What is Eastern Shore Rehabilitation and Health Center's Medicare star rating?

CMS rates Eastern Shore Rehabilitation and Health Center 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).

Has Eastern Shore Rehabilitation and Health Center been fined?

CMS lists no fines in the last three years.

Does Eastern Shore Rehabilitation and Health Center 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 Eastern Shore Rehabilitation and Health Center?

CMS lists 35 owners and managers, and links the home to Noland Health. Legal business name: NOLAND EASTERN SHORE LLC.

Eastern Shore Rehabilitation and Health Center: Inspections

The record in brief

At its most recent standard inspection, on March 26, 2021, inspectors cited 3 health deficiencies (the Alabama average is 4, the national average 9.2).

None of its 7 health citations since February 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 4.06 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.

47.7% 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.

102/18

301/19

303/21

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 7 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

March 26, 2021Standard inspection · 3 citations

E

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.

F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 30, 2021

Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to ensure each resident's right to determine their advance directives for four (Resident Identifier (RI) #11, RI #26, RI #50, and RI #116) of seven residents reviewed for advance directives. Expressed wishes for No Code or Do Not Resuscitate (DNR) status were not followed up on to assure that the facility had all documentation and that required forms were complete and notarized, if required, to validate that this was the resident's current request per their code status. The failure to assure that all needed documentation regarding advance directives was obtained creates the potential for the resident to receive services which are not requested or per their informed preference.
D

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2021

Inspectors wroteBased on interview, record review, review of the facility's grievance log, and review of facility policy, the facility failed to ensure the grievance process was followed consistently for two (Resident Identifier (RI) # 37 and RI # 59) of two residents reviewed for grievances. The facility failed to keep a record of grievances, take prompt action, and investigate, and inform the complainant of the results of the investigation regarding grievances in such area as staff language and/or missing clothes.
D

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2021

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one (Resident Identifier (RI) #12) of one sampled residents reviewed for range of motion received care and services to prevent potential further decline in his range of motion. RI #12's right-hand splint was not applied routinely per his plan of care.

January 31, 2019Standard inspection · 3 citations

D

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2019

Inspectors wroteBased on record review, interviews and a review of a facility policy titled Resident Assessment Instrument the facility failed to ensure RI # 4, 5 and 6's Minimum Data Set (MDS) assessments were transmitted within the 14 days required time frame. This affected 3 of 3 residents whose assessments were not transmitted timely. Findings Include: A review if a facility policy titled, Resident Assessment Instrument (RAI) with an effective date of 3/2018, revealed: PURPOSE: Residents are assessed, based on a comprehensive assessment process, in order to ensure they receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan and the resident's choices. Tracking Records and Discharge Assessments . b) Death in the facility tracking record c) Discharge Assessment. [...]
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2019

Inspectors wroteBased on record review, interview and a facility policy titled, Resident Assessment Instrument, the facility failed to ensure Resident Identifier ( RI ) #18's most current Minimum Data Set (MDS) assessment was coded for Hospice. This affected 1 of 19 sampled residents whose MDS' were reviewed.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2019

Inspectors wroteBased on observation, interview, record review, review of the Potter / [NAME] Ninth Edition Fundamental of Nursing text and the facility policy titled, Dressings, Clean (Wound Care), the facility failed to ensure: 1. a Certified Nursing Assistant (CNA) did not place a clean brief and cloth pad under Resident Identifier (RI) #7 with the same soiled gloves worn during the provision of RI #7's care. The CNA further failed to wash his hands between glove changes while performing the incontinent care for RI #7; and 2. a licensed staff did not clean RI #7's wound on the right heel, and with the same soiled gloves placed the clean treatment on the heel. Also, during the care of the sacral wound, the nurse cleaned the wound and with the same soiled gloves on, applied the clean treatment to the wound. [...]

February 15, 2018Standard inspection · 1 citation

D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2018

Inspectors wroteBased on record review, review of a facility policy titled, Care Plans - Person Centered, and interviews, the facility failed to ensure a plan of care was developed for a resident with a diagnosis of Depression. This affected RI (Resident Identifier) #5, one of twenty-five resident whose care plans were reviewed. Findings Include: A review of the facility policy titled, Policy: Care Plans - Person Centered, with an effective date of 10/17, revealed: . PURPOSE: Person centered care plans are developed by the interdisciplinary team, to coordinate and communicate care approaches and goals for the resident that include measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs that are identified in comprehensive assessment. [...]

Fire safety inspections

6 fire safety citations on file: 1 on March 26, 2021, 3 on January 31, 2019, 2 on February 15, 2018.

Every fire safety citation6 citations

F
Establish an Emergency Preparedness Program (EP).

E 1 · March 26, 2021 · Corrected (the home has a date of correction)
E
Have a properly installed medical gas master alarm panel.

K 904 · January 31, 2019 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · January 31, 2019 · Corrected (the home has a date of correction)
D
Have restrictions on the use of portable space heaters.

K 781 · January 31, 2019 · Corrected (the home has a date of correction)
C
Address patient/client population and determine types of services needed.

E 7 · February 15, 2018 · Corrected (the home has a date of correction)
C
Provide primary/alternate means for communication.

E 32 · February 15, 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)	4.06	3.88	3.86
Registered nurses	0.72	0.65	0.69
All nursing staff on weekends	3.49	3.26	3.42
Nurse aides	2.45
Licensed practical nurses	0.90
Nursing staff turnover (share who left in a year)	47.7%	46.9%	45.8%
Registered nurse turnover	27.8%	39.5%	42.9%
Administrators who left	0

CMS expects 3.18 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 4.30 on weekdays and 3.49 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 4.08 in April to June 2025 to 4.06 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	4.06	0.72	4.30	3.49	0.0%	0 of 90	98
Oct to Dec 2025	4.06	0.75	4.27	3.51	0.0%	0 of 92	98
Jul to Sep 2025	4.06	0.76	4.24	3.59	0.0%	0 of 92	98
Apr to Jun 2025	4.08	0.79	4.28	3.58	0.0%	0 of 91	99
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	19.6	12.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	1.2	0.9	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	3.3	2.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	6.4	3.3	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	2.2	2.0	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	25.0	12.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	5.3	5.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	15.4	21.2	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	29.1	24.8	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	5.8	11.3	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.6	2.0	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.1	1.7	1.8

Owners and operators

Legal business name: NOLAND EASTERN SHORE LLC. CMS links this home to Noland Health, a group of 10 nursing homes averaging 2.7 stars overall.

Name	Role	Type	Since
Noland Health Services, Inc	Direct ownership interest	Organization	05/13/2016
Adamson, Michele	Managing control - governing body	Individual	10/26/2020
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
Nelson, Debra	Managing control - governing body	Individual	10/26/2020
Renda, Nicholas	Managing control - governing body	Individual	10/26/2020
Smith, George	Managing control - governing body	Individual	08/25/2009
Waggoner, James	Managing control - governing body	Individual	10/26/2020
Estep, Barbara	Corporate director	Individual	04/01/2024
Renda, Nicholas	Corporate director	Individual	10/26/2020
Noland Health Services, Inc	Operational/managerial control	Organization	05/13/2016
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
Kenwright, Karen	Operational/managerial control	Individual	11/27/2017
Novy, Angela	Operational/managerial control	Individual	03/09/2025
Renda, Nicholas	Operational/managerial control	Individual	10/26/2020
Sanders, Sharon	Operational/managerial control	Individual	10/20/2024
Smothers, Kathy	Operational/managerial control	Individual	04/12/2021
Urban, Kelley	Operational/managerial control	Individual	03/03/2019
Morrison Management Specialists Inc	Adp of the SNF	Organization	05/13/2016
Noland Health Services, Inc	Adp of the SNF	Organization	05/13/2016
Noland Pharmacy LLC	Adp of the SNF	Organization	07/01/2023
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
Hall, Randall	Adp of the SNF	Individual	05/13/2016
Kenwright, Karen	Adp of the SNF	Individual	11/27/2017
Novy, Angela	Adp of the SNF	Individual	03/09/2025
Renda, Nicholas	Adp of the SNF	Individual	10/26/2020
Sanders, Sharon	Adp of the SNF	Individual	10/20/2024
Smothers, Kathy	Adp of the SNF	Individual	04/12/2021
Urban, Kelley	Adp of the SNF	Individual	03/03/2019

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.

When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on January 31, 2019: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on March 26, 2021: "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."
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 March 26, 2021: "Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason."
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 January 31, 2019: "Provide and implement an infection prevention and control program."

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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 Eastern Shore Rehabilitation and Health Center's Medicare star rating?: CMS rates Eastern Shore Rehabilitation and Health Center 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 Eastern Shore Rehabilitation and Health Center get at its last inspection?: 3 health deficiencies at the standard inspection on March 26, 2021. The Alabama average is 4.
Has Eastern Shore Rehabilitation and Health Center been fined?: CMS lists no fines in the last three years.
Does Eastern Shore Rehabilitation and Health Center 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 Eastern Shore Rehabilitation and Health Center?: CMS lists 35 owners and managers, and links the home to Noland Health. Legal business name: NOLAND EASTERN SHORE 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.