Cycle 1
Health 2021-07-22 · Fire 2021-07-22
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Lineville, AL
Lineville Health And Rehabilitation, LLC
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
88073 Highway 9, Lineville, AL
(256) 396-2104
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
101
Certified beds
Average residents
86
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Nhs Management
Operator or chain grouping
Approved since
1976-08-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
43 facilities
Chain averages 3 overall / 3 health / 4 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.50
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.73
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
3.13
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.36
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.23
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.74
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.56
CMS adjusted RN staffing hours
Adjusted total hours
4.97
CMS adjusted total nurse staffing hours
Case-mix index
1.20
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,957
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.46
Composite VBP score used to determine payment impact.
Payment multiplier
0.9884
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.24
Baseline 17.41% · Performance 19.00% · Measure score 5.24 · Achievement 5.24 · Improvement 0
Healthcare-associated infections
3.21
Baseline 5.62% · Performance 6.88% · Measure score 3.21 · Achievement 3.21 · Improvement 0
Total nurse turnover
2.04
Performance 55.34% · Measure score 2.04 · Achievement 2.04 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.29
Baseline 3.63 hours · Performance 4.01 hours · Measure score 3.29 · Achievement 3.29 · Improvement 1.27
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.21% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 90 · Observed rate 7.78% · Lower 95% interval 6.13% |
| Discharge to community | 48.45% |
50.57%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 81 · Observed rate 45.68% · Lower 95% interval 37.15% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 68 · Denominator 68 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 68 |
| Discharge self-care score | 48.28% |
53.69%
5.4 pts worse
|
Numerator 28 · Denominator 58 |
| Discharge mobility score | 37.93% |
50.94%
13 pts worse
|
Numerator 22 · Denominator 58 |
| Pressure ulcers or injuries, new or worsened | 4.41% |
2.29%
2.1 pts worse
|
Numerator 3 · Denominator 68 · Adjusted rate 3.9% |
| Healthcare-associated infections requiring hospitalization | 6.88% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 61 · Observed rate 4.92% · Lower 95% interval 3.66% |
| Staff COVID-19 vaccination coverage | 3.41% |
8.2%
4.8 pts worse
|
Numerator 3 · Denominator 88 |
| Staff flu vaccination coverage | 7.84% |
42%
34.2 pts worse
|
Numerator 8 · Denominator 102 |
| Discharge function score | 39.66% |
56.45%
16.8 pts worse
|
Numerator 23 · Denominator 58 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 24 · Denominator 24 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 20 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | 8.33% |
25.2%
16.9 pts worse
|
Numerator 3 · Denominator 36 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.0
0.3 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.3 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
1.8
0.2 pts worse
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
91.3%
7.5 pts better
|
93.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.7% · Q3 98.8% · Q4 98.8% · 4Q avg 98.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.8%
5.2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
3.4%
0.1 pts better
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 4.6% · Q3 1.2% · Q4 3.7% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
1.3%
1 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 3.5% |
5.3%
1.8 pts better
|
5.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 7.1% · Q4 4.2% · 4Q avg 3.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.1% |
24.9%
3.2 pts worse
|
19.6%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 25.0% · Q3 23.6% · Q4 30.6% · 4Q avg 28.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.6% |
22.8%
4.2 pts better
|
16.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 18.9% · Q3 17.2% · Q4 15.8% · 4Q avg 18.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.6%
0.6 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.1% |
14.8%
9.7 pts better
|
16.3%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 3.6% · Q3 6.5% · Q4 3.0% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.0% |
13.4%
5.4 pts better
|
14.9%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 7.8% · Q3 6.7% · Q4 9.8% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.9% |
1.3%
1.6 pts worse
|
1.0%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 5.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
2.6%
0.2 pts worse
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.4% · Q3 2.5% · Q4 3.7% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.8% |
13.5%
1.7 pts better
|
19.8%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 12.1% · Q3 11.8% · Q4 13.8% · 4Q avg 11.8% |
| Percentage of long-stay residents with pressure ulcers | 12.0% |
5.7%
6.3 pts worse
|
5.1%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 13.0% · Q3 9.0% · Q4 9.8% · 4Q avg 12.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.5% |
84.3%
1.2 pts better
|
81.7%
3.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 84.0% · Q2 80.3% · Q3 86.3% · Q4 91.4% · 4Q avg 85.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.7% |
11.5%
1.2 pts worse
|
12.0%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 13.7% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.1%
2.1 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.5% |
80.3%
0.8 pts worse
|
79.7%
0.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 79.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 11.4% |
24.5%
13.1 pts better
|
23.9%
12.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.4% · Observed 11.8% · Expected 24.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-06-13 · Fire 2019-06-13
1 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2018-07-03 · Fire 2018-07-03
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2021-07-22
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-08-27
D · Potential for more than minimal harm
2021-07-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-08-27
D · Potential for more than minimal harm
2021-07-22
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-08-27
F · Potential for more than minimal harm
2018-07-03
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2018-08-06
D · Potential for more than minimal harm
2018-07-03
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2018-08-06
Inspection history
Recent health citations
D · Potential for more than minimal harm
2019-06-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-15
F · Potential for more than minimal harm
2018-07-03
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-08-06
D · Potential for more than minimal harm
2018-07-03
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2018-08-06
D · Potential for more than minimal harm
2018-07-03
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2018-08-06
B · Minimal harm
2018-07-03
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2018-08-06
Penalties and ownership
What sits behind the stars
Ownership
Nhs Operations LLC
5% Or Greater Direct Ownership Interest · Organization
Estes, James
5% Or Greater Indirect Ownership Interest · Individual
James Norman Estes Jr Tr
5% Or Greater Indirect Ownership Interest · Organization
Jennifer Lee Estes Tr 031093
5% Or Greater Indirect Ownership Interest · Organization
Estes, James
Corporate Officer · Individual
Holmes, Letchernique
Operational/Managerial Control · Individual
Holmes, Letchernique
Corporate Director · Individual
Lineville Health Realty LLC
5% Or Greater Security Interest · Organization
Long, Phillip
Corporate Officer · Individual
Nhs Facilities Group LLC
5% Or Greater Security Interest · Organization
Patterson, Derek
Operational/Managerial Control · Individual
Patterson, Derek
Corporate Director · Individual
Rasco, Lynn
Operational/Managerial Control · Individual
Rasco, Lynn
Corporate Director · Individual
Regions Bank
5% Or Greater Security Interest · Organization
Servisfirst Bank
5% Or Greater Security Interest · Organization
Smith, Jonathan
Operational/Managerial Control · Individual
Smith, Jonathan
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Clay County Nursing Home
Ashland, AL
4-star overall rating with 4-star inspections with 2 recent health deficiencies
#2
Talladega Healthcare Center, Inc
Talladega, AL
3-star overall rating with 3-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Diversicare Of Oxford
Oxford, AL
2-star overall rating with 2-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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