Lineville Health and Rehabilitation, LLC
88073 Highway 9, Lineville, AL 36266 · Clay County · (256) 396-2104
101 certified beds, about 95 residents a day · For profit - Corporation · Medicare and Medicaid since 1976
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015142 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 22, 2021, inspectors cited 0 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 5 health citations since July 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 3.99 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.43 of those hours.
54.9% 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.
July 22, 2021Standard inspection · 0 citations
June 13, 2019Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews and review of policy titled, Hand Hygiene, the facility failed to ensure a licensed staff member sanitized her hands after administering medication to Resident Identifier (RI ) #63 and before entering the medication cart to retrieve additional medications. This deficient practice affected RI #63, one of seven residents observed during medication administration.
July 3, 2018Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interview, and review of the facility's policy titled Food Preparation Guidelines, the facility failed to ensure: 1) packaged lettuce was not stored past the manufacturers best by date; and 2) milk was not held at room temperature throughout meal service, resulting in a temperature exceeding 41 degrees F at the time it was served to residents. This had the potential to affect all 99 of 99 residents receiving meals in the facility.
- 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 interviews, the facility failed to ensure Resident Indentifer (RI) #30's care plan approach to keep the lift chair remote out of reach was implemented on 6/13/18. This affected one of 16 residents for whom care plans were reviewed.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and interviews, the facility failed to ensure Resident Identifier (RI) #30 did not sustain an avoidable fall on 6/13/18 when staff placed his/her lift chair remote in reach. This affected one of four residents reviewed for falls.
- B Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, review of the facility's policy titled Food Taste Test, and concerns voiced by the resident's at the Resident Council Meeting on 07/02/2018, the facility failed to ensure grilled cheese sandwiches were not hard. This affected 6 of 9 residents who attended resident council meeting on 07/02/2018.
Fire safety inspections
5 fire safety citations on file: 3 on July 22, 2021, 2 on July 3, 2018.
Every fire safety citation5 citations
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Have proper medical gas storage and administration areas.
- F Have simulated fire drills held at unexpected times.
- D 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.
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) | 3.99 | 3.88 | 3.86 |
| Registered nurses | 0.43 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.43 | 3.26 | 3.42 |
| Nurse aides | 2.79 | ||
| Licensed practical nurses | 0.77 | ||
| Nursing staff turnover (share who left in a year) | 54.9% | 46.9% | 45.8% |
| Registered nurse turnover | 45.5% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.21 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 4.21 on weekdays and 3.43 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 3.89 in April to June 2025 to 3.99 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 | 3.99 | 0.43 | 4.21 | 3.43 | 0.0% | 0 of 90 | 95 |
| Oct to Dec 2025 | 4.07 | 0.42 | 4.33 | 3.40 | 0.0% | 0 of 92 | 91 |
| Jul to Sep 2025 | 4.36 | 0.50 | 4.60 | 3.74 | 0.0% | 0 of 92 | 86 |
| Apr to Jun 2025 | 3.89 | 0.41 | 4.13 | 3.29 | 0.0% | 0 of 91 | 92 |
| 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 | 10.7 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.1 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.8 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.4 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.7 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.3 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 23.2 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 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: LINEVILLE 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% | 11/08/2002 |
| James Norman Estes Jr Tr | 5% or greater indirect ownership interest | Organization | 5% | 11/08/2002 |
| Jennifer Lee Estes Tr 031093 | 5% or greater indirect ownership interest | Organization | 5% | 11/08/2002 |
| Estes, James | 5% or greater indirect ownership interest | Individual | 89% | 11/08/2002 |
| Lineville Health Realty LLC | 5% or greater security interest | Organization | 10/15/2008 | |
| Nhs Facilities Group LLC | 5% or greater security interest | Organization | 05/01/2022 | |
| Regions Bank | 5% or greater security interest | Organization | 08/24/2016 | |
| Servisfirst Bank | 5% or greater security interest | Organization | 05/01/2022 | |
| Smith, Jonathan | W-2 managing employee | Individual | 06/01/2019 | |
| Holmes, Letchernique | Corporate director | Individual | 01/03/2022 | |
| Patterson, Derek | Corporate director | Individual | 01/03/2022 | |
| Rasco, Lynn | Corporate director | Individual | 07/01/2022 | |
| Estes, James | Corporate officer | Individual | 11/08/2002 | |
| Long, Phillip | Corporate officer | Individual | 10/01/2019 | |
| Holmes, Letchernique | Operational/managerial control | Individual | 01/03/2022 | |
| Patterson, Derek | Operational/managerial control | Individual | 01/03/2022 | |
| Rasco, Lynn | Operational/managerial control | Individual | 07/01/2022 | |
| Smith, Jonathan | Operational/managerial control | Individual | 06/01/2019 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on July 3, 2018: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 June 13, 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 July 3, 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 July 3, 2018: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
Other nursing homes nearby
- Clay County Nursing Home Ashland, 4.1 mi · 3 of 5 stars · 8 citations
- Talladega Healthcare Center, Inc Talladega, 20.9 mi · 3 of 5 stars · 9 citations
- Diversicare of Oxford Oxford, 21.5 mi · 1 of 5 stars · 18 citations
- NHC Healthcare, Anniston Anniston, 22.8 mi · 2 of 5 stars · 10 citations
- Goodwater Healthcare Center Goodwater, 23.6 mi · 5 of 5 stars · 5 citations
- Traylor Retirement Community Roanoke, 24.2 mi · 4 of 5 stars · 10 citations
- Roanoke Rehabilitation & Healthcare Center Roanoke, 24.4 mi · 2 of 5 stars · 11 citations
- Anniston Health and Rehab Services Anniston, 24.5 mi · 4 of 5 stars · 4 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 Lineville Health and Rehabilitation, LLC's Medicare star rating?
- CMS rates Lineville Health and Rehabilitation, LLC 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Lineville Health and Rehabilitation, LLC get at its last inspection?
- 0 health deficiencies at the standard inspection on July 22, 2021. The Alabama average is 4.
- Has Lineville Health and Rehabilitation, LLC been fined?
- CMS lists no fines in the last three years.
- Does Lineville 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 Lineville Health and Rehabilitation, LLC?
- CMS lists 18 owners and managers, and links the home to Nhs Management. Legal business name: LINEVILLE 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.