Federal inspection record · CMS data as of October 1, 2026

Luverne Health And Rehabilitation, LLC

142 West Third Street, Luverne, AL · (334) 335-6528

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
151
Residents per day
143
Ownership
For-Profit
Chain
Nhs Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 16, 1973

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Alabama.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Alabama homes

Luverne Health And Rehabilitation, LLC carries 8 inspection points. That is fewer than 75% of Alabama's 223 rated homes.

5★4★3★2★1★+7 homes above 29905102550100200inspection points → fewer is better on the leftThis home · 8 pts · 4★

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

8 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 5 4 pts
E 0 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

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

Quality of Life and Care3D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    July 29, 2021 · Standard · F677 · Corrected September 1, 2021

  2. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    July 29, 2021 · Standard · F693 · Corrected September 1, 2021

  3. D

    Provide safe and appropriate respiratory care for a resident when needed.

    December 19, 2019 · Standard · F695 · Corrected January 23, 2020

Nutrition and Dietary2F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 16, 2019 · Standard · F812 · Corrected February 20, 2019

  2. F

    Dispose of garbage and refuse properly.

    January 16, 2019 · Standard · F814 · Corrected February 20, 2019

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    December 19, 2019 · Standard · F880 · Corrected January 23, 2020

Pharmacy Service1D
  1. 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.

    January 16, 2019 · Standard · F761 · Corrected February 20, 2019

Nursing and Physician Services1C
  1. C

    Post nurse staffing information every day.

    January 16, 2019 · Standard · F732 · Corrected February 20, 2019

Inspection history

  1. 2021-07-29

    2 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2019-12-19

    2 health deficiencies · 8 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  3. 2019-01-16

    4 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 32 min of nursing staff time a day, 24 min of it from a registered nurse.

This home

3 h 32 min

Alabama average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 51% of nursing staff and 68% 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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.7 pts better1.21.91.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse2.31.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.6 pts better99.4%92.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better97.2%95.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better2.3%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms1.5 pts better0.0%1.5%13.5%
Percentage of long-stay residents who lose too much weight1.5 pts better3.9%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication10.1 pts worse34.4%24.3%19.5%
Percentage of long-stay residents who received an antipsychotic medication21.7 pts worse43.0%21.3%15.4%
Percentage of long-stay residents who were physically restrained0.5 pts better0.0%0.5%0.1%
Percentage of long-stay residents whose ability to walk independently worsened5.3 pts better5.7%11.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts worse14.0%11.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same0.9%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection2 pts better0.2%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.3 pts better6.9%12.2%18.3%
Percentage of long-stay residents with pressure ulcers0.3 pts worse5.5%5.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.4 pts better100.0%85.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.3 pts worse13.0%11.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1 pts worse2.9%1.9%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.8 pts better100.0%82.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.2 pts better24.2%24.4%23.4%

·

Who owns and runs it

18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Nhs Operations LLC5% Or Greater Direct Ownership Interest · Organization100%13 facilities
Estes, James5% Or Greater Indirect Ownership Interest · Individual89%43 facilities
James Norman Estes Jr Tr5% Or Greater Indirect Ownership Interest · Organization5%40 facilities
Jennifer Lee Estes Tr 0310935% Or Greater Indirect Ownership Interest · Organization5%40 facilities
Estes, JamesCorporate Officer · Individual0%43 facilities
Howell, RhondaCorporate Director · Individual0%2 facilities
Howell, RhondaOperational/Managerial Control · Individual0%2 facilities
Long, PhillipCorporate Officer · Individual0%44 facilities
Luverne Health Realty LLC5% Or Greater Security Interest · Organization0%1 facilities
Maddox, MaryW-2 Managing Employee · Individual0%1 facilities
Maddox, MaryOperational/Managerial Control · Individual0%1 facilities
Nhs Facilities Group LLC5% Or Greater Security Interest · Organization0%5 facilities
Rasco, LynnCorporate Director · Individual0%43 facilities
Rasco, LynnOperational/Managerial Control · Individual0%43 facilities
Regions Bank5% Or Greater Security Interest · Organization0%51 facilities
Richburg, JulieCorporate Director · Individual0%6 facilities
Richburg, JulieOperational/Managerial Control · Individual0%6 facilities
Servisfirst Bank5% Or Greater Security Interest · Organization0%21 facilities

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke9E
  1. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    December 19, 2019 · K321 · Corrected February 7, 2020

  2. E

    Install an approved automatic sprinkler system.

    December 19, 2019 · K351 · Corrected February 7, 2020

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    December 19, 2019 · K353 · Corrected February 7, 2020

  4. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    December 19, 2019 · K355 · Corrected February 7, 2020

  5. D

    Install corridor and hallway doors that block smoke.

    December 19, 2019 · K363 · Corrected February 7, 2020

  6. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    December 19, 2019 · K372 · Corrected February 7, 2020

  7. E

    Install a fire alarm system that can be heard throughout the facility.

    January 16, 2019 · K341 · Corrected February 27, 2019

  8. E

    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

    January 16, 2019 · K343 · Corrected February 27, 2019

  9. E

    Inspect, test, and maintain automatic sprinkler systems.

    January 16, 2019 · K353 · Corrected February 27, 2019

Miscellaneous1D
  1. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    December 19, 2019 · K741 · Corrected February 7, 2020

Gas, Vacuum, and Electrical Systems1D
  1. D

    Ensure proper usage of power strips and extension cords.

    December 19, 2019 · K920 · Corrected February 7, 2020

·

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