Crossville Health and Rehabilitation, LLC — nursing home in Crossville, AL

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 143 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: 135.0 CMS, MDS-derived
CMS Certification Number: 015176
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 1, 1977
Ownership type: For profit - Corporation
Operator (legal business name): Crossville Health and Rehabilitation LLC
CMS chain: Nhs Management 43 facilities
Phone: (256) 528-7844
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Nov 4, 2021

Citations

19

12 health · 7 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D17	E1	F1
Minimal	A·	B·	C·

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: 015176
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 143
First approved: Jul 1, 1977
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
Nov 4, 2021	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Nov 4, 2021	Health	Health Standard	2	Potential harm	—	Open →
Nov 14, 2019	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Nov 14, 2019	Health	Health Standard	1	Potential harm	—	Open →
Sep 27, 2018	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Sep 27, 2018	Health	Health Standard	9	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	D17	E1	F1
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Nov 4, 2021	K-0222	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. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 10, 2021
Nov 4, 2021	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 13, 2021
Nov 4, 2021	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 13, 2021
Nov 4, 2021	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 9, 2021
Nov 4, 2021	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 9, 2021
Nov 14, 2019	K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 24, 2019
Nov 14, 2019	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 24, 2019
Nov 14, 2019	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 24, 2019
Nov 14, 2019	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 24, 2019
Nov 14, 2019	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 16, 2019
Sep 27, 2018	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 1, 2018
Sep 27, 2018	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 1, 2018
Sep 27, 2018	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 1, 2018
Sep 27, 2018	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 1, 2018
Sep 27, 2018	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 1, 2018
Sep 27, 2018	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 1, 2018
Sep 27, 2018	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 1, 2018
Sep 27, 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 Nov 1, 2018
Sep 27, 2018	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Nov 1, 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 staffing3.72

State avg 3.90US avg 3.90

Registered nurse (RN)0.61

State avg 0.66US avg 0.69

Licensed practical nurse0.63

State avg 0.78US avg 0.86

Nurse aide2.49

State avg 2.46US avg 2.35

Weekend total nurse3.25

State avg 3.27US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.35 (case-mix index 1.20).

Staff turnover

Total nursing staff turnover48.3%

State avg 46.8%US avg 45.3%

Registered nurse turnover56.5%

State avg 40.0%US avg 42.5%

Administrators who leftNot reported

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Nov 4, 2021
Cycle 1 health score: 8
Total weighted score: 7

Operating entity

Crossville Health and Rehabilitation LLC

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

VerifiedLinked by exact legal name

CMS chain

Nhs Management

43 facilities in 3 states. CMS chain ID 372.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.9

Ownership disclosures

Disclosures

21

Organizations

9

Individuals

11

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Northport Holding Operations, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Feb 1, 2007
James Estes	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	51%	Jul 23, 2004
James N Estes Jr Family Dynasty Tr No 2	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	18%	Dec 27, 2012
Jennifer E Agee Family Dynasty Tr No 2	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	18%	Dec 27, 2012
James Norman Estes Jr Tr	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	6%	Jun 30, 2013
Jennifer Lee Estes Tr 031093	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	6%	Jun 30, 2013

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
Northport Holding Operations, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Feb 1, 2007
James Estes	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	51%	Jul 23, 2004
James N Estes Jr Family Dynasty Tr No 2	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	18%	Dec 27, 2012
Jennifer E Agee Family Dynasty Tr No 2	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	18%	Dec 27, 2012
James Norman Estes Jr Tr	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	6%	Jun 30, 2013
Jennifer Lee Estes Tr 031093	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	6%	Jun 30, 2013
Tammy Cox	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 23, 2023
Derek Patterson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 2, 2024
Lynn Rasco	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2022
Sonny Ward	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 10, 2024
Tammy Cox	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 23, 2023
Lynn Rasco	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 1, 2022
Sonny Ward	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 10, 2024
James Estes	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 23, 2004
Phillip Long	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 1, 2019
Capital Funding LLC	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Jun 1, 2012
Capital Funding LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Jun 1, 2012
Crossville Health Realty, LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Jun 1, 2012
Holding Facilities Group LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Jun 1, 2012
Servisfirst Bank	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Aug 29, 2018
Derek Patterson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 4, 2025

Same chain in Alabama

All 42 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Athens Health and Rehabilitation LLC 611 West Market Street, Athens, AL 35611 CCN 015016	149	Apr 14, 2022	28	—
Wetumpka Health and Rehabilitation, LLC 1825 Holtville Road, Wetumpka, AL 36092 CCN 015027	121	Dec 7, 2023	24	—
Hunter Creek Health and Rehabilitation, LLC 3200 Hunter Creek Rd, Northport, AL 35473 CCN 015034	78	Apr 14, 2022	20	—
Sumter Health and Rehabilitation, L L C 1505 East 4th Avenue, York, AL 36925 CCN 015042	125	Apr 21, 2022	22	—
Northway Health and Rehabilitation, LLC 1424 North 25th Street, Birmingham, AL 35234 CCN 015047	113	Apr 17, 2024	30	—
Prattville Health and Rehabilitation, LLC 601 Jasmine Trail, Prattville, AL 36066 CCN 015065	162	Jun 10, 2022	33	—
South Health and Rehabilitation, LLC 1220 South 17th Street, Birmingham, AL 35205 CCN 015097	83	Aug 24, 2023	112 harm	—
Ashland Place Health and Rehabilitation, LLC 148 Tuscaloosa St, Mobile, AL 36607 CCN 015103	164	Jan 23, 2020	21	—

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: 8922 Highway 227, Crossville, AL 35962
ZIP: 35962
County: DeKalb County FIPS 01049
Assigned by point in polygon Inferred
State: Alabama
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Collinsville Healthcare & Rehab 685 North Valley Ave, Collinsville, AL 35961 CCN 015207	12.4 km	200		Feb 13, 2025	16	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	015176	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	015176	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
CMS Provider Information US-CMS	015176	county_fips County assigned by locating CMS coordinates in Census county boundaries (the CMS county name did not match the Census code list).	Inferred	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 015176

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