312 Bryan Drive, Ozark, AL 36360 · Dale County · (334) 774-2561
149 certified beds, about 141 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015208 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 16, 2023, inspectors cited 3 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 5 health citations since June 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 3.74 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.
46.3% 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.
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.
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.
Inspectors wroteBased on observation, record review, interviews, and review of facility policies, the facility failed to ensure that side were not used in a manner to physically restrain Resident #107. This affected one of one sampled residents reviewed for side rail use as a restraint.
Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to revise a comprehensive person-centered care plan for (Resident #107). Specifically, the facility failed to revise a comprehensive care plan for Resident #107 to include the use of siderails as an enabler for bed mobility and transfers. This affected one of 26 sampled residents comprehensive care plans reviewed.
Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to ensure residents who required extensive to total assistance with personal hygiene were regularly offered trimming or shaving of facial hair and trimming of fingernails to maintain good grooming and hygiene. This affected two of five sampled residents reviewed for activities of daily living (ADLs) for (Resident #65 and Resident #107).
Inspectors wroteBased on observation, interviews, review of a facility policy (Budget Guidelines) and the 2017 Food Code United States Public Health, the facility failed to: 1) routinely date and discard food items within a timely manner; 2) prevent the cross-contamination of food prior to service on the 6/11/19 and during the 6/12/19 lunch tray lines via contact with an unsanitized thermometer handle, and flies; 3) ensure all foods were checked for safe and sanitary temperatures prior to service on the 6/12/19 lunch tray line; and 4) re-heat food found to be below 135 degrees on the 6/12/19 lunch tray line. This had the potential to affect all 137 residents for whom meals were prepared and served at the time of this survey. Findings Included: 1) FOOD LABELING/TIMELY DISCARD The facility policy titled, Budget Guidelines (policy number DS. VI-6, with an effective date of 08/10/18) specifies: h. [...]
Inspectors wroteBased on observation,interview, medical record review and review of a facility document titled Peri-Care the facility failed to ensure a Certified Nursing Assistant (CNA) did not clean bowel movement from Resident Identifier (RI) #128, a resident with history of a Urinary Tract Infection (UTI), then with the same gloves, place a clean brief on the resident. This was observed on 6/11/19 and affected one of two residents observed for incontinent care. Findings Include: A review of an undated facility document titled: PERI-CARE revealed: . 3. WASH HANDS AND APPLY GLOVES 4. WASH PUBIC AREA . 8. REMOVE GLOVES AND WASH HANDS--APPLY CLEAN GLOVES 9. TURN RESIDENT ON SIDE 10. WASH ANAL AREA . 12. REMOVE GLOVES AND WASH HANDS-APPLY CLEAN GLOVES . 14. PLACE CLEAN BRIEF . RI #128 was admitted to the facility on [DATE] with a diagnosis to include Parkinson's Disease. [...]
14 fire safety citations on file: 8 on June 16, 2023, 3 on June 13, 2019, 3 on June 28, 2018.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.74 | 3.88 | 3.86 |
| Registered nurses | 0.37 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.24 | 3.26 | 3.42 |
| Nurse aides | 2.49 | ||
| Licensed practical nurses | 0.88 | ||
| Nursing staff turnover (share who left in a year) | 46.3% | 46.9% | 45.8% |
| Registered nurse turnover | 37.5% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.11 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.95 on weekdays and 3.24 on weekends, 18% 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 4.06 in April to June 2025 to 3.74 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 | 3.74 | 0.37 | 3.95 | 3.24 | 0.0% | 0 of 90 | 141 |
| Oct to Dec 2025 | 3.86 | 0.44 | 4.06 | 3.33 | 0.0% | 0 of 92 | 136 |
| Jul to Sep 2025 | 4.00 | 0.49 | 4.19 | 3.51 | 0.0% | 0 of 92 | 135 |
| Apr to Jun 2025 | 4.06 | 0.45 | 4.31 | 3.43 | 0.0% | 0 of 91 | 139 |
| 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
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.
| 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.
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 | 5.7 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.2 | 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 | 6.4 | 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 | 23.7 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.0 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.3 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Ozark 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 (46.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
46.4% 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. 80 eligible stays.
10.6% 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. 91 eligible stays.
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. 47 eligible stays.
66.7% this home
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. 24 residents counted.
3.6% 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. 28 residents counted.
8.2% 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. 28 residents counted.
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.
Legal business name: OZARK 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 |
| Estes - McAbee Investments | 5% or greater security interest | Organization | 06/09/2020 | |
| Regions Bank | 5% or greater security interest | Organization | 08/27/2012 | |
| 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 | |
| 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 | |
| Gouge, Sonya | Operational/managerial control | Individual | 06/06/2017 | |
| Rasco, Lynn | Operational/managerial control | Individual | 07/01/2022 | |
| Richburg, Julie | Operational/managerial control | Individual | 12/11/2014 | |
| Gouge, Sonya | 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.
Chosen from this home's own inspection record.
These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.