Federal inspection record · CMS data as of October 1, 2026
Limestone Nursing And Rehabilitation Center, LLC
1600 West Hobbs Street, Athens, AL · (256) 232-3461
- Certified beds
- 170
- Residents per day
- 141
- Ownership
- For-Profit
- Chain
- Preston Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1979
1
How this home got 3 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.
-
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Alabama homes
Limestone Nursing And Rehabilitation Center, LLC carries 23 inspection points. That is fewer than 43% 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
10 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
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
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.
Resident Rights2D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Quality of Life and Care1D
- 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.
Inspection history
2020-02-13
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2019-03-20
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2018-02-15
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 12 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 12 min
Alabama average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 35% 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 days1 pts better | 0.9 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.4 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6 pts better | 98.8% | 92.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.6 pts better | 97.0% | 95.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better | 2.7% | 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 weight5.1 pts better | 0.3% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication23.1 pts worse | 47.4% | 24.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.5 pts better | 18.8% | 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 worsened6.1 pts better | 4.9% | 11.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.7 pts better | 5.8% | 11.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse | 1.6% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.3 pts worse | 4.5% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.8 pts better | 8.4% | 12.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts better | 4.8% | 5.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12 pts better | 97.6% | 85.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.5 pts worse | 13.2% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse | 2.7% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.4 pts better | 85.6% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.3 pts worse | 30.7% | 24.4% | 23.4% |
·
Who owns and runs it
4 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 |
|---|---|---|---|
| Walker, James | 5% Or Greater Direct Ownership Interest · Individual | 100% | 5 facilities |
| Bowling, Sherry | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Hanserd, Matthew | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Preston Health Services Inc | Operational/Managerial Control · Organization | 0% | 3 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness3C
- C
Develop a communication plan.
- C
Establish emergency prep training and testing.
- C
Conduct testing and exercise requirements.
·
Other homes nearby
-
Athens Health And Rehabilitation LLC
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★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 55 min
- Fines
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-
Valley View Health And Rehabilitation, LLC
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★★★★★- Worst citation, 3 yrs
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- 4 h 36 min
- Fines
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-
River City Center
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★★★★★- Worst citation, 3 yrs
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