What is Fairhope Health & Rehab's Medicare star rating?

CMS rates Fairhope Health & Rehab 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Fairhope Health & Rehab get at its last inspection?

6 health deficiencies at the standard inspection on February 25, 2022. The Alabama average is 4.

Has Fairhope Health & Rehab been fined?

CMS lists no fines in the last three years.

Does Fairhope Health & Rehab 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 Fairhope Health & Rehab?

CMS lists 48 owners and managers, and links the home to Noland Health. Legal business name: NOLAND FAIRHOPE LLC.

Fairhope Health & Rehab: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on February 25, 2022, inspectors cited 6 health deficiencies (the Alabama average is 4, the national average 9.2).

None of its 9 health citations since May 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 4.00 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.42 of those hours.

35.1% 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.

205/18

105/19

602/22

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 9 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

February 25, 2022Standard inspection · 6 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) March 31, 2022

Inspectors wroteBased on observation, interview, and review of the facility's Food, Leftover - Storage and Use policy, the facility failed to ensure food was properly stored in the walk-in refrigerator and walk-in freezer. This had the potential to affect 54 of 55 residents in the facility who ate food prepared in the kitchen.
E

Assure that each resident’s assessment is updated at least once every 3 months.

F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 31, 2022

Inspectors wroteBased on record review, interview, review of the facility's Resident Assessment Instrument (RAI) policy, and review of the Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, the facility failed to ensure the quarterly Minimum Data Set (MDS) assessments for Resident Identifier (RI) #s 9, 27, 8, 19, 23, 18, 14, 21, and 24 were completed within required timeframes. This affected nine of 23 residents reviewed for timely completion and/or transmission of MDS assessments.
E

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, pattern · Corrected (the home has a date of correction) March 31, 2022

Inspectors wroteBased on record review, interview, and review of the Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, the facility failed to ensure Minimum Data Set (MDS) assessments were submitted to CMS within 14 days of the completion date of the assessments for Resident Identifier (RI) #s 17, 15, 27, 11, 2, 23, 22, 16, 21, and 24, 10 of 23 residents reviewed for timely completion and/or transmission of MDS assessments.
E

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 31, 2022

Inspectors wroteBased on record review, interview, and review of the facility's Psychoactive Drug Monitoring and Behavior Management Program policies, the facility failed to ensure Resident Identifier (RI) #45 and RI #22, who both received psychotropic medications, were monitored for the specific targeted behaviors for which medications were ordered. Further, the facility failed to ensure RI #45 and RI #22 were monitored for side effects of their ordered psychotropic medications. This deficient practice affected RI #s 45 and 22, two of five sampled residents reviewed for unnecessary medications.
D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2022

Inspectors wroteBased on record review, interview, review of the facility's Resident Assessment Instrument (RAI) policy, and review of Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User ' s Manual, the facility failed to ensure the comprehensive annual Minimum Data Set (MDS) assessments for Resident Identifier (RI) #5 and RI #7 were completed within required timeframes. This affected two of 23 residents reviewed for timely completion and/or transmission of MDS assessments.
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 31, 2022

Inspectors wroteBased on observation, interviews, and review of the facility's procedure, titled, Infection Control during Med Pass, the facility failed to ensure a nurse wore gloves while administering insulin for Resident Identifier (RI) #196, one of one resident that was observed being administered insulin.

May 23, 2019Standard inspection · 1 citation

D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 27, 2019

Inspectors wroteBased on an interview, review of Non-Controlled Medication Destruction records, and review of a facility policy titled, Disposal of Medications, Non-Controlled Medication Destruction, the facility failed to ensure the June 27, 2018 and March 29, 2019 Medication destruction records contained two required signatures. This was noted on two of seven months of Non-controlled Medication Destruction records reviewed. Findings Include: Review of a facility policy titled, Disposal of Medications Non-Controlled Medication Destruction, dated 3/11, revealed: .Policy Discontinued medications, expired medications, and medications left in the facility after a resident has expired or has been permanently discharged are destroyed or disposed of per federal/state regulations. Procedures . 3. [...]

May 25, 2018Standard inspection · 2 citations

D

Provide care and assistance to perform activities of daily living for any resident who is unable.

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2018

Inspectors wroteBased on observations, interviews, record review and a review of a policy titled, ADL {activities of daily living} Care, Documentation of Routine ., the facility failed to check RI (Resident Identifier) #4 for incontinence and change him/her for four hours and 16 minutes. RI #4 is unable to carry out ADLs for himself/herself. RI #4 was continuously observed on 5/16/18 from 8:25 AM till 12:41 PM and staff did not check him/her for incontinence or change him/her during that time. This affected one of two residents whose ADL assistance was observed. Findings Include: Review of a policy titled, ADL Care, Documentation of Routine . with an effective date of 2/18, revealed: . PROCESS .Care provided per policy and residents individualized plan of care . RI#4 was admitted to the facility on [DATE] with diagnoses that include Osteoporosis, Congenital Deformity of the Spine and Type II diabetes. [...]
D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2018

Inspectors wroteBased on an observation, interviews, record review and a review of Kozier & Erb's FUNDAMENTALS OF NURSING Concepts, Process, and Practices, the facility failed to ensure RI (Resident Identifier) #4, a resident at risk of developing a pressure ulcer, received the necessary care of checking for incontinence and changing. This affected RI #4, one of two sampled residents at risk for pressure ulcer development. Findings Include: A review of Kozier&Erb's FUNDAMENTALS OF NURSING Concepts, Processes, and Practices, page 830 revealed: .Risk Factors Several factors contribute to the formation of pressure ulcers: . immobility, .fecal and urinary incontinence IMMOBILITY Immobility refers to a reduction in the amount and control of movement a person has. [...]

Fire safety inspections

14 fire safety citations on file: 2 on February 25, 2022, 7 on May 23, 2019, 5 on May 25, 2018.

Every fire safety citation14 citations

E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · February 25, 2022 · Corrected (the home has a date of correction)
D
Install corridor and hallway doors that block smoke.

K 363 · February 25, 2022 · Corrected (the home has a date of correction)
F
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · May 23, 2019 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · May 23, 2019 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · May 23, 2019 · Corrected (the home has a date of correction)
E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · May 23, 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 · May 23, 2019 · Corrected (the home has a date of correction)
D
Install corridor and hallway doors that block smoke.

K 363 · May 23, 2019 · Corrected (the home has a date of correction)
C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · May 23, 2019 · Waiver
F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

K 926 · May 25, 2018 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · May 25, 2018 · Corrected (the home has a date of correction)
D
Install corridor and hallway doors that block smoke.

K 363 · May 25, 2018 · Corrected (the home has a date of correction)
C
Conduct testing and exercise requirements.

E 39 · May 25, 2018 · Corrected (the home has a date of correction)
C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · May 25, 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)	4.00	3.88	3.86
Registered nurses	0.42	0.65	0.69
All nursing staff on weekends	3.34	3.26	3.42
Nurse aides	2.61
Licensed practical nurses	0.97
Nursing staff turnover (share who left in a year)	35.1%	46.9%	45.8%
Registered nurse turnover	50.0%	39.5%	42.9%
Administrators who left	0

CMS expects 3.05 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 4.27 on weekdays and 3.34 on weekends, 22% 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 3.81 in April to June 2025 to 4.00 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	4.00	0.42	4.27	3.34	0.0%	0 of 90	74
Oct to Dec 2025	4.00	0.39	4.20	3.50	0.0%	0 of 92	73
Jul to Sep 2025	3.67	0.47	3.86	3.21	0.0%	0 of 92	77
Apr to Jun 2025	3.81	0.54	4.10	3.07	0.0%	0 of 91	74
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.

How staff pay reports work · CNA pay by state

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	5.8	12.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.8	0.9	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.4	2.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	3.8	3.3	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.5	2.0	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	8.5	12.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	7.9	5.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	24.4	21.2	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	44.7	24.8	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	12.1	11.3	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	3.0	2.0	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.9	1.7	1.8

Owners and operators

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

Name	Role	Type	Since
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
Hall, Randall	Managing control - governing body	Individual	11/01/2017
Knight, Carol	Managing control - governing body	Individual	05/14/2025
McGill Melton, Cherie	Managing control - governing body	Individual	03/22/2022
Nelson, Debra	Managing control - governing body	Individual	05/11/2016
Quintero, Abel	Managing control - governing body	Individual	11/03/2024
Renda, Nicholas	Managing control - governing body	Individual	10/26/2020
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
Morrison Management Specialists Inc	Operational/managerial control	Organization	11/01/2023
Noland Health Services, Inc	Operational/managerial control	Organization	11/01/2017
Noland Pharmacy LLC	Operational/managerial control	Organization	07/01/2023
Warren Averett LLC	Operational/managerial control	Organization	06/01/2022
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
Hall, Randall	Operational/managerial control	Individual	11/01/2017
Kenwright, Karen	Operational/managerial control	Individual	11/27/2017
McGill Melton, Cherie	Operational/managerial control	Individual	03/13/2022
Quintero, Abel	Operational/managerial control	Individual	11/03/2024
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	08/25/2025
Morrison Management Specialists Inc	Adp of the SNF	Organization	06/17/2025
Noland Health Services, Inc	Adp of the SNF	Organization	08/30/2017
Noland Pharmacy LLC	Adp of the SNF	Organization	07/23/2026
Warren Averett LLC	Adp of the SNF	Organization	07/23/2026
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	11/01/2017
Kenwright, Karen	Adp of the SNF	Individual	11/27/2017
McGill Melton, Cherie	Adp of the SNF	Individual	03/13/2022
Quintero, Abel	Adp of the SNF	Individual	11/03/2024
Renda, Nicholas	Adp of the SNF	Individual	10/26/2020
Shunnara, Jennifer	Adp of the SNF	Individual	02/06/2026
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.

When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on February 25, 2022: "Assure that each resident’s assessment is updated at least once every 3 months."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 25, 2022: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on May 25, 2018: "Provide care and assistance to perform activities of daily living for any resident who is unable."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on February 25, 2022: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."

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Allen Health and Rehabilitation
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Diversicare of Foley
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Crowne Health Care of Mobile
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Little Sisters of the Poor Sacred Heart Residence
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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 Fairhope Health & Rehab's Medicare star rating?: CMS rates Fairhope Health & Rehab 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Fairhope Health & Rehab get at its last inspection?: 6 health deficiencies at the standard inspection on February 25, 2022. The Alabama average is 4.
Has Fairhope Health & Rehab been fined?: CMS lists no fines in the last three years.
Does Fairhope Health & Rehab 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 Fairhope Health & Rehab?: CMS lists 48 owners and managers, and links the home to Noland Health. Legal business name: NOLAND FAIRHOPE 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.