Federal inspection record · CMS data as of October 1, 2026
Opp Health And Rehabilitation, LLC
115 Paulk Avenue, Opp, AL · (334) 493-4558
- Certified beds
- 197
- Residents per day
- 170
- Ownership
- For-Profit
- Chain
- Nhs Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1978
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.
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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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Alabama homes
Opp Health And Rehabilitation, LLC carries 18 inspection points. That is fewer than 53% 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
6 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
Quality of Life and Care3D
- 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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- 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.
Nutrition and Dietary2F
- 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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2020-03-02
1 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2019-05-22
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2018-07-26
2 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 28 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 28 min
Alabama average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 44% 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
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 days0.2 pts better | 1.7 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.6 | 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 vaccine4.6 pts better | 100.0% | 95.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts worse | 5.0% | 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 weight2.9 pts better | 2.5% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts better | 24.2% | 24.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.9 pts worse | 31.2% | 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 worsened4.6 pts better | 6.4% | 11.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.5 pts better | 7.0% | 11.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.6% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts worse | 2.6% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.6 pts better | 4.6% | 12.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcersAbout the same | 5.2% | 5.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.6 pts better | 98.2% | 85.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.7 pts better | 10.0% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 1.4% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.1 pts better | 99.3% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission12.3 pts worse | 36.7% | 24.4% | 23.4% |
·
Who owns and runs it
19 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 |
|---|---|---|---|
| Nhs Operations LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 13 facilities |
| Estes, James | 5% Or Greater Indirect Ownership Interest · Individual | 89% | 43 facilities |
| James Norman Estes Jr Tr | 5% Or Greater Indirect Ownership Interest · Organization | 5% | 40 facilities |
| Jennifer Lee Estes Tr 031093 | 5% Or Greater Indirect Ownership Interest · Organization | 5% | 40 facilities |
| Baggett, Bryan | Managing Control - Governing Body · Individual | 0% | 5 facilities |
| Baggett, Bryan | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Estes, James | Corporate Officer · Individual | 0% | 43 facilities |
| Long, Phillip | Corporate Officer · Individual | 0% | 44 facilities |
| Nhs Facilities Group LLC | 5% Or Greater Security Interest · Organization | 0% | 5 facilities |
| Opp Health Realty, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Perkins, Jeanell | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Perkins, Jeanell | Adp Of The SNF · Individual | 0% | 2 facilities |
| Rasco, Lynn | Corporate Director · Individual | 0% | 43 facilities |
| Rasco, Lynn | Operational/Managerial Control · Individual | 0% | 43 facilities |
| Regions Bank | 5% Or Greater Security Interest · Organization | 0% | 51 facilities |
| Richburg, Julie | Managing Control - Governing Body · Individual | 0% | 6 facilities |
| Richburg, Julie | Corporate Director · Individual | 0% | 6 facilities |
| Richburg, Julie | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Servisfirst Bank | 5% Or Greater Security Interest · Organization | 0% | 21 facilities |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5E
- D
Install an approved automatic sprinkler system.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Emergency Preparedness1F
- F
Meet the requirements of an integrated health system.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
·
Other homes nearby
-
★★★★★
- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 9 min
- Fines
- $0
-
Andalusia Manor
Andalusia, AL
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 11 min
- Fines
- $0
-
Florala Health And Rehabilitation LLC
Florala, AL · Nhs Management
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 35 min
- Fines
- $0