection record · CMS data as of October 1, 2026
Huntsville Health & Rehabilitation, LLC
4010 Chris Drive, Huntsville, AL · (256) 883-8656
- Certified beds
- 105
- Residents per day
- 91
- Ownership
- For-Profit
- Chain
- Nhs Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 18, 1999
1
How this home got 1 star
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Alabama.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Alabama homes
Huntsville Health & Rehabilitation, LLC carries 299 inspection points. That is fewer than 3% 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
19 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 (4)
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
-
J
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Nutrition and Dietary3F
- F
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Dispose of garbage and refuse properly.
Freedom from Abuse, Neglect, and Exploitation3E
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration2E
- E
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Quality of Life and Care2D
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2026-05-21
16 health deficiencies · 14 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2022-01-14
2 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2019-10-24
1 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 14 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
4 h 14 min
Alabama average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 61% of registered nurses left in the past year, along with 1 administrator.
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
$236,540 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-21 | Fine | $26,685 |
| 2026-05-21 | Fine | $209,855 |
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts better | 0.9 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 0.9 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine12.4 pts worse | 80.4% | 92.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.2 pts worse | 87.2% | 95.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better | 1.5% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.1 pts better | 0.4% | 1.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts better | 2.5% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10 pts better | 14.3% | 24.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.7 pts worse | 23.0% | 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 worsened0.5 pts better | 10.5% | 11.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.2 pts better | 9.3% | 11.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.5% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 0.9% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.1 pts worse | 13.3% | 12.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.3 pts worse | 9.5% | 5.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts worse | 82.3% | 85.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.2 pts worse | 15.9% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 2.1% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.8 pts better | 85.0% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts worse | 28.1% | 24.4% | 23.4% |
·
Who owns and runs it
20 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 |
| Chandler, Anita | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Chandler, Anita | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cox, Tammy | Corporate Director · Individual | 0% | 7 facilities |
| Cox, Tammy | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Estes, James | Corporate Officer · Individual | 0% | 43 facilities |
| Huntsville Health Realty, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Long, Phillip | Corporate Officer · Individual | 0% | 44 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 |
·
Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Gas, Vacuum, and Electrical Systems5F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Egress4D
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Have horizontal exits used in accordance with safety requirements.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have properly located and lighted "Exit" signs.
Emergency Preparedness3F
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous3E
- D
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have simulated fire drills held at unexpected times.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
-
Willowbrooke Ct Skilled Care Ctr At Magnolia Trace
Huntsville, AL · Acts Retirement-Life Communities
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 57 min
- Fines
- $0
-
Rocket City Rehabilitation And Healthcare Center
Huntsville, AL · Venza Care Management
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 43 min
- Fines
- $0
-
Diversicare Of Big Springs
Huntsville, AL · Diversicare Healthcare
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h
- Fines
- $0