What is Anniston Health and Rehab Services's Medicare star rating?

CMS rates Anniston Health and Rehab Services 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Anniston Health and Rehab Services get at its last inspection?

2 health deficiencies at the standard inspection on December 2, 2021. The Alabama average is 4.

Has Anniston Health and Rehab Services been fined?

CMS lists no fines in the last three years.

Does Anniston Health and Rehab Services accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Anniston Health and Rehab Services?

CMS lists 44 owners and managers, and links the home to Noland Health. Legal business name: ANNISTON HEALTH AND REHAB SERVICES, LLC.

Anniston Health and Rehab Services: Inspections & Ratings

The record in brief

At its most recent standard inspection, on December 2, 2021, inspectors cited 2 health deficiencies (the Alabama average is 4, the national average 9.2).

None of its 4 health citations since June 2018 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.23 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 1.03 of those hours.

37.4% of nursing staff left within the year CMS measured (Alabama average 46.9%).

CMS links it to Noland Health, an affiliated group of 10 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

006/18

206/19

212/21

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 4 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

December 2, 2021Standard inspection · 2 citations

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 3, 2022

Inspectors wroteBased on observation, interview and review of a facility policy titled Cleaning of Miscellaneous Equipment and Utensils and review of the Food Code 2017, the facility failed to ensure pans were allowed to air dry. This was observed during the initial tour of the kitchen on 11/30/21 when wet pans were observed stacked together. The facility further failed to ensure a bucket of water with detergent was not placed next to an open container of sweet tea during lunch preparation on 12/1/21. This had the potential to effect all residents receiving meals from the kitchen.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 3, 2022

Inspectors wroteBased on observation, interview, record review, and review of a facility policy titled Medication Administration of Nose Drop; Ear Drop, Oral and Nasal Inhalation; Nebulizer (Respiratory Treatment) the facility failed to ensure Resident Identifier (RI) #26's nebulizer administration sets were stored in a safe and appropriate manner, covered and labeled, in RI #26's room on 12/1/21 on the evening shift and on 12/2/21 during the day shift, two of three days of the survey. This deficient practice affected one of one sampled for respiratory care.

June 27, 2019Standard inspection · 2 citations

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 29, 2019

Inspectors wroteBased on observations, interviews, review of facility policies: Dish Machine Sanitization, and Food Preparation Principles, as well as an Ecolab service report, the facility failed to ensure: 1) the dish machine dispensed a sufficient concentration of chlorine for effective sanitization; 2) pureed food was served at a recommended safe temperature on the 06/26/19 lunch tray line; 3) food was reheated to recommended sanitary temperatures prior to service; and 4) milk poured into glasses was stored and served at 41 degrees or less during the 06/26/19 lunch tray line. This affected all 42 residents for whom meals were prepared and served at the time of this survey. Findings Include: 1) DISH MACHINE SANITIZATION The facility policy, Dish Machine Sanitization with an effective date of 07/2014, specifies a process as follows: .4. [...]
D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 29, 2019

Inspectors wroteBased on record review and an interview with facility staff, the facility failed to ensure licensed staff clarified medication orders before hand-writing orders for Resident Identifier (RI) #31's medication for Diabetes Mellitus and Anxiety. This affected one of five residents for whom the medication regimen was reviewed. Findings Include: RI #31 was admitted to the facility on [DATE] with diagnoses that included Diabetes Mellitus and Anxiety disorder. RI #31's June 2016 Physician's Orders was reviewed and revealed the following: [...]

June 14, 2018Standard inspection · 0 citations

Fire safety inspections

14 fire safety citations on file: 2 on December 2, 2021, 5 on June 27, 2019, 7 on June 14, 2018.

Every fire safety citation14 citations

D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · December 2, 2021 · Corrected (the home has a date of correction)
D
Have properly installed electrical wiring and gas equipment.

K 511 · December 2, 2021 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · June 27, 2019 · Corrected (the home has a date of correction)
E
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · June 27, 2019 · Corrected (the home has a date of correction)
E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · June 27, 2019 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · June 27, 2019 · Corrected (the home has a date of correction)
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · June 27, 2019 · Corrected (the home has a date of correction)
F
Have restrictions on the use of flammable curtains.

K 751 · June 14, 2018 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · June 14, 2018 · Corrected (the home has a date of correction)
D
Have properly installed hallway dispensers for alcohol-based hand rub.

K 325 · June 14, 2018 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · June 14, 2018 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · June 14, 2018 · Corrected (the home has a date of correction)
C
Establish procedures for tracking staff and patients during an emergency.

E 18 · June 14, 2018 · Corrected (the home has a date of correction)
C
Create arrangements with other facilities to receive patients.

E 25 · June 14, 2018 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Alabama	United States
All nursing staff (RN, LPN and aides)	4.23	3.88	3.86
Registered nurses	1.03	0.65	0.69
All nursing staff on weekends	3.62	3.26	3.42
Nurse aides	2.71
Licensed practical nurses	0.49
Nursing staff turnover (share who left in a year)	37.4%	46.9%	45.8%
Registered nurse turnover	16.7%	39.5%	42.9%
Administrators who left	0

CMS expects 3.40 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.47 on weekdays and 3.62 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.47 in April to June 2025 to 4.23 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	4.23	1.03	4.47	3.62	0.0%	0 of 90	78
Oct to Dec 2025	4.15	1.01	4.31	3.74	0.0%	0 of 92	80
Jul to Sep 2025	4.22	0.91	4.41	3.73	0.0%	0 of 92	77
Apr to Jun 2025	4.47	0.89	4.72	3.82	0.0%	0 of 91	75
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Alabama, Jan to Mar 2026	3.88	0.63	4.13	3.27	0.9%	0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Alabama	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	14.1	12.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	1.3	0.9	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	5.7	2.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.2	3.3	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.6	2.0	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	13.3	12.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	7.0	5.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	15.2	21.2	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	27.0	24.8	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	9.0	11.3	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.5	2.0	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.0	1.7	1.8

Owners and operators

Legal business name: ANNISTON HEALTH AND REHAB SERVICES, LLC. CMS links this home to Noland Health, a group of 10 nursing homes averaging 2.7 stars overall.

Name	Role	Type	Since
The Health Care Authority of the City of Anniston	5% or greater indirect ownership interest	Organization	08/30/2018
Adamson, Michele	Managing control - governing body	Individual	05/10/2017
Britton, Isaac	Managing control - governing body	Individual	02/14/2007
Estep, Barbara	Managing control - governing body	Individual	04/01/2024
Goff, Robert	Managing control - governing body	Individual	09/02/1987
Hill, Thomas	Managing control - governing body	Individual	09/09/2024
Knight, Carol	Managing control - governing body	Individual	05/14/2025
Nelson, Debra	Managing control - governing body	Individual	05/11/2016
Renda, Nicholas	Managing control - governing body	Individual	10/26/2020
Thomas, Adeeb	Managing control - governing body	Individual	12/01/2016
Waggoner, James	Managing control - governing body	Individual	05/10/2017
Adamson, Michele	Corporate director	Individual	05/10/2017
Britton, Isaac	Corporate director	Individual	02/14/2007
Estep, Barbara	Corporate director	Individual	04/01/2024
Goff, Robert	Corporate director	Individual	09/02/1987
Knight, Carol	Corporate director	Individual	05/14/2025
Nelson, Debra	Corporate director	Individual	05/11/2016
Renda, Nicholas	Corporate director	Individual	10/26/2020
Waggoner, James	Corporate director	Individual	05/10/2017
Noland Health Services, Inc	Operational/managerial control	Organization	08/25/2016
Blackwell, Crystal	Operational/managerial control	Individual	03/09/2025
Estep, Barbara	Operational/managerial control	Individual	04/01/2024
Hall, Matthew	Operational/managerial control	Individual	01/31/2022
Hawkins, Alicia	Operational/managerial control	Individual	03/23/2025
Hill, Thomas	Operational/managerial control	Individual	09/09/2024
Kenwright, Karen	Operational/managerial control	Individual	11/27/2017
Renda, Nicholas	Operational/managerial control	Individual	10/26/2020
Shunnara, Jennifer	Operational/managerial control	Individual	02/08/2026
Urban, Kelley	Operational/managerial control	Individual	03/19/2019
Champion Rehab Resources, LLC	Adp of the SNF	Organization	08/28/2025
Noland Health Services, Inc	Adp of the SNF	Organization	08/25/2016
Noland Pharmacy LLC	Adp of the SNF	Organization	06/01/2023
The Health Care Authority of the City of Anniston	Adp of the SNF	Organization	04/11/2025
Warren Averett LLC	Adp of the SNF	Organization	06/01/2022
Blackwell, Crystal	Adp of the SNF	Individual	03/09/2025
Estep, Barbara	Adp of the SNF	Individual	04/01/2024
Hall, Matthew	Adp of the SNF	Individual	01/31/2022
Hawkins, Alicia	Adp of the SNF	Individual	03/23/2025
Hill, Thomas	Adp of the SNF	Individual	09/09/2024
Kenwright, Karen	Adp of the SNF	Individual	11/27/2017
Renda, Nicholas	Adp of the SNF	Individual	10/26/2020
Shunnara, Jennifer	Adp of the SNF	Individual	02/06/2026
Thomas, Adeeb	Adp of the SNF	Individual	12/01/2016
Urban, Kelley	Adp of the SNF	Individual	03/19/2019

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on December 2, 2021: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on December 2, 2021: "Provide safe and appropriate respiratory care for a resident when needed."
When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on June 27, 2019: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."

Other nursing homes nearby

NHC Healthcare, Anniston
Anniston, 2 mi · 2 of 5 stars · 10 citations
Diversicare of Oxford
Oxford, 3.2 mi · 1 of 5 stars · 18 citations
Jacksonville Health and Rehabilitation, LLC
Jacksonville, 11.2 mi · 3 of 5 stars · 12 citations
Cleburne County Nursing Home
Heflin, 13.5 mi · 5 of 5 stars · 2 citations
Piedmont Health Care Center
Piedmont, 21.4 mi · 5 of 5 stars · 3 citations
Coosa Valley Health and Rehab
Glencoe, 21.5 mi · 3 of 5 stars · 23 citations
Talladega Healthcare Center, Inc
Talladega, 21.8 mi · 3 of 5 stars · 9 citations
Lineville Health and Rehabilitation, LLC
Lineville, 24.5 mi · 5 of 5 stars · 5 citations

Alabama contacts for a concern about a nursing home

These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Alabama Department of Public Health, Bureau of Health Provider Standards, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Alabama Office of the State Long-Term Care Ombudsman Program, 334-242-5753. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Alabama Health Care Facilities Deficiencies, where Alabama publishes its own records on licensed homes.

Common questions

What is Anniston Health and Rehab Services's Medicare star rating?: CMS rates Anniston Health and Rehab Services 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Anniston Health and Rehab Services get at its last inspection?: 2 health deficiencies at the standard inspection on December 2, 2021. The Alabama average is 4.
Has Anniston Health and Rehab Services been fined?: CMS lists no fines in the last three years.
Does Anniston Health and Rehab Services accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Anniston Health and Rehab Services?: CMS lists 44 owners and managers, and links the home to Noland Health. Legal business name: ANNISTON HEALTH AND REHAB SERVICES, LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.