Home / Owners and chains / Nhs Management
Nhs Management nursing homes
43 nursing homes with 5,530 beds in Alabama (33), Arkansas (5), Florida (5).
CMS affiliated entity 372 · data as of September 1, 2026
The group's record in brief
CMS links 43 certified nursing homes in 3 states to Nhs Management: 43 for profit, 0 nonprofit. 43 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 563 health citations; 15 citations were rated actual harm or immediate jeopardy, 12 of them immediate jeopardy. At their latest standard inspections the homes averaged 4.3 health deficiencies (national average 9.2).
4 homes in the group were fined in the last three years, $127,746 in all across 4 fines. Average nursing staff turnover across its homes was 50.3% (national 45.8%).
Staffing across the group
Daily payroll records from 43 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 21% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.89 | 3.75 |
| Registered nurses | 0.55 | 0.62 |
| Weekdays | 4.14 | 3.92 |
| Weekends | 3.27 | 3.33 |
| Share of nursing hours by contract staff | 0.0% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
How the group's homes are rated
43 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 2.9 overall, 2.7 health inspections, 3.7 staffing, 3.5 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 6 | |
| 4 of 5 | 8 | |
| 3 of 5 | 13 | |
| 2 of 5 | 7 | |
| 1 of 5 | 9 |
Across the group: 15 citations rated actual harm or immediate jeopardy, and an average of 3.89 nursing staff hours per resident per day (national 3.86).
Every home in the group
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.
Companies the CMS ownership file lists as owners of most of these homes: James Norman Estes JR TR, Jennifer Lee Estes TR 031093.