Tallassee Health and Rehabilitation, LLC
2639 Gilmer Avenue, Tallassee, AL 36078 · Elmore County · (334) 283-3975
111 certified beds, about 105 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1976
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015139 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 3, 2022, inspectors cited 7 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 8 health citations since November 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 3.59 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
56.1% 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.
011/18
110/19
711/22
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
6D
0E
2F
Potential for minimal harm
0A
0B
0C
November 3, 2022Standard inspection · 7 citations
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview, the Resident Council Meeting on 11/2/22, a Test Tray on 11/3/22, and the facility's Week 3 S/S (Spring/Summer) menu for Thursday (11/3/22); the facility failed to ensure hot food was served hot. This had the potential to affect 87 of 87 residents receiving meals from the kitchen. Findings Include: A Resident Council Meeting was held on 11/02/22 at 2:56 PM with eleven residents attending. During this meeting, all of the residents attending complained that hot foods were being served cold. The facility's Week 3 S/S menu for Lunch on Thursday (11/03/22) included the following items for the Regular Diet: Salisbury Steak, Rice, Seasoned Greens, Cornbread, and Frosted Cake. A tray line observation on 11/03/22 revealed the following: 10:58 AM Preparations for setting up lunch tray line starting. [...]
- 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 Code of the United States (U.S.) Public Health Service and U.S. Food and Drug Administration (FDA); the facility failed to ensure: 1.) expired milk and sour cream were not served to residents on 11/1/22 and 11/2/22, 2.) cross-contamination did not occur when forced air passed through dirty grids/grates and then onto cleaned dishes on 11/1/22, and 3.) food was not stored on the floor on 11/1/22. This had the potential to affect 87 of 87 residents receiving meals from the kitchen. Findings Include: 1.) The 2017 Food Code of the U.S. Public Health Service and the FDA included the following: . 3-501.17 Ready-to-Eat, Time/Temperature Control for Safety Food, Date Marking. (B) . [...]
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on an observation, interviews and review of facility policies titled, Medication Administration Procedures Oral Inhalation and Medication Administration procedures Self -Administration of Medications, the facility failed to ensure the licensed nurse remained with (Resident Identifier) RI #5, a resident not assessed to self-administer his/her nebulizer breathing treatment, when RI #5 received a nebulizer treatment on 11/01/22. This deficient practice affected RI #5; one of two sampled residents observed receiving a nebulizer breathing treatment. Findings Include: Review of facility policy titled, Medication Administration Procedures Oral Inhalation, dated 04/20, revealed the following: . Policy: To allow for safe, accurate, and effective administration of medication using . nebulizer. Nebulizer- . 11. [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview, record review, and review of Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User ' s Manual, the facility failed to ensure Resident Identifier (RI) 5's Minimum Quarterly Data Set (MDS), with an Assessment Reference Date (ARD) of 09/06/22 was accurately coded to reflect RI #5 has a diagnosis of Asthma. This deficient practice affected RI #5, one of six sampled resident's whose MDS's were reviewed. Findings Include: A review of the Centers for Medicare & Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User ' s Manual, dated October 2019, revealed: . SECTION I: ACTIVE DIAGNOSES Intent: [...]
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interviews, record review and review of a facility policy titled Wheelchairs and Rock-N-Go Wheelchairs, the facility failed to ensure a CNA (Certified Nursing Assistant), Employee Identifier (EI) #9, safely pushed Resident Identifier (RI) #32 in his/her wheelchair in the hallway on 11/01/2022. This deficient practice affected RI #32; one of 12 sampled residents observed in wheelchairs during the survey.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, medical record review and a facility policy titled, Weight Change and Malnutrition, the facility failed to ensure Resident Identifier (RI) #74, a resident at risk for weight loss, received an ordered supplement. This affected RI #74, one of two residents who were sampled for weight loss concerns and who was observed during two meal observations. Findings Include: A review of a facility policy titled, Weight Change and Malnutrition with an effective date of 03/17/2016, documented: .PURPOSE: Maintenance of adequate nutrition and hydration is necessary for the Resident/Guest to maintain health, and prevent complications such as malnutrition . RI #74 was admitted to the facility 06/03/2021 and readmitted [DATE] with diagnoses that included Dementia and Acute Kidney Failure. A review of RI #74's Physician Orders dated November 2022 documented the following: [...]
- D Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, interview, a Test Tray on 11/03/22, and the facility's Week 3 S/S (Spring/Summer) menu for Thursday (11/03/22); the facility failed to ensure the approved menu serving sizes were served for roast turkey, which was the alternate meat for lunch, and for fruit cocktail, which was used as a dessert substitute at lunch. This had the potential to affect 3 of 87 residents receiving meals from the kitchen. Findings Include: The facility's Week 3 S/S menu for Lunch on Thursday (11/03/22) included the following items for the Regular Diet: Salisbury Steak, Rice, Seasoned Greens, Cornbread, and Frosted Cake. In addition, the menu specified 3 oz (ounces) Turkey Roasted to be served at Lunch for the alternate meat choice. On the same menu at Supper, a fruit service portion for Peaches was identified as 4 oz. [...]
October 17, 2019Standard inspection · 1 citation
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview, review of the facility's Non-Controlled Drugs Record of Medication Destruction forms and review of a facility policy titled, Non-Controlled Medication Destruction, the facility failed to ensure the Non-Controlled Drugs Record of Medication Destruction forms had the required signatures. This was noted on two of eight months (February 2019 and June 2019) of Non-Controlled Medication Destruction forms reviewed.
November 15, 2018Standard inspection · 0 citations
Fire safety inspections
23 fire safety citations on file: 13 on November 3, 2022, 3 on October 17, 2019, 7 on November 15, 2018.
Every fire safety citation23 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 Install an approved automatic sprinkler system.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D Have properly located and lighted "Exit" signs.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
- D Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure proper usage of power strips and extension cords.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
- D Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- D Install corridor and hallway doors that block smoke.
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) | 3.59 | 3.88 | 3.86 |
| Registered nurses | 0.60 | 0.65 | 0.69 |
| All nursing staff on weekends | 2.91 | 3.26 | 3.42 |
| Nurse aides | 2.30 | ||
| Licensed practical nurses | 0.70 | ||
| Nursing staff turnover (share who left in a year) | 56.1% | 46.9% | 45.8% |
| Registered nurse turnover | 52.9% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.10 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 3.87 on weekdays and 2.91 on weekends, 25% 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 3.42 in April to June 2025 to 3.59 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 | 3.59 | 0.60 | 3.87 | 2.91 | 0.0% | 0 of 90 | 105 |
| Oct to Dec 2025 | 3.97 | 0.58 | 4.35 | 3.02 | 0.0% | 0 of 92 | 100 |
| Jul to Sep 2025 | 3.87 | 0.60 | 4.17 | 3.09 | 0.0% | 0 of 92 | 99 |
| Apr to Jun 2025 | 3.42 | 0.46 | 3.74 | 2.62 | 0.0% | 0 of 91 | 99 |
| 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 | 4.9 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.2 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.5 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.9 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.4 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 47.9 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.1 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.7 | 1.8 |
Owners and operators
Legal business name: TALLASSEE 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 |
|---|---|---|---|---|
| Millennium Health Operations, LLC | 5% or greater direct ownership interest | Organization | 100% | 10/08/2002 |
| James N Estes Jr Family Dynasty Tr No 2 | 5% or greater indirect ownership interest | Organization | 8% | 09/30/2019 |
| Jennifer E Agee Family Dynasty Tr No 2 | 5% or greater indirect ownership interest | Organization | 8% | 09/30/2019 |
| Estes, James | 5% or greater indirect ownership interest | Individual | 83% | 10/08/2002 |
| Regions Bank | 5% or greater security interest | Organization | 08/27/2012 | |
| Tallassee Health Realty LLC | 5% or greater security interest | Organization | 07/01/2003 | |
| 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 | 10/08/2002 | |
| Long, Phillip | Corporate officer | Individual | 10/01/2019 | |
| Baggett, Bryan | Operational/managerial control | Individual | 05/27/2024 | |
| Nettles, Cameronesha | Operational/managerial control | Individual | 12/16/2024 | |
| Rasco, Lynn | Operational/managerial control | Individual | 07/01/2022 | |
| Richburg, Julie | Operational/managerial control | Individual | 12/11/2014 | |
| Nettles, Cameronesha | 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.
- 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 November 3, 2022: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on November 3, 2022: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on November 3, 2022: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on November 3, 2022: "Ensure each resident receives an accurate assessment."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.91 hours per resident per day, below the Alabama average of 3.26.
Other nursing homes nearby
- Wetumpka Health and Rehabilitation, LLC Wetumpka, 16.5 mi · 1 of 5 stars · 18 citations
- Magnolia Haven Health and Rehabilitation Center Tuskegee, 17.2 mi · 1 of 5 stars · 30 citations
- Dadeville Healthcare Center Dadeville, 20.9 mi · 3 of 5 stars · 16 citations
- Hillview Terrace Montgomery, 22.3 mi · 2 of 5 stars · 16 citations
- Merry Wood Lodge Elmore, 22.4 mi · 1 of 5 stars · 17 citations
- Montgomery Children's Specialty Center Montgomery, 22.7 mi · 3 of 5 stars · 12 citations
- Chapman Healthcare Center, Inc Alexander City, 23.5 mi · 5 of 5 stars · 5 citations
- Crowne Health Care of Montgomery Montgomery, 23.7 mi · 4 of 5 stars · 5 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 Tallassee Health and Rehabilitation, LLC's Medicare star rating?
- CMS rates Tallassee Health and Rehabilitation, LLC 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Tallassee Health and Rehabilitation, LLC get at its last inspection?
- 7 health deficiencies at the standard inspection on November 3, 2022. The Alabama average is 4.
- Has Tallassee Health and Rehabilitation, LLC been fined?
- CMS lists no fines in the last three years.
- Does Tallassee 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 Tallassee Health and Rehabilitation, LLC?
- CMS lists 16 owners and managers, and links the home to Nhs Management. Legal business name: TALLASSEE 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.