Home / Alabama / Owens Cross Roads
South Hampton Nursing & Rehabilitation Center
213 Wilson Mann Road, Owens Cross Roads, AL 35763 · Madison County · (256) 725-3400
81 certified beds, about 76 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015448 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 14, 2023, inspectors cited 2 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 7 health citations since August 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 4.00 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
55.1% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Preston Health Services, an affiliated group of 5 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 7 health citations on file.
July 14, 2023Standard inspection · 2 citations
- E Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on interviews, document review, facility policy review, and review of the facility's investigation file, the facility failed to ensure residents' funds were not misappropriated for 13 (Residents #15, #18, #34, #376, #377, and #425 - #432) of 13 residents reviewed for misappropriation of funds. The facility determined Business Office Manager (BOM) #3 misappropriated funds from 13 residents and $18,591.57 was refunded to the residents' trust accounts.
- D Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observations, interviews, record reviews, and facility policy review, the facility failed to assess and use bed rail alternatives before installing and using bed rails for two (Resident #13 and Resident #64) of two residents reviewed for bed rails.
September 5, 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 observation, interview, and the 2017 Food and Drug Administration (FDA) Food Code, the facility failed to ensure the food-contact surfaces of insulated 6-ounce bowls and insulated 8-ounce coffee cups used for resident meal service were clean. This had the potential to affect 64 of 64 residents receiving meal trays, 64 of 65 residents in the facility.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review, interview and review of a facility policy titled Abuse Investigations, the facility failed to ensure Employee Identifier (EI) #5, Licensed Practical Nurse (LPN) was suspended during an investigation into an allegation of misappropriation of Resident Identifier (RI) #8's property (medication). This deficient practice was identified during the review of 1 of 3 facility abuse investigative files. Findings Include: A review of a facility policy titled Abuse Investigations, with a review/ revised date of 5/10/17, documented the following: . 7. Employees of this facility who have been accused of resident abuse will be suspended from duty until the results of the investigation have been reviewed by the Administrator. RI #8 was admitted to the facility on [DATE]. Review of the resident's medication included Tramadol HCI 50 milligram tablet every six hours for pain. [...]
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview, record review and review of facility policies tilted Reporting Abuse to State Agencies and other Entities and Abuse Investigation, the facility failed to report an allegation of misappropriation of Resident Identifier (RI) #8's property to the State Agency within 24 hours. This deficient practice was identified during the review of 1 of 3 facility abuse investigative files. Findings Include: A review of a facility policy titled Reporting Abuse to State Agencies and other Entities with a review/ revised date of 11/21/16, documented the following: . All suspected violations, allegations and/or incidents of abuse will be immediately reported to appropriate state agencies . A review of a policy titled Abuse Investigations, with a review/revised date of 5/10/17, documented the following: Type of Allegation . Misappropriation of resident property . 24 hour reporting . [...]
August 9, 2018Standard inspection · 2 citations
- D Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on interview, record review and a review of the facility's policy and procedure titled, Quality Assessment and Assurance (QAA), the facility failed to ensure the Medical Director attended all of the QA (Quality Assurance) quarterly meetings from June 2017 to June 2018. This affected two of four QA quarterly meetings. Findings Include: A review of the facility's policy and procedure titled, Quality Assessment and Assurance, with a revised date of 06/23/18, revealed the following: .1. the Committee will be made up of, at a minimum, the Director of Nursing, the Medical director or his or her designee .2 .The committee must: a. Meet at least quarterly .d .The facility will maintain a record of he (the) dates of all meetings and the names/titles of those attending each meeting . [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, medical record review and a review of the facility's policy and procedure titled, Infection Prevention and Control Program, the facility failed to ensure licensed staff washed their hands after removing gloves, before applying clean gloves and before touching clean items. The facility also failed to ensure licensed staff used a paper towel to turn the water faucet off after washing their hands. This affected RI (Resident Identifier) #10 and RI #25, two of eight residents on two of three halls, and two of four nurses observed during the medication administration observation. Findings Include: A review of the facility's policy and procedure titled, Infection Prevention and Control Program, with a revised date of 5/23/17, revealed the following: .Hand Hygiene Protocol: a. [...]
Fire safety inspections
11 fire safety citations on file: 6 on July 14, 2023, 3 on September 5, 2019, 2 on August 9, 2018.
Every fire safety citation11 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have horizontal exits used in accordance with safety requirements.
- E Install corridor and hallway doors that block smoke.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have horizontal exits used in accordance with safety requirements.
- D Provide properly protected cooking facilities.
- D Install corridor and hallway doors that block smoke.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Have approved installation, maintenance and testing program for fire alarm systems.
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) | 4.00 | 3.88 | 3.86 |
| Registered nurses | 0.57 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.17 | 3.26 | 3.42 |
| Nurse aides | 2.45 | ||
| Licensed practical nurses | 0.98 | ||
| Nursing staff turnover (share who left in a year) | 55.1% | 46.9% | 45.8% |
| Registered nurse turnover | 45.5% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.33 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 4.33 on weekdays and 3.17 on weekends, 27% 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 4.13 in April to June 2025 to 4.00 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 | 4.00 | 0.57 | 4.33 | 3.17 | 0.0% | 0 of 90 | 76 |
| Oct to Dec 2025 | 3.91 | 0.58 | 4.26 | 3.03 | 0.0% | 0 of 92 | 77 |
| Jul to Sep 2025 | 4.06 | 0.53 | 4.40 | 3.20 | 0.0% | 0 of 92 | 76 |
| Apr to Jun 2025 | 4.13 | 0.56 | 4.58 | 3.01 | 0.0% | 0 of 91 | 76 |
| 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 | 9.3 | 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 | 3.6 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.3 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.6 | 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 | 10.6 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.2 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.2 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.7 | 1.8 |
Owners and operators
Legal business name: SOUTH HAMPTON NURSING AND REHABILITATION CENTER LLC. CMS links this home to Preston Health Services, a group of 5 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Preston Health Services Inc | 5% or greater direct ownership interest | Organization | 06/08/2005 | |
| Walker, James | 5% or greater direct ownership interest | Individual | 04/05/2002 | |
| Saylor, Jeffrey | Contracted managing employee | Individual | 01/01/2015 | |
| Grove, Jack | W-2 managing employee | Individual | 12/20/2021 | |
| Preston Health Services Inc | Operational/managerial control | Organization | 04/16/2021 |
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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on July 14, 2023: "Protect each resident from the wrongful use of the resident's belongings or money."
- 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 14, 2023: "Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on September 5, 2019: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on August 9, 2018: "Have the Quality Assessment and Assurance group have the required members and meet at least quarterly"
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.17 hours per resident per day, below the Alabama average of 3.26.
Other nursing homes nearby
- Fairview at Redstone Village Huntsville, 6.2 mi · 4 of 5 stars · 3 citations
- Willowbrooke Ct Skilled Care Ctr at Magnolia Trace Huntsville, 8.3 mi · 5 of 5 stars · 4 citations
- Huntsville Health & Rehabilitation, LLC Huntsville, 9.5 mi · 1 of 5 stars · 19 citations
- Rocket City Rehabilitation and Healthcare Center Huntsville, 10.1 mi · 1 of 5 stars · 20 citations
- Diversicare of Big Springs Huntsville, 11.9 mi · 4 of 5 stars · 9 citations
- Brookshire Healthcare Center Huntsville, 13.4 mi · 3 of 5 stars · 8 citations
- Windsor House Huntsville, 13.5 mi · 1 of 5 stars · 20 citations
- Regency Health Care and Rehabilitation Center Huntsville, 14.4 mi · 1 of 5 stars · 18 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 South Hampton Nursing & Rehabilitation Center's Medicare star rating?
- CMS rates South Hampton Nursing & Rehabilitation Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did South Hampton Nursing & Rehabilitation Center get at its last inspection?
- 2 health deficiencies at the standard inspection on July 14, 2023. The Alabama average is 4.
- Has South Hampton Nursing & Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does South Hampton Nursing & Rehabilitation Center 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 South Hampton Nursing & Rehabilitation Center?
- CMS lists 5 owners and managers, and links the home to Preston Health Services. Legal business name: SOUTH HAMPTON NURSING AND REHABILITATION CENTER 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.