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Sumter Health and Rehabilitation, L L C

1505 East 4th Avenue, York, AL 36925 · Sumter County · (205) 392-5281

125 certified beds, about 108 residents a day · For profit - Corporation · Medicare and Medicaid since 1967

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 015042 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 21, 2022, inspectors cited 2 health deficiencies (the Alabama average is 4, the national average 9.2).

None of its 8 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 3.36 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.

36.8% 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.

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
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
1E
3F
Potential for minimal harm
0A
0B
0C
April 21, 2022Standard inspection · 2 citations
  1. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 26, 2022
    Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure residents receiving tube feedings, feeding pumps were kept clean and free of a tube-like feeding substance. This deficient practice affected Resident Identifier (RI) #'s 3, 41 and 96, three of four residents sampled for tube feedings, and was observed on three of four days of the survey. Findings Include: RI #3 was admitted to the facility on [DATE], with diagnoses to include Dysphagia and Encounter for Attention to Gastrostomy. RI #3's April 2022 Physician Orders revealed RI #3 had an order for tube feeding of Glucerna 1.5 CAL (calorie) to infuse at 60 cc (centimeters) an hour. On 04/19/2022 at 2:20 PM, RI #3 was observed lying in bed with the head of the bed elevated at a 30-degree angle. [...]
  2. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 26, 2022
    Inspectors wroteBased on record review, interview and review of a facility policy titled Nursing Assessments, the facility failed to ensure a Quarterly Minimum Data Set (MDS) assessment was completed timely for Resident Identifier (RI) #4. This deficient practice affected RI #4, one of 20 residents reviewed for MDS assessments. Findings Include: A review of a facility policy Nursing Assessments with an effective date of August 15, 2018 revealed: . STANDARD: Comprehensive assessments should be completed on admission, quarterly and with a significant change in the resident/guest(s) condition. PROCESS: . III. Quarterly Nursing Assessments include: (once every 3 months). RI #4 was admitted to the facility on [DATE] with a diagnosis of Personal history of Traumatic Brain Injury. [...]
September 5, 2019Standard inspection · 2 citations
  1. 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) October 9, 2019
    Inspectors wroteBased on observations, interviews, and review of the Food and Drug Administration (FDA) 2017 Food Code, the facility failed to ensure the 3-compartment sink drain pipes did not extend into the wall and have a direct connection with sewage system to create potential for backflow. This had the potential to affect 87 of 87 residents receiving meals from kitchen. Findings Include: 1. A review of the FDA 2017 Food Code revealed: . 5-402.11 Backflow Prevention. (A) . a direct connection may not exist between the SEWAGE system and a drain originating from EQUIPMENT in which FOOD, portable EQUIPMENT, or UTENSILS are placed. On 9/3/19 at 3:38 PM, an observation was made of the 3-compartment sink. The drain extended below the 3-compartment sink and made a direct connection into the wall. [...]
  2. 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) October 9, 2019
    Inspectors wroteBased on observation, interview, record review, and review of a facility policy titled, Hand Hygiene, the facility failed to ensure Employee Identifier (EI) #2 washed hands after removing gloves before placing a clean 4x4 over Resident Identifier (RI) #87 's wound during wound care. This was observed on 9/4/19, and affected one of two residents observed for wound care. Findings Include: A review of a facility policy titled, Hand Hygiene, with an effective date of September 1, 2017, revealed . III. Hand Hygiene Hand hygiene continues to be the primary means of preventing the transmission of infection. The following is a list of some situations that require hand hygiene. After removing gloves . RI #87 was admitted to the facility on [DATE] and readmitted on [DATE]. A diagnosis included pressure ulcer of right ankle, stage 2. [...]
August 16, 2018Standard inspection · 4 citations
  1. 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) September 6, 2018
    Inspectors wroteBased on observation, interview and a review of the facility's policy titled, Food Receipt and Storage, the facility failed to ensure mighty shakes were labeled and properly dated with use by dates. This had the potential to affect 93 of 95 residents receiving meals from the kitchen. Findings Include: A review of the facility's policy titled, Food Receipt and Storage' with an effective date August 23, 2017, revealed: . PURPOSE: Foods should be received and stored properly to prevent food borne illnesses. PROCESS: . II. Storage of Foods: . j. Label the case or tray of frozen supplements(without expiration dates) with the date they are thawed, or with a used by date which is 14 days from thaw date. [...]
  2. 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) September 6, 2018
    Inspectors wroteBased on observation, interview and review of the facility's policy titled, Garbage and Refuse the facility failed to ensure the outside garbage dumpster doors were closed and soiled items and other refuse were not lying on the concrete around the dumpster area.
  3. D
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2018
    Inspectors wroteBased on observation, interviews, medical record review and review of a facility document titled, RESIDENTS: These are YOUR Rights, the facility failed to ensure Employee Identifier (EI) #5, Activity Director, allowed Resident Identifier (RI) #12 to attend the Resident Council Meeting on 08/15/18. This affected RI #12, one of 94 residents residing in the facility. Findings Include: A review of a document titled, RESIDENTS: These are YOUR Rights, with no date, documented: .YOU have the right to choose the groups and activities in which you choose to participate. RI #12 was readmitted to the facility on [DATE]. A review of RI #12's Annual Minimum Data Set (MDS) assessment dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of 15, indicating the resident was cognitively intact and that it was very important to the resident to attend group activities. [...]
  4. 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) September 6, 2018
    Inspectors wroteBased on observation, interviews and review of a facility policy titled, Hand Hygiene, the facility failed to ensure a licensed staff washed her hands when removing gloves during wound care observation of Resident Identifier (RI) #72. This affected RI #72, one of three residents observed during wound care. Findings Include: A review of a facility policy titled, Hand Hygiene, with an effective date of September 1, 2017, revealed: .Hand hygiene continues to be the primary means of preventing the transmission of infection. The following is a list of some of the situations that require hand hygiene .After handling soiled equipment or utensils .After removing gloves or aprons . RI #72 was readmitted to the facility on [DATE]. A current diagnosis included a pressure ulcer of unspecified elbow, Stage 3. On 08/16/18 at 10:36 a.m., an observation was made during the wound care of RI # 72. [...]

Fire safety inspections

14 fire safety citations on file: 5 on April 21, 2022, 5 on September 5, 2019, 4 on August 16, 2018.

Every fire safety citation14 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 21, 2022 · Corrected (the home has a date of correction)
  2. E
    Install corridor and hallway doors that block smoke.
    K 363 · April 21, 2022 · Corrected (the home has a date of correction)
  3. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · April 21, 2022 · Corrected (the home has a date of correction)
  4. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · April 21, 2022 · Corrected (the home has a date of correction)
  5. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · April 21, 2022 · Corrected (the home has a date of correction)
  6. E
    Install corridor and hallway doors that block smoke.
    K 363 · September 5, 2019 · Corrected (the home has a date of correction)
  7. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · September 5, 2019 · Corrected (the home has a date of correction)
  8. E
    Have simulated fire drills held at unexpected times.
    K 712 · September 5, 2019 · Corrected (the home has a date of correction)
  9. E
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · September 5, 2019 · Corrected (the home has a date of correction)
  10. D
    Install an approved automatic sprinkler system.
    K 351 · September 5, 2019 · Corrected (the home has a date of correction)
  11. E
    Install corridor and hallway doors that block smoke.
    K 363 · August 16, 2018 · Corrected (the home has a date of correction)
  12. D
    Have properly located and lighted "Exit" signs.
    K 293 · August 16, 2018 · Corrected (the home has a date of correction)
  13. D
    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
    K 343 · August 16, 2018 · Corrected (the home has a date of correction)
  14. D
    Meet requirements for the use and maintenance of medical gas equipment.
    K 922 · August 16, 2018 · 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.

MeasureThis homeAlabamaUnited States
All nursing staff (RN, LPN and aides)3.363.883.86
Registered nurses0.490.650.69
All nursing staff on weekends2.893.263.42
Nurse aides2.29
Licensed practical nurses0.58
Nursing staff turnover (share who left in a year)36.8%46.9%45.8%
Registered nurse turnover36.4%39.5%42.9%
Administrators who left0

CMS expects 3.12 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 3.55 on weekdays and 2.89 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 3.58 in April to June 2025 to 3.36 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.360.493.552.89 0.0%0 of 90108
Oct to Dec 20253.460.513.593.14 0.0%0 of 92102
Jul to Sep 20253.610.573.853.01 0.0%0 of 9298
Apr to Jun 20253.580.513.793.07 0.0%0 of 91101
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Alabama, Jan to Mar 20263.880.634.133.270.9%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

JobMedianMiddle halfEmployed
Alabama, all employers
CNAs (nursing assistants)$16.41$14.45 to $17.4925,250
LPNs and LVNs$27.42$23.15 to $29.7111,580
Registered nurses$37.06$30.53 to $40.0954,340
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

MeasureThis homeAlabamaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.512.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.60.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.02.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.83.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.82.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
8.412.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.25.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
23.421.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
16.624.823.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
18.811.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.32.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.71.8

Owners and operators

Legal business name: SUMTER HEALTH AND REHABILITATION, LLC. CMS links this home to Nhs Management, a group of 43 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Northport Holding Operations, LLC5% or greater direct ownership interestOrganization100%01/01/2003
James N Estes Jr Family Dynasty Tr No 25% or greater indirect ownership interestOrganization18%12/27/2012
James Norman Estes Jr Tr5% or greater indirect ownership interestOrganization6%06/30/2013
Jennifer E Agee Family Dynasty Tr No 25% or greater indirect ownership interestOrganization18%12/17/2012
Jennifer Lee Estes Tr 0310935% or greater indirect ownership interestOrganization6%06/30/2013
Estes, James5% or greater indirect ownership interestIndividual51%12/02/1999
Capital Funding LLC5% or greater mortgage interestOrganization06/01/2012
Capital Funding LLC5% or greater security interestOrganization06/01/2012
Holding Facilities Group LLC5% or greater security interestOrganization06/01/2012
Servisfirst Bank5% or greater security interestOrganization08/29/2018
Sumter Health Realty LLC5% or greater security interestOrganization06/01/2012
Dampeer, JoeW-2 managing employeeIndividual12/24/2021
Boyd, CaseyCorporate directorIndividual04/28/2023
Duffy, MarciaCorporate directorIndividual12/12/2003
Rasco, LynnCorporate directorIndividual07/01/2022
Estes, JamesCorporate officerIndividual12/02/1999
Long, PhillipCorporate officerIndividual10/01/2019
Boyd, CaseyOperational/managerial controlIndividual04/28/2023
Dampeer, JoeOperational/managerial controlIndividual12/24/2021
Duffy, MarciaOperational/managerial controlIndividual12/12/2003
Rasco, LynnOperational/managerial controlIndividual07/01/2022

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.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems 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."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on September 5, 2019: "Provide and implement an infection prevention and control program."
  3. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on April 21, 2022: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on April 21, 2022: "Assure that each resident’s assessment is updated at least once every 3 months."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.89 hours per resident per day, below the Alabama average of 3.26.

Other nursing homes nearby

Alabama contacts for a concern about a nursing home

These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.

Common questions

What is Sumter Health and Rehabilitation, L L C's Medicare star rating?
CMS rates Sumter Health and Rehabilitation, L L C 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Sumter Health and Rehabilitation, L L C get at its last inspection?
2 health deficiencies at the standard inspection on April 21, 2022. The Alabama average is 4.
Has Sumter Health and Rehabilitation, L L C been fined?
CMS lists no fines in the last three years.
Does Sumter Health and Rehabilitation, L L C 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 Sumter Health and Rehabilitation, L L C?
CMS lists 21 owners and managers, and links the home to Nhs Management. Legal business name: SUMTER HEALTH AND REHABILITATION, LLC.

Sources

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