How many deficiencies did Luverne Health and Rehabilitation, LLC get at its last inspection?

2 health deficiencies at the standard inspection on July 29, 2021. The Alabama average is 4.

Has Luverne Health and Rehabilitation, LLC been fined?

CMS lists no fines in the last three years.

Does Luverne 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 Luverne Health and Rehabilitation, LLC?

CMS lists 18 owners and managers, and links the home to Nhs Management. Legal business name: LUVERNE HEALTH AND REHABILITATION, LLC.

Luverne Health and Rehabilitation, LLC: Inspections

The record in brief

At its most recent standard inspection, on July 29, 2021, inspectors cited 2 health deficiencies (the Alabama average is 4, the national average 9.2).

None of its 8 health citations since January 2019 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 3.64 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.

51.8% 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.

401/19

212/19

207/21

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 8 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

July 29, 2021Standard 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) September 1, 2021

Inspectors wroteBased on observations, interviews, record review, and review of facility policies titled, Documentation of Routine ADL Care, and Hygiene and Grooming, the facility failed to ensure a resident did not have brown substance under three finger nails on the left hand. This affected Resident Identifier (RI) #76 one of one resident sampled for Activities of Daily Living (ADL's), and was observed on 7/27/21 and 7/28/21. Findings Include: A review of a facility policy titled Documentation of Routine ADL Care with an effective date of October 1, 2010 revealed . STANDARD: Activities of Daily Living are considered routine care services . Routine ADL care may include: .nail and hair care . [...]
D

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2021

Inspectors wroteBased on observation, interview, record review, and review of facility policy titled Tube Feeding -Bolus and through review of information contained in the Fundamentals of Nursing, Ninth Edition, Chapter 45, Nutrition, the facility failed to ensure Resident Identifier (RI) #22's head of bed was elevated above 20 degrees while tube feeding was administered by feeding pump. This was observed on one of four residents on sample who received tube feeding by feeding pump. Findings Include: A review of facility policy titled Tube Feeding - Bolus with an effective date of May 1, 2018 revealed . PURPOSE: To provide liquid nourishment . through a tube into alimentary tract. PROCESS: . a. Keep the head of the bed elevated in the Semi-Fowler's position . [...]

December 19, 2019Standard inspection · 2 citations

D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2020

Inspectors wroteBased on observations, interviews, record review, and review of a facility policy titled Oxygen Administration, the facility failed to ensure the oxygen tubing and nebulizer mask for Resident Identifier (RI) #57 was changed weekly. This affected one of two residents sampled for respiratory care. Findings Include: A review of a facility policy titled Oxygen Administration with an effective date of December 8, 2005 revealed, . PROCESS: .11. Cannulas and masks should be changed weekly . RI #57 was admitted to the facility on [DATE]. A diagnosis included of Chronic Obstructive Pulmonary Disease (COPD). A review of RI #57's Physician Orders for the month of December 2019 revealed, . IPRATROPIUM BROMIDE-ALBUTEROL . give one every six hours . oxygen (O2) at two liters (2L) per nasal cannula (NC) as needed for shortness of breath (SOB) . [...]
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) January 23, 2020

Inspectors wroteBased on observations, interviews and review of facility policies titled Urinary Catheter Care and Laundry-Storage, Collection & Transport, the facility failed to ensure: 1. Resident Identifier (RI) #135's Foley Catheter drainage bag was not on the floor and the Certified Nursing Assistant (CNA) did not step on it, and 2. Residents' personal clothing was not transported by laundry staff to the units uncovered. This affected one of three residents observed with Foley Catheters and one of one laundry cart observed. Findings Include: 1. A review of a facility policy titled Urinary Catheter Care with an effective date of 11/10/14 revealed .PROCESS: I.h) Catheter tubing and drainage bags are kept off the floor to prevent contamination . RI #135 was admitted to the facility on [DATE] with a diagnosis to include Overactive Bladder. A review of RI #135's December 2019 Physician Orders revealed . [...]

January 16, 2019Standard inspection · 4 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) February 20, 2019

Inspectors wroteBased on observation, interviews and a review of facility policies titled, Cleaning of Miscellaneous Equipment and Utensils, Food Receipts and Storage and Handling Serviceware/Silverware, the facility failed to ensure: 1. the ceiling and walls were free of brown spots and a dust like substance: 2. vegetable sticks in the freezer were labeled and; 3. utensils in utensils bags were free of water and free of brown substance. This had the potential to affect 135 of 135 residents who received meals from the kitchen. Finding Include: 1) A review of a facility policy titled, Cleaning of Miscellaneous Equipment and Utensils, with an effective date of 8/23/2017, revealed: .40. walls and ceiling (as needed) .walls and ceilings should be washed thoroughly at least twice each year. Heavily soiled surfaces should be cleaned frequently and as required. [...]
F

Dispose of garbage and refuse properly.

F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 20, 2019

Inspectors wroteBased on observations, interviews and review of a facility policy titled, Garbage and Refuse, the facility failed to ensure the dumpsters' lids were closed. This had the potential to affect all 138 residents residing in the facility.
D

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2019

Inspectors wroteBased on observation, interview, record review and review of a facility policy titled Infusion Therapy Products Label, the facility failed to ensure an Intravenous (IV) medication that was being administered on 1/13/19 to Resident Identifier (RI) #86 was labeled. This was observed on 1/13/19 and affected one of two sampled residents receiving IV medications.
C

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) February 20, 2019

Inspectors wroteBased on observation, record review and interview, the facility failed to ensure nurse staffing postings included all required information for 12 days of the 18 months reviewed. This had the potential to affect all 138 residents residing in the facility and any visitors. Findings Include: On 1/13/19 at 09:30 AM the nurse staffing posting was observed without documentation of the facility's census. On 1/14/19 at 4:04 PM the surveyor reviewed 18 months of nurse staffing postings. The review of the postings revealed the following required information was omitted: On 12/19/17, the evening and night shift staffing information was blank. On 12/21/17, the evening and night shift staffing information was blank. On 2/2/18, the nurse staff posting did not indicate the number of Registered Nurse (RN) or Licensed Practical Nurse (LPN) staff working day shift or the total number of hours worked. [...]

Fire safety inspections

11 fire safety citations on file: 8 on December 19, 2019, 3 on January 16, 2019.

Every fire safety citation11 citations

E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · December 19, 2019 · Corrected (the home has a date of correction)
E
Install an approved automatic sprinkler system.

K 351 · December 19, 2019 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · December 19, 2019 · Corrected (the home has a date of correction)
D
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · December 19, 2019 · Corrected (the home has a date of correction)
D
Install corridor and hallway doors that block smoke.

K 363 · December 19, 2019 · Corrected (the home has a date of correction)
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · December 19, 2019 · Corrected (the home has a date of correction)
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · December 19, 2019 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · December 19, 2019 · Corrected (the home has a date of correction)
E
Install a fire alarm system that can be heard throughout the facility.

K 341 · January 16, 2019 · Corrected (the home has a date of correction)
E
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

K 343 · January 16, 2019 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · January 16, 2019 · 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)	3.64	3.88	3.86
Registered nurses	0.41	0.65	0.69
All nursing staff on weekends	3.11	3.26	3.42
Nurse aides	2.44
Licensed practical nurses	0.79
Nursing staff turnover (share who left in a year)	51.8%	46.9%	45.8%
Registered nurse turnover	66.7%	39.5%	42.9%
Administrators who left	1

CMS expects 3.07 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 3.85 on weekdays and 3.11 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 3.96 in April to June 2025 to 3.64 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	3.64	0.41	3.85	3.11	0.0%	0 of 90	142
Oct to Dec 2025	3.87	0.32	4.05	3.40	0.0%	0 of 92	139
Jul to Sep 2025	3.79	0.36	3.96	3.36	0.0%	0 of 92	136
Apr to Jun 2025	3.96	0.44	4.18	3.40	0.0%	0 of 91	131
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. If you work here, your report helps start one.

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	14.2	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	0.2	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	3.7	2.0	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	5.6	12.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	6.6	5.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	44.2	21.2	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	20.5	24.8	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	10.0	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	2.6	1.7	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Luverne Health and Rehabilitation, LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (41.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

41.8% this home

No different from the national rate

US median of homes 51.5% · Alabama: 41 better, 10 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 87 eligible stays.

Potentially preventable readmissions

10.2% this home

No different from the national rate

US median of homes 10.7% · Alabama: 1 better, 3 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 128 eligible stays.

Infections that led to a hospital stay

6.1% this home

No different from the national rate

US median of homes 7.1% · Alabama: 0 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 73 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Alabama50.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 18 residents counted.

Falls with major injury

0.0% this home

Median of homes: Alabama0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 23 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Alabama2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 23 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Alabama100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 15 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: LUVERNE 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
Luverne Health Realty LLC	5% or greater security interest	Organization		09/15/2008
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
Maddox, Mary	W-2 managing employee	Individual		04/17/2020
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		11/08/2002
Long, Phillip	Corporate officer	Individual		10/01/2019
Howell, Rhonda	Operational/managerial control	Individual		10/23/2023
Maddox, Mary	Operational/managerial control	Individual		04/17/2020
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.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on July 29, 2021: "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 2 problems in this area, most recently on January 16, 2019: "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 December 19, 2019: "Provide and implement an infection prevention and control program."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on January 16, 2019: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.11 hours per resident per day, below the Alabama average of 3.26.
How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Troy Health & Rehabilitation Center
Troy, 18.3 mi · 1 of 5 stars · 10 citations
Elba Nursing and Rehabilitation Center, LLC
Elba, 22.8 mi · 1 of 5 stars · 11 citations
Crowne Health Care of Greenville
Greenville, 23.4 mi · 5 of 5 stars · 5 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 Luverne Health and Rehabilitation, LLC's Medicare star rating?: CMS rates Luverne Health and Rehabilitation, LLC 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Luverne Health and Rehabilitation, LLC get at its last inspection?: 2 health deficiencies at the standard inspection on July 29, 2021. The Alabama average is 4.
Has Luverne Health and Rehabilitation, LLC been fined?: CMS lists no fines in the last three years.
Does Luverne 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 Luverne Health and Rehabilitation, LLC?: CMS lists 18 owners and managers, and links the home to Nhs Management. Legal business name: LUVERNE 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.