Georgiana Health and Rehabilitation, LLC
206 Palmer Avenue, Georgiana, AL 36033 · Butler County · (334) 376-2267
91 certified beds, about 79 residents a day · For profit - Corporation · Medicare and Medicaid since 1977
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015182 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 5, 2019, inspectors cited 1 health deficiency (the Alabama average is 4, the national average 9.2).
None of its 5 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 4.29 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
38.5% 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 5 health citations on file.
December 5, 2019Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews, and review of a facility policy titled Hand Hygiene, the facility failed to ensure Certified Nursing Assistants (CNA)s did not clean Resident Identifier (RI) #70, then with the same soiled gloves touch the closet door and the clean brief during the provision of incontinent care. This was observed on 12/4/19 and affected one of two residents observed for incontinent care. Findings Include: A review of a facility policy titled Hand Hygiene with an effective date of 9/1/17 revealed: III. Hand Hygiene . The following is a list of some situations that require hand hygiene. After handling soiled . RI #70 was admitted to the facility on [DATE] and readmitted on [DATE] with a diagnosis to include Unspecified dementia with behavioral disturbance. [...]
December 13, 2018Standard inspection · 3 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interview, the facility failed to ensure a care plan was developed addressing hospice following Resident Identifier (RI) #61's admission to hospice services on 8/19/18. This affected one of 21 sampled residents for whom care plans were reviewed. Findings Include : RI #61 was admitted to the facility on [DATE] with diagnoses of Chronic Obstructive Pulmonary Disease, Essential Hypertension, Alzheimer's Disease and Anxiety Disorder. Review of RI #61's December 2018 Physician Orders revealed an order to admit to hospice services, dated 8/19/2018. However, review of RI #61's current comprehensive care plans revealed no care plan addressing hospice services. On 12/13/18 at 10 :35 AM, Employee Identifier (EI) # 7, Registered Nurse (RN)/Minimum Data Set Assistant, was interviewed. EI #7 stated RI #61 was admitted to hospice on 8/19/18. [...]
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview and review of facility policies titled Perineal Care and Hand Hygiene, the facility failed to ensure a Certified Nursing Assistant (CNA) washed her hands between glove changes, wiped from front to back during incontinent care and did not touch a clean brief with soiled gloves while providing incontinent care to Resident Identifier (RI) #8. This affected one of one resident observed during the provision of incontinent care. Findings Include: A review of a facility policy titled Perineal Care, with an effective date of 10/1/10, revealed: . PROCESS: . II. a) wash the pubic area first . wash downward . Always wash downward toward the anus to prevent the spread of infection. A review of a facility policy titled Hand Hygiene, with an effective date of 9/1/17, revealed: Hand Hygiene . III. After removing gloves . [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and review of a facility policy titled Contact Precautions, the facility failed to ensure a Certified Nursing Assistant (CNA) wore the proper Personal Protective Equipment (PPE) while providing care for Resident Identifier (RI) #5, a resident on transmission based precautions. This affected one of two residents sampled for transmission based precautions. Findings Include: A review of a facility policy titled Contact Precautions, with an effective date of 9/1/17, revealed: PURPOSE: It is the intent of this facility to use contact precautions in addition to Standard Precautions for resident/guest(s) known or suspected to have serious illnesses easily transmitted by direct resident/guest contact or by contact with items in the resident/guest(s) environment . III. GOWNS A gown should be donned prior to entering the room . [...]
February 22, 2018Standard inspection · 1 citation
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on interviews and review of the facility's policy titled Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation, the facility failed to ensure staff implemented one of seven components of the abuse policy. Licensed staff failed to report Resident #23's allegation of physical abuse to the Administrator or designee in accordance with facility policy. This affected one of three residents reviewed for abuse concerns.
Fire safety inspections
7 fire safety citations on file: 2 on December 5, 2019, 2 on December 13, 2018, 3 on February 22, 2018.
Every fire safety citation7 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have proper medical gas storage and administration areas.
- D Inspect, test, and maintain automatic sprinkler systems.
- F Establish an Emergency Preparedness Program (EP).
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
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) | 4.29 | 3.88 | 3.86 |
| Registered nurses | 0.50 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.25 | 3.26 | 3.42 |
| Nurse aides | 2.78 | ||
| Licensed practical nurses | 1.01 | ||
| Nursing staff turnover (share who left in a year) | 38.5% | 46.9% | 45.8% |
| Registered nurse turnover | 36.4% | 39.5% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.20 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 4.72 on weekdays and 3.25 on weekends, 31% 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 4.26 in April to June 2025 to 4.29 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 | 4.29 | 0.50 | 4.72 | 3.25 | 0.0% | 0 of 90 | 79 |
| Oct to Dec 2025 | 4.32 | 0.46 | 4.67 | 3.43 | 0.0% | 0 of 92 | 82 |
| Jul to Sep 2025 | 4.22 | 0.44 | 4.53 | 3.46 | 0.0% | 0 of 92 | 82 |
| Apr to Jun 2025 | 4.26 | 0.43 | 4.55 | 3.54 | 0.0% | 0 of 91 | 82 |
| 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 | 8.1 | 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 | 2.6 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.5 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.2 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.9 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 34.1 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 35.0 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 30.2 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 1.7 | 1.8 |
Owners and operators
Legal business name: GEORGIANA 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 |
|---|---|---|---|---|
| Nhs Operations LLC | 5% or greater direct ownership interest | Organization | 100% | 04/28/2003 |
| James Norman Estes Jr Tr | 5% or greater indirect ownership interest | Organization | 5% | 04/28/2003 |
| Jennifer Lee Estes Tr 031093 | 5% or greater indirect ownership interest | Organization | 5% | 04/28/2003 |
| Estes, James | 5% or greater indirect ownership interest | Individual | 89% | 04/23/2003 |
| Georgiana Health Realty, LLC | 5% or greater security interest | Organization | 10/08/2008 | |
| Nhs Facilities Group LLC | 5% or greater security interest | Organization | 05/01/2022 | |
| Regions Bank | 5% or greater security interest | Organization | 08/27/2012 | |
| Servisfirst Bank | 5% or greater security interest | Organization | 05/01/2022 | |
| Hartley, Matilda | W-2 managing employee | Individual | 07/20/2015 | |
| Macdonald-Lamier, Starann | Corporate director | Individual | 08/28/2023 | |
| Rasco, Lynn | Corporate director | Individual | 07/01/2022 | |
| Simmons, Alice | Corporate director | Individual | 01/22/2024 | |
| Estes, James | Corporate officer | Individual | 04/28/2003 | |
| Long, Phillip | Corporate officer | Individual | 10/01/2019 | |
| Hartley, Matilda | Operational/managerial control | Individual | 07/20/2015 | |
| Macdonald-Lamier, Starann | Operational/managerial control | Individual | 08/28/2023 | |
| Rasco, Lynn | Operational/managerial control | Individual | 07/01/2022 | |
| Simmons, Alice | Operational/managerial control | Individual | 01/22/2024 |
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 December 5, 2019: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on December 13, 2018: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- 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 13, 2018: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on February 22, 2018: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.25 hours per resident per day, below the Alabama average of 3.26.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Crowne Health Care of Greenville Greenville, 15.3 mi · 5 of 5 stars · 5 citations
- Evergreen Nursing Home Evergreen, 19.3 mi · 5 of 5 stars · 6 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 Georgiana Health and Rehabilitation, LLC's Medicare star rating?
- CMS rates Georgiana Health and Rehabilitation, LLC 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Georgiana Health and Rehabilitation, LLC get at its last inspection?
- 1 health deficiency at the standard inspection on December 5, 2019. The Alabama average is 4.
- Has Georgiana Health and Rehabilitation, LLC been fined?
- CMS lists no fines in the last three years.
- Does Georgiana 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 Georgiana Health and Rehabilitation, LLC?
- CMS lists 18 owners and managers, and links the home to Nhs Management. Legal business name: GEORGIANA 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.