3104 Dauphin Square Connector, Mobile, AL 36607 · Mobile County · (251) 450-2800
100 certified beds, about 90 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015403 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 16, 2021, inspectors cited 0 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 4 health citations since September 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 3.84 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 1.17 of those hours.
68.4% 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 4 health citations on file.
Inspectors wroteBased on observations, interviews and review of facility policies titled, Handling Serviceware/Silverware,Nursing Pantry Foods, and Hand-washing Guidelines the facility failed to ensure: 1) spoons, forks and knives were not in utensil bags wet; 2) 29 thickened waters were not in the resident/supplement refrigerator expired and; 3) staff washed their hands when entering and while in the kitchen. This had the potential to affect 76 or 76 residents who received meals from the kitchen. Findings Include: 1) A review of a facility policy titled, Handling Serviceware/Silverware with an effective date of 2/1/2002 revealed: .PURPOSE: To prevent the spread of bacteria that may cause food borne illnesses. On 9/11/18 at 11:31 a.m., the surveyor observed spoons, forks and knives in nine ready to go bags to be placed on the resident's trays. [...]
Inspectors wroteBased on record review, interview and review of the facility procedure Resident Assessment Instrument Manual, the facility failed to ensure Resident Identifier (RI) #30's Significant Change Minimum Data Set (MDS) Assessment, dated 4/12/18, was coded for hospice. This was reviewed on 9/12/18 and affected one of two residents reviewed for hospice. Findings Include: A review of the policy the facility used revealed .RAI Version 3.0 Manual . A Significant Change in Status Assessment (SCSA) is appropriate when: .If a resident is admitted on the hospice benefit .the facility should complete the .assessment, checking the Hospice care item Section O . RI#30 was admitted to the facility on [DATE] with a diagnosis of Parkinson's Disease. A review of RI #30's May 2018 physician orders revealed: .Order Date 4/4/18 .OK TO ADMIT TO .HOSPICE WITH DX OF PARKINSON'S. [...]
Inspectors wroteBased on record review, interview and a review of a facility policy titled, Nursing Assessments, the facility failed to ensure care plans for recurrent UTI's (Urinary Tract Infection) and Depression were developed for RI (Resident Identifier) #22. This had the potential to affect 1 of 24 samples residents whose care plans were reviewed for care areas. Findings Include: A review of a facility policy titled, Nursing Assessment, with an effective date of 8/15/2018, revealed: PURPOSE: The facility conducts, a comprehensive, standardized assessment of each resident .functional capacity necessary to develop a person centered care plan and to modify the care plan and care/service based on the resident .status and resident .goals and preferences, future discharge . RI #22 was readmitted to the facility on [DATE]. [...]
Inspectors wroteBased on observation and interview the facility failed to ensure: 1. Laundry staff wore a protective apron while handling soiled linen, and 2. Staff did not allow clean linens to touch their dirty uniform while folding them. This was observed on 9/12/18 and had the potential to affect 84 of 84 residents who received services from the laundry department. Findings Include: 1. On 9/12/18 at 2:35 PM, the surveyor observed Employee Identifier (EI)#5, Director of Environmental Services, loading soiled linen into the washing machine. EI#5 was observed wearing no apron and soiled linen touching her uniform. On 09/12/18 at 2:45 PM, an interview was conducted with EI #5. EI #5 was asked what was the policy for wearing aprons while handling soiled laundry. EI#5 replied, sometimes they do wear aprons, but it gets so hot back here. [...]
14 fire safety citations on file: 4 on July 16, 2021, 4 on November 14, 2019, 6 on September 13, 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) | 3.84 | 3.88 | 3.86 |
| Registered nurses | 1.17 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.29 | 3.26 | 3.42 |
| Nurse aides | 2.22 | ||
| Licensed practical nurses | 0.46 | ||
| Nursing staff turnover (share who left in a year) | 68.4% | 46.9% | 45.8% |
| Registered nurse turnover | 47.6% | 39.5% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.45 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 4.07 on weekdays and 3.29 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 4.15 in April to June 2025 to 3.84 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 | 3.84 | 1.17 | 4.07 | 3.29 | 0.0% | 0 of 90 | 90 |
| Oct to Dec 2025 | 4.48 | 1.17 | 4.72 | 3.86 | 0.0% | 0 of 92 | 88 |
| Jul to Sep 2025 | 4.26 | 1.07 | 4.50 | 3.63 | 0.0% | 0 of 92 | 90 |
| Apr to Jun 2025 | 4.15 | 0.83 | 4.39 | 3.56 | 0.0% | 0 of 91 | 90 |
| 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. If you work here, your report helps start one.
| 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 | 6.4 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.3 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.4 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 1.7 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.0 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.8 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.9 | 11.3 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Palm Gardens Health and Rehabilitation, LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (60.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
60.2% this home
Better than 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. 112 eligible stays.
10.4% 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. 119 eligible stays.
6.5% 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. 68 eligible stays.
50.0% 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. 38 residents counted.
1.3% 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. 77 residents counted.
2.3% 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. 77 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. 12 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: PALM GARDENS 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 |
|---|---|---|---|---|
| Northport Holding Operations, LLC | 5% or greater direct ownership interest | Organization | 100% | 03/29/2013 |
| James N Estes Jr Family Dynasty Tr No 2 | 5% or greater indirect ownership interest | Organization | 18% | 03/29/2013 |
| James Norman Estes Jr Tr | 5% or greater indirect ownership interest | Organization | 6% | 06/30/2013 |
| Jennifer E Agee Family Dynasty Tr No 2 | 5% or greater indirect ownership interest | Organization | 18% | 03/29/2013 |
| Jennifer Lee Estes Tr 031093 | 5% or greater indirect ownership interest | Organization | 6% | 06/30/2013 |
| Estes, James | 5% or greater indirect ownership interest | Individual | 51% | 03/29/2013 |
| Capital Funding LLC | 5% or greater mortgage interest | Organization | 07/01/2013 | |
| Capital Funding LLC | 5% or greater security interest | Organization | 07/01/2013 | |
| Holding Facilities Group LLC | 5% or greater security interest | Organization | 07/01/2013 | |
| Palm Gardens Health Realty LLC | 5% or greater security interest | Organization | 07/01/2013 | |
| Servisfirst Bank | 5% or greater security interest | Organization | 08/29/2018 | |
| Freeman, Jeanne | W-2 managing employee | Individual | 10/02/2023 | |
| Macdonald-Lamier, Starann | W-2 managing employee | Individual | 09/22/2023 | |
| 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 | 03/29/2013 | |
| Long, Phillip | Corporate officer | Individual | 10/01/2019 | |
| Freeman, Jeanne | Operational/managerial control | Individual | 10/02/2023 | |
| 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.
Chosen from this home's own inspection record.
These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.