Columbiana Health and Rehabilitation, LLC
22969 Highway 25, Columbiana, AL 35051 · Shelby County · (205) 669-1712
63 certified beds, about 61 residents a day · For profit - Corporation · Medicare and Medicaid since 2004
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015453 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 24, 2022, inspectors cited 1 health deficiency (the Alabama average is 4, the national average 9.2).
Of 4 health citations since November 2018, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,018 in the last three years; the largest was $8,018, and the latest is dated April 18, 2024.
Nurses and nurse aides worked 3.51 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.62 of those hours.
52.8% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Nhs Management, an affiliated group of 43 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.
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.
April 18, 2024Complaint inspection · 2 citations
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interviews, resident record review, review of the facility's investigative file, review of a facility policy titled, Medication Error ., the facility failed to ensure Resident Identifier (RI) #1, a resident with a history of seizures, received his/her Oxcarbazepine 300 mg (milligrams) QID (four times a day) as ordered. On 05/11/2023 at 10 PM, on 05/12/2023 at 4 AM, 10 AM and 4 PM, RI #1 did not receive the Oxcarbazepine as ordered by the physician; and on 05/13/2023, RI #1 began to have seizures and was sent to ER (Emergency Room) for evaluation. This medication error was significant due to the drug's classification as an anticonvulsant. This deficient practice affected RI #1, one of three residents sampled for the use of anticonvulsant medications.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, resident record review, and review of a facility policy titled, Hand Hygiene, the facility failed to ensure Certified Nursing Assistant (CNA) #9, performed hand hygiene and used Personal Protective Equipment (PPE) in a manner to prevent cross-contamination. On 04/17/2024 CNA #9 failed to perform hand hygiene after removing contaminated gloves, and before handling clean linens while providing incontinent care for Resident Identifier (RI) #5. This deficient practice affected RI #5; one of one resident observed receiving incontinent care.
August 24, 2022Standard inspection · 1 citation
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, record review, interviews, and review of a facility policy titled Intramuscular Medications the facility failed to ensure Employee Identifier (EI) #2 Licensed Practical Nurse (LPN), provided privacy when administering intramuscular medication to Resident Identifier (RI) #15 during morning medication administration on 8/23/22. This deficient practice had the potential to affect RI #15, one of one resident observed receiving intramuscular medication. Findings Include: A facility policy titled Intramuscular Medications with a review date of 4/20 documented .Intramuscular medications are administered in a safe and accurate manner. Procedures . 6. Provide privacy. 7. Select an appropriate site for injection. RI #15 was admitted to the facility 12/7/18. On 8/23/22 at 9:05 AM, EI #2 LPN entered RI #15's room. [...]
October 17, 2019Standard inspection · 1 citation
- D 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.
Inspectors wroteBased on observation, interviews and review of the facility's policies titled NON-CONTROLLED MEDICATION DESTRUCTION, and STORAGE OF MEDICATIONS AND BIOLOGICALS, the facility failed to ensure one medication card containing seven capsules labeled Ramipril/ Altace with an expiration date of 10/12/19 for Resident Identifier (RI) # 2 was not stored on the Medication Cart Two on 10/17/2019. The deficient practice affected one of two medication carts. Findings Include: Review of the facility policies titled, NON-CONTROLLED MEDICATION DESTRUCTION, dated 03/11, revealed, . expired medications . are destroyed or disposed of . and a facility policy titled, STORAGE OF MEDICATIONS AND BIOLOGICALS, dated 3/11, revealed . Procedure . 11. Outdated . medications . are removed from stock, disposed of . RI#2 was admitted to the facility on [DATE]. [...]
November 20, 2018Standard inspection · 0 citations
Fire safety inspections
4 fire safety citations on file: 3 on August 24, 2022, 1 on November 20, 2018.
Every fire safety citation4 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- E 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.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 18, 2024 | Fine | $8,018 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.51 | 3.88 | 3.86 |
| Registered nurses | 0.62 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.04 | 3.26 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 0.66 | ||
| Nursing staff turnover (share who left in a year) | 52.8% | 46.9% | 45.8% |
| Registered nurse turnover | 83.3% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.33 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 3.70 on weekdays and 3.04 on weekends, 18% 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 3.98 in April to June 2025 to 3.51 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 | 3.51 | 0.62 | 3.70 | 3.04 | 0.0% | 0 of 90 | 61 |
| Oct to Dec 2025 | 3.87 | 0.69 | 4.10 | 3.29 | 0.0% | 0 of 92 | 61 |
| Jul to Sep 2025 | 3.80 | 0.49 | 4.01 | 3.27 | 0.0% | 0 of 92 | 59 |
| Apr to Jun 2025 | 3.98 | 0.44 | 4.14 | 3.56 | 0.0% | 0 of 91 | 60 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Alabama
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Alabama, all employers | |||
| CNAs (nursing assistants) | $16.41 | $14.45 to $17.49 | 25,250 |
| LPNs and LVNs | $27.42 | $23.15 to $29.71 | 11,580 |
| Registered nurses | $37.06 | $30.53 to $40.09 | 54,340 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 12.3 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.6 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.0 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.1 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.4 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.0 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.2 | 11.3 | 12.0 |
Owners and operators
Legal business name: COLUMBIANA HEALTH AND REHABILITATION, LLC. CMS links this home to Nhs Management, a group of 43 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Northport Holding Operations, LLC | 5% or greater direct ownership interest | Organization | 100% | 08/21/2002 |
| James N Estes Jr Family Dynasty Tr No 2 | 5% or greater indirect ownership interest | Organization | 18% | 12/27/2012 |
| James Norman Estes Jr Tr | 5% or greater indirect ownership interest | Organization | 6% | 06/30/2013 |
| Jennifer E Agee Family Dynasty Tr No 2 | 5% or greater indirect ownership interest | Organization | 18% | 12/27/2012 |
| Jennifer Lee Estes Tr 031093 | 5% or greater indirect ownership interest | Organization | 6% | 06/30/2013 |
| Estes, James | 5% or greater indirect ownership interest | Individual | 51% | 08/21/2002 |
| Regions Bank | 5% or greater mortgage interest | Organization | 08/26/2021 | |
| Columbiana Health Realty, LLC | 5% or greater security interest | Organization | 10/01/2019 | |
| Regions Bank | 5% or greater security interest | Organization | 08/25/2015 | |
| Cobb, Leigh | Corporate director | Individual | 07/24/2023 | |
| Morris, Hilary | Corporate director | Individual | 09/01/2023 | |
| Rasco, Lynn | Corporate director | Individual | 07/29/2013 | |
| Estes, James | Corporate officer | Individual | 08/21/2002 | |
| Long, Phillip | Corporate officer | Individual | 10/01/2019 | |
| Cobb, Leigh | Operational/managerial control | Individual | 07/24/2023 | |
| Morris, Hilary | Operational/managerial control | Individual | 09/01/2023 | |
| Rasco, Lynn | Operational/managerial control | Individual | 07/29/2013 | |
| Smith, Kristin | Operational/managerial control | Individual | 07/26/2024 | |
| Smith, Kristin | Adp of the SNF | Individual | 02/05/2025 |
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.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 18, 2024: "Ensure that residents are free from significant medication errors."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on April 18, 2024: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on August 24, 2022: "Keep residents' personal and medical records private and confidential."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.04 hours per resident per day, below the Alabama average of 3.26.
Other nursing homes nearby
- Shelby Ridge Nursing Home Alabaster, 13.3 mi · 3 of 5 stars · 7 citations
- The Healthcare Center at Buck Creek Alabaster, 14.2 mi · 3 of 5 stars · 13 citations
- Diversicare of Riverchase Birmingham, 16.9 mi · 3 of 5 stars · 9 citations
- Galleria Woods Skilled Nursing Facility Birmingham, 17.7 mi · 2 of 5 stars · 10 citations
- Aspire Physical Recovery Center at Cahaba River Vestavia, 18.2 mi · 1 of 5 stars · 17 citations
- Sylacauga Health and Rehab Services Sylacauga, 18.8 mi · 4 of 5 stars · 9 citations
- South Haven Health and Rehabilitation, LLC Birmingham, 19.2 mi · 3 of 5 stars · 12 citations
- Aspire Physical Recovery Center at Hoover, LLC Hoover, 19.4 mi · 1 of 5 stars · 12 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 Columbiana Health and Rehabilitation, LLC's Medicare star rating?
- CMS rates Columbiana Health and Rehabilitation, LLC 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Columbiana Health and Rehabilitation, LLC get at its last inspection?
- 1 health deficiency at the standard inspection on August 24, 2022. The Alabama average is 4.
- Has Columbiana Health and Rehabilitation, LLC been fined?
- Yes. CMS lists 1 fine totaling $8,018 in the last three years.
- Does Columbiana Health and Rehabilitation, LLC 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 Columbiana Health and Rehabilitation, LLC?
- CMS lists 19 owners and managers, and links the home to Nhs Management. Legal business name: COLUMBIANA HEALTH AND REHABILITATION, 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.