Huntsville Health & Rehabilitation, LLC — nursing home in Huntsville, AL

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 105 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: 90.9 CMS, MDS-derived
CMS Certification Number: 015440
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Nov 18, 1999
Ownership type: For profit - Corporation
Operator (legal business name): Huntsville Health and Rehabilitation, LLC
CMS chain: Nhs Management 43 facilities
Phone: (256) 883-8656
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest May 21, 2026

Citations

42

19 health · 23 fire

Harm or worse

4

4 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K2	L·
Actual harm	G·	H·	I·
Potential harm	D19	E8	F10
Minimal	A·	B·	C1

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

2

$236,540

Payment denials

0

Latest

May 21, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 015440
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 105
First approved: Nov 18, 1999
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
May 21, 2026	Fire safety	Fire Safety Standard	14	Potential harm	—	Open →
May 21, 2026	Health	Health Complaint, Health Standard	16	Immediate jeopardy	—	Open →
Jan 14, 2022	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Jan 14, 2022	Health	Health Standard	2	Potential harm	—	Open →
Oct 24, 2019	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Oct 24, 2019	Health	Health Standard	1	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.

Date	Type	Amount	Payment denial	Record
May 21, 2026	Civil money penalty (fine)	$209,855	—	015440\|Fine\|145225
May 21, 2026	Civil money penalty (fine)	$26,685	—	015440\|Fine\|145224

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K2	L·
Actual harm	G·	H·	I·
Potential harm	D19	E8	F10
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 21, 2026	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Past non-compliance Aug 5, 2025	Complaint
May 21, 2026	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Jul 13, 2026	Complaint
May 21, 2026	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	K · Immediate jeopardy Pattern	Corrected Jul 13, 2026	Complaint
May 21, 2026	F-0740	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Corrected Jun 23, 2026	Complaint
May 21, 2026	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jun 4, 2026
May 21, 2026	E-0037	Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jun 4, 2026
May 21, 2026	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jun 4, 2026
May 21, 2026	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 4, 2026
May 21, 2026	K-0226	Have horizontal exits used in accordance with safety requirements. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 4, 2026
May 21, 2026	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 4, 2026
May 21, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 4, 2026
May 21, 2026	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 4, 2026
May 21, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 4, 2026
May 21, 2026	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 4, 2026
May 21, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 4, 2026
May 21, 2026	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 Jun 4, 2026
May 21, 2026	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 4, 2026
May 21, 2026	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 4, 2026
May 21, 2026	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 23, 2026	Complaint
May 21, 2026	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jun 23, 2026	Complaint
May 21, 2026	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 23, 2026	Complaint
May 21, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 23, 2026	Complaint
May 21, 2026	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Past non-compliance Apr 8, 2026	Complaint
May 21, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Past non-compliance Apr 8, 2026	Complaint
May 21, 2026	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	F · Potential harm Widespread	Corrected Jun 23, 2026	Complaint
May 21, 2026	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jun 23, 2026	Complaint
May 21, 2026	F-0837	Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Jul 13, 2026	Complaint
May 21, 2026	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Jul 13, 2026
May 21, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 23, 2026
May 21, 2026	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Corrected Jun 23, 2026
Jan 14, 2022	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 23, 2022
Jan 14, 2022	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 23, 2022
Jan 14, 2022	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 23, 2022
Jan 14, 2022	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 23, 2022
Jan 14, 2022	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 23, 2022
Jan 14, 2022	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 Feb 18, 2022
Jan 14, 2022	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Feb 18, 2022
Oct 24, 2019	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 28, 2019
Oct 24, 2019	K-0361	Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 28, 2019
Oct 24, 2019	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 28, 2019
Oct 24, 2019	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 28, 2019
Oct 24, 2019	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Nov 28, 2019

“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 staffing4.23

State avg 3.90US avg 3.90

Registered nurse (RN)0.59

State avg 0.66US avg 0.69

Licensed practical nurse0.78

State avg 0.78US avg 0.86

Nurse aide2.87

State avg 2.46US avg 2.35

Weekend total nurse3.35

State avg 3.27US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.30 (case-mix index 1.12).

Staff turnover

Total nursing staff turnover58.2%

State avg 46.8%US avg 45.3%

Registered nurse turnover60.9%

State avg 40.0%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 21, 2026
Cycle 1 health score: 392
Total weighted score: 299

Operating entity

Huntsville 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

20

Organizations

8

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%	Jul 28, 2011
James Estes	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	51%	Jul 28, 2011
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%	Jul 28, 2011
James Estes	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	51%	Jul 28, 2011
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
Anita Chandler	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 2, 2024
Tammy Cox	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 23, 2023
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 28, 2011
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	May 1, 2014
Capital Funding LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	May 1, 2014
Huntsville Health Realty, LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Nov 30, 2017
Servisfirst Bank	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Aug 29, 2018
Anita Chandler	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 31, 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: 4010 Chris Drive, Huntsville, AL 35802
ZIP: 35802
County: Madison County FIPS 01089
State: Alabama
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Willowbrooke Ct Skilled Care Ctr at Magnolia Trace One Crown Circle, Huntsville, AL 35802 CCN 015450	2 km	59	May 17, 2022	13	—
Rocket City Rehabilitation and Healthcare Center 105 Teakwood Drive SW, Huntsville, AL 35801 CCN 015116	2.1 km	159	Feb 26, 2023	313 IJ	—
Diversicare of Big Springs 500 St. Clair Avenue Southwest, Huntsville, AL 35801 CCN 015111	4.8 km	145	Jan 27, 2022	16	—
Brookshire Healthcare Center 4320 Judith Lane, Huntsville, AL 35805 CCN 015127	6.2 km	129	Mar 17, 2022	18	—
Windsor House 4411 Mcallister Drive, Huntsville, AL 35805 CCN 015397	6.3 km	117	May 29, 2021	192 harm	—
Fairview at Redstone Village 12000 Turnmeyer Drive, Huntsville, AL 35803 CCN 015454	8.4 km	56	Feb 17, 2022	8	—
Regency Health Care and Rehabilitation Center 2061 Poole Drive, NW, Huntsville, AL 35810 CCN 015372	9.2 km	90	Aug 21, 2024	202 IJ1 harm	$17k
The Health Center at Research Park 5275 Millennium Drive, Huntsville, AL 35806 CCN 015458Abuse icon	11.3 km	91	Jun 18, 2024	233 IJ	$69k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	015440	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	015440	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 015440

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