Limestone Nursing and Rehabilitation Center, LLC — nursing home in Athens, AL

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 170 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 140.9 CMS, MDS-derived
CMS Certification Number: 015024
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1979
Ownership type: For profit - Corporation
Operator (legal business name): Limestone Nursing and Rehabilitation Center LLC
CMS chain: Preston Health Services 5 facilities
Phone: (256) 232-3461
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Feb 13, 2020

Citations

13

10 health · 3 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D7	E·	F3
Minimal	A·	B·	C3

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 015024
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 170
First approved: Jan 1, 1979
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Alabama.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Feb 13, 2020	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Feb 13, 2020	Health	Health Standard	3	Potential harm	—	Open →
Mar 20, 2019	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Mar 20, 2019	Health	Health Standard	2	Potential harm	—	Open →
Feb 15, 2018	Fire safety	Fire Safety Standard	3	Minimal	—	Open →
Feb 15, 2018	Health	Health Standard	5	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D7	E·	F3
Minimal	A·	B·	C3

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Feb 13, 2020	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 19, 2020
Feb 13, 2020	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Mar 19, 2020
Feb 13, 2020	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 19, 2020
Mar 20, 2019	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Apr 24, 2019
Mar 20, 2019	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 24, 2019
Feb 15, 2018	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 22, 2018
Feb 15, 2018	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 22, 2018
Feb 15, 2018	F-0803	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Mar 22, 2018
Feb 15, 2018	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Mar 22, 2018
Feb 15, 2018	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 22, 2018
Feb 15, 2018	E-0029	Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Mar 7, 2018
Feb 15, 2018	E-0036	Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Mar 7, 2018
Feb 15, 2018	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Mar 7, 2018

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.8

Staffingstate 3.7

Quality measuresstate 3.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.20

State avg 3.90US avg 3.90

Registered nurse (RN)0.45

State avg 0.66US avg 0.69

Licensed practical nurse0.95

State avg 0.78US avg 0.86

Nurse aide1.80

State avg 2.46US avg 2.35

Weekend total nurse2.77

State avg 3.27US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.39 (case-mix index 1.32).

Staff turnover

Total nursing staff turnover49.0%

State avg 46.8%US avg 45.3%

Registered nurse turnover35.3%

State avg 40.0%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Feb 13, 2020
Cycle 1 health score: 24
Total weighted score: 23

Operating entity

Limestone Nursing and Rehabilitation Center LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Preston Health Services

5 facilities in 1 states. CMS chain ID 702.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.2

Ownership disclosures

Disclosures

4

Organizations

1

Individuals

3

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
James Walker	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Nov 8, 2021

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
James Walker	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Nov 8, 2021
Preston Health Services Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2022
Matthew Hanserd	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Jan 1, 2022
Sherry Bowling	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jan 1, 2021

Same chain in Alabama

All 4 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Mitchell-Hollingsworth Nursing & Rehabilitation 805 Flagg Circle, Florence, AL 35631 CCN 015031	222	Sep 18, 2025	18	—
Gadsden Health and Rehab Center 1945 Davis Drive, Gadsden, AL 35904 CCN 015180	168	Jul 15, 2021	17	—
Marshall Manor Nursing Home 3120 North Street, Guntersville, AL 35976 CCN 015378	91	Jun 23, 2023	11	—
South Hampton Nursing & Rehabilitation Center 213 Wilson Mann Road, Owens Cross Roads, AL 35763 CCN 015448	81	Jul 14, 2023	18	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1600 West Hobbs Street, Athens, AL 35611
ZIP: 35611
County: Limestone County FIPS 01083
State: Alabama
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Athens Health and Rehabilitation LLC 611 West Market Street, Athens, AL 35611 CCN 015016	1.3 km	149		Apr 14, 2022	28	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	015024	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	015024	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 015024

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction