Florala Health and Rehabilitation LLC
23621 Goldenrod Avenue, Florala, AL 36442 · Covington County · (334) 858-8585
85 certified beds, about 75 residents a day · For profit - Corporation · Medicare and Medicaid since 2003
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015451 · 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).
None of its 3 health citations since December 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 3.80 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.
47.1% 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 3 health citations on file.
August 24, 2022Standard inspection · 1 citation
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, record reviews and review of a facility check sheet titled PERINEAL CARE, the facility failed to ensure Certified Nursing Assistants (CNAs) performed incontinent care for Resident Identifier (RI) #37 with handwashing and glove changes to prevent the spread of infection. Employee Identifier (EI) #2 and EI #3 cleaned RI #37's perineum, then applied a clean brief to RI #37, while wearing the same soiled gloves. This was observed on 8/23/22 and affected one of two residents observed for incontinent care. Findings Include: Review of an undated facility check sheet titled, PERINEAL CARE revealed, . Washes hands before applying gloves and after removing gloves. Removes any fecal matter thoroughly or urine . Remove gloves, wash hands and re-apply gloves. RI #37 was admitted to the facility on [DATE]. [...]
February 13, 2020Standard inspection · 0 citations
December 13, 2018Standard inspection · 2 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on interviews, record reviews, and a review of the facility's policy titled, Voting, the facility failed to ensure residents were provided absentee ballots and voted in the November 2018 election. This affected six of eight residents, Resident Identifier (RI) #12, #13, #41, #48, #61, and RI #74, who attended the Resident Council meeting. Findings Include: A review of the facility's policy titled, Voting with an effective date of 05/01/2002, revealed the following: PURPOSE: To assist residents in the exercise of their rights as a citizen of the United States . On 12/12/18 at 3:13 PM, during the Resident Council meeting, RI #12, #13, #41, #48, #61, and RI #74 voiced the following: 1. staff did not remind them of the voting day; 2. they were not provided with absentee ballots to vote; and 3. they did not participate in the November 2018 election. 1. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review and a review of the facility's policy titled, Medication Administration Procedures Eye Drops, the facility failed to ensure a licensed staff member did not put Resident Identifier (RI) #63's eye drop (gtt) container in her pocket prior to the administration of the eye gtts to RI #63. This affected RI #63, one of 14 residents observed during medication administration who received eye drops. Findings Include: A review of the facility's policy titled, Medication Administration Procedures Eye Drops dated 03/11, revealed the following: .Opthalmic solutions are to be administered into .the eye in a safe .manner . RI #63 was admitted to the facility on [DATE] with diagnosis of Hypertension. [...]
Fire safety inspections
9 fire safety citations on file: 2 on August 24, 2022, 3 on February 13, 2020, 4 on December 13, 2018.
Every fire safety citation9 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Provide properly protected cooking facilities.
- D Install corridor and hallway doors that block smoke.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- D Install an approved automatic sprinkler system.
- D Install corridor and hallway doors that block smoke.
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) | 3.80 | 3.88 | 3.86 |
| Registered nurses | 0.76 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.26 | 3.26 | 3.42 |
| Nurse aides | 2.42 | ||
| Licensed practical nurses | 0.61 | ||
| Nursing staff turnover (share who left in a year) | 47.1% | 46.9% | 45.8% |
| Registered nurse turnover | 46.2% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.37 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 4.02 on weekdays and 3.26 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 3.85 in April to June 2025 to 3.80 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 | 3.80 | 0.76 | 4.02 | 3.26 | 0.0% | 0 of 90 | 75 |
| Oct to Dec 2025 | 3.74 | 0.69 | 3.96 | 3.17 | 0.0% | 0 of 92 | 76 |
| Jul to Sep 2025 | 3.87 | 0.63 | 4.06 | 3.39 | 0.0% | 0 of 92 | 72 |
| Apr to Jun 2025 | 3.85 | 0.66 | 4.08 | 3.28 | 0.0% | 0 of 91 | 77 |
| 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 | 6.7 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.5 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.6 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.4 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 32.6 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.9 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 23.1 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.6 | 1.7 | 1.8 |
Owners and operators
Legal business name: FLORALA 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% | 08/16/2002 |
| 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% | 08/16/2002 |
| Capital Funding LLC | 5% or greater mortgage interest | Organization | 09/01/2013 | |
| Capital Funding LLC | 5% or greater security interest | Organization | 09/01/2013 | |
| Florala Health Realty LLC | 5% or greater security interest | Organization | 09/01/2013 | |
| Holding Facilities Group LLC | 5% or greater security interest | Organization | 09/01/2013 | |
| Servisfirst Bank | 5% or greater security interest | Organization | 08/29/2018 | |
| Braswell, Crystal | W-2 managing employee | Individual | 10/23/2023 | |
| Howell, Rhonda | Corporate director | Individual | 10/23/2023 | |
| Rasco, Lynn | Corporate director | Individual | 07/01/2022 | |
| Richburg, Julie | Corporate director | Individual | 12/11/2014 | |
| Estes, James | Corporate officer | Individual | 08/16/2002 | |
| Long, Phillip | Corporate officer | Individual | 10/01/2019 | |
| Braswell, Crystal | Operational/managerial control | Individual | 04/17/2020 | |
| Howell, Rhonda | Operational/managerial control | Individual | 10/23/2023 | |
| Rasco, Lynn | Operational/managerial control | Individual | 07/01/2022 | |
| Richburg, Julie | Operational/managerial control | Individual | 12/11/2014 |
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.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on August 24, 2022: "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 December 13, 2018: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
Other nursing homes nearby
- Opp Health and Rehabilitation, LLC Opp, 20.5 mi · 3 of 5 stars · 6 citations
- Crestview Rehabilitation Center, LLC Crestview, 21.7 mi · 5 of 5 stars · 4 citations
- Andalusia Manor Andalusia, 22.3 mi · 4 of 5 stars · 11 citations
- Chautauqua Springs Health Center Defuniak Springs, 23.8 mi · 5 of 5 stars · 8 citations
- Aviata at Shoal Creek Crestview, 23.8 mi · 4 of 5 stars · 14 citations
- Silvercrest Health and Rehabilitation Center Crestview, 24 mi · 5 of 5 stars · 7 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 Florala Health and Rehabilitation LLC's Medicare star rating?
- CMS rates Florala Health and Rehabilitation LLC 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Florala 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 Florala Health and Rehabilitation LLC been fined?
- CMS lists no fines in the last three years.
- Does Florala 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 Florala Health and Rehabilitation LLC?
- CMS lists 21 owners and managers, and links the home to Nhs Management. Legal business name: FLORALA 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.