Opp Health and Rehabilitation, LLC
115 Paulk Avenue, Opp, AL 36467 · Covington County · (334) 493-4558
197 certified beds, about 163 residents a day · For profit - Corporation · Medicare and Medicaid since 1978
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015210 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 2, 2020, inspectors cited 1 health deficiency (the Alabama average is 4, the national average 9.2).
None of its 6 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 3.40 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.
45.3% 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.
207/18
305/19
103/20
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 6 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
0E
2F
Potential for minimal harm
0A
0B
0C
March 2, 2020Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interviews, and a review of the facility policies titled Food Receipt and Storage and Food Cooking and Serving Temperatures, the facility failed to ensure: 1) a medium box of opened patty sausage was sealed, a clear plastic bag of french toast, a bag of hash browns, and a half a bag of frozen biscuits in the freezer had a used by date, and 2) the temperature was taken on the second and third pan of ribs, a second pan of seasoned greens, and a second pan of rice. This had the potential to affect 48 of 96 residents who received a regular diet from the kitchen. Findings Include: 1) A review of a facility policy titled Food Receipt and Storage, with an effective date of 8/23/17, revealed: PURPOSE: Foods should be received and stored properly to prevent food borne illnesses. PROCESS: . II. Storage of Foods: . k. Open food items should be covered, labeled, and dated; . [...]
May 22, 2019Standard inspection · 3 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, interviews and a review of the the 2017 Food Code, facility staff failed to ensure: 1) expired milk was discarded by the use by date and 2) the dish machine rinse temperatures were maintained at recommended temperatures (no greater than 194 degrees Fahrenheit). This had the potential to affect 169 residents for whom meals were prepared and served at the time of this survey.
- 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, interviews, record reviews and review of facility policies titled: Perineal Care and Urinary Catheter Care, the facility failed to ensure: 1. a Certified Nursing Assistant (CNA) cleaned Resident Identifier (RI) #114, a resident with a history of Urinary Tract Infections (UTI)s, from front to back of the perineal area, during catheter and incontinent care; and 2. the catheter tubing was not dragging on the floor as RI #114 and RI #27 propelled their wheelchairs on and off the unit. This affected one of one residents observed for catheter and incontinent care, and two of two residents with catheter tubing observed on the floor. Findings Include: A facility policy titled Perineal Care with an effective date of 12/08/06 revealed the PURPOSE: Good perineal care helps prevent infection, irritation and skin breakdown. PROCESS: . II. [...]
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews, record reviews and review of facility policies titled: Oxygen Administration and Nebulizer, the facility failed to ensure: 1. the humidifier bottle and nasal cannula for Resident Identifier (RI) #370 were dated to show that they were changed in a timely manner, and 2. the masks for nebulizer treatments for RI #371 and RI #370 were not lying on top of the bedside table. The nebulizer machine was also left uncovered. This affected two of five residents observed for oxygen administration and nebulizer treatments. Findings Include: A review of a facility policy titled, OXYGEN ADMINISTRATION with an effective date of December 8, 2005 revealed: Purpose: To administer high purity oxygen for the treatment of certain diseases or conditions. . Process . 11. Cannulas and masks should be changed weekly . [...]
July 26, 2018Standard inspection · 2 citations
- 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, interviews, record review and review of a facility policy, Perineal Care, the facility failed to ensure a Certified Nursing Assistant (CNA) wiped a resident with a history of Urinary Tract Infections, Resident Identifier (RI) #53's, buttocks in an upward direction during the provision of pericare. This was observed on 7/24/18 and affected one of one residents observed for pericare. Findings Include: A review of a facility policy Perineal Care with an effective date of October 1, 2010 revealed PURPOSE: Good perineal care helps prevent infection, . PROCESS: .II. b) Wash the anal area, moving upward toward the back. RI #53 was admitted to the facility on [DATE] and readmitted on [DATE] with a diagnosis of Personal history of Urinary Tract Infections. A review of a facility report dated 7/3/18 of a Urinalysis revealed: .BACTERIA 2+ the report further indicated . [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews and a review of a facility policy titled, Hand Hygiene, the facility failed to ensure a Certified Nursing Assistant (CNA) washed her hands after removing her gloves after providing assistance to Resident Identifier (RI) #123 and washed her hands prior to assisting RI #88 with his/her bread. This had the potential to affect two of 16 residents observed during a meal. Findings Include: A review of a facility policy titled, Hand Hygiene with a effective date of 9/1/2017 revealed: PURPOSE: To provide guidelines to employees for proper and appropriate hand washing techniques that will aide in the prevention of the transmission of infections III Hand Hygiene .when coming on duty, . Before and after assisting a resident . with meals. [...]
Fire safety inspections
9 fire safety citations on file: 4 on March 2, 2020, 5 on July 26, 2018.
Every fire safety citation9 citations
- F Meet the requirements of an integrated health system.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Install an approved automatic sprinkler system.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- D Have proper medical gas storage and administration areas.
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) | 3.40 | 3.88 | 3.86 |
| Registered nurses | 0.46 | 0.65 | 0.69 |
| All nursing staff on weekends | 2.87 | 3.26 | 3.42 |
| Nurse aides | 2.25 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | 45.3% | 46.9% | 45.8% |
| Registered nurse turnover | 41.2% | 39.5% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.24 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 3.61 on weekdays and 2.87 on weekends, 20% 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 4.14 in April to June 2025 to 3.40 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 | 3.40 | 0.46 | 3.61 | 2.87 | 0.0% | 0 of 90 | 163 |
| Oct to Dec 2025 | 3.68 | 0.41 | 3.84 | 3.28 | 0.0% | 0 of 92 | 160 |
| Jul to Sep 2025 | 3.90 | 0.43 | 4.08 | 3.44 | 0.0% | 0 of 92 | 157 |
| Apr to Jun 2025 | 4.14 | 0.43 | 4.41 | 3.48 | 0.0% | 0 of 91 | 156 |
| 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 | 7.2 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.0 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.2 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.9 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.6 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 30.4 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 34.2 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.5 | 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 | 1.4 | 1.7 | 1.8 |
Owners and operators
Legal business name: OPP 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 |
| Nhs Facilities Group LLC | 5% or greater security interest | Organization | 05/01/2022 | |
| Opp Health Realty, LLC | 5% or greater security interest | Organization | 09/12/2008 | |
| Regions Bank | 5% or greater security interest | Organization | 08/29/2011 | |
| Servisfirst Bank | 5% or greater security interest | Organization | 05/01/2022 | |
| Baggett, Bryan | Managing control - governing body | Individual | 05/27/2024 | |
| Richburg, Julie | Managing control - governing body | Individual | 12/11/2014 | |
| 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 | |
| Baggett, Bryan | Operational/managerial control | Individual | 05/27/2024 | |
| Perkins, Jeanell | Operational/managerial control | Individual | 11/27/2023 | |
| Rasco, Lynn | Operational/managerial control | Individual | 07/01/2022 | |
| Richburg, Julie | Operational/managerial control | Individual | 12/11/2014 | |
| Perkins, Jeanell | Adp of the SNF | Individual | 02/07/2025 |
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 May 22, 2019: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- 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 March 2, 2020: "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 July 26, 2018: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.87 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
- Elba Nursing and Rehabilitation Center, LLC Elba, 14.1 mi · 1 of 5 stars · 11 citations
- Andalusia Manor Andalusia, 14.4 mi · 4 of 5 stars · 11 citations
- Florala Health and Rehabilitation LLC Florala, 20.5 mi · 3 of 5 stars · 3 citations
- Enterprise Health & Rehabilitation Center Enterprise, 24.7 mi · 1 of 5 stars · 12 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 Opp Health and Rehabilitation, LLC's Medicare star rating?
- CMS rates Opp Health and Rehabilitation, LLC 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Opp Health and Rehabilitation, LLC get at its last inspection?
- 1 health deficiency at the standard inspection on March 2, 2020. The Alabama average is 4.
- Has Opp Health and Rehabilitation, LLC been fined?
- CMS lists no fines in the last three years.
- Does Opp 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 Opp Health and Rehabilitation, LLC?
- CMS lists 19 owners and managers, and links the home to Nhs Management. Legal business name: OPP 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.