5968 Wall Triana Highway, Madison, AL 35757 · Madison County · (256) 830-2316
155 certified beds, about 147 residents a day · For profit - Corporation · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015431 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 22, 2022, inspectors cited 5 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 10 health citations since July 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 4.42 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.
70.8% 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.
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 10 health citations on file.
Inspectors wroteBased on observations, interviews, and review of the facility policies titled, Hand Hygiene and Using Gloves, the facility failed to ensure staff followed infection control measures to prevent the spread of infections including COVID-19. Specifically, the facility failed to ensure: 1. housekeeping staff changed gloves and completed hand hygiene when cleaning resident rooms on one (100 Hall) of seven halls; and, 2. clean laundry was covered during transport and delivery on one (100 Hall) of seven halls.
Inspectors wroteBased on observations, interviews, record review and review of facility policies titled Hygiene and Grooming and Perineal Care, the facility failed to ensure Resident Identifier (RI) #5 received the necessary assistance for activities of daily living (ADLs) in accordance with the resident's assessed and care planned needs. This affected one (RI #5) of three sampled residents reviewed for ADLs. Specifically, the facility failed to ensure: 1) RI #5 was regularly provided with showers and other personal hygiene/grooming care, such as shampooing of hair and shaving of facial hair; and 2) RI #5 received perineal care promptly after incontinent episodes to promote good hygiene and prevent odors and potential skin breakdown.
Inspectors wroteBased on observations, interviews, record review, and review of the facility policy titled, Activity Program Management, the facility failed to ensure Resident Identifier (RI) #5 was regularly invited and assisted to attend scheduled activities. This affected one (RI #5) of three sampled residents reviewed for activities.
Inspectors wroteBased on observations, record review, interviews, and review of the facility policy titled, Medication Administration Procedures Enteral Tube Administration, the facility failed to ensure the nurse checked for proper placement of Resident Identifier (RI) #37's gastrostomy tube (g-tube) prior to administering medications through the tube. This deficient practice affected one of one sampled resident reviewed for g-tube care.
Inspectors wroteBased on observations, record review, interviews, and review of the facility policy titled, Medication Storage - Storage of Medications and Biologicals, the facility failed to ensure medications were stored in a secure location and not left in Resident Identifier (RI) #126's room. This affected one (RI #126) of 40 sampled residents whose rooms were observed.
Inspectors wroteBased on interview, resident record review, review of a facility GRIEVANCE/COMPLAINT REPORT for Resident Identifier (RI) #364, and review of the facility admission AGREEMENT, the facility failed to assist RI #364 with locating resources for and making appointments to have hearing aids replaced that were lost during RI #364's stay at the facility. This affected one of two residents reviewed for sensory communication.
Inspectors wroteBased on observation, interview, record review, review of CDC INFECTION PREVENTION DURING BLOOD GLUCOSE MONITORING AND INSULIN ADMINISTRATION, and review of a facility policy titled HAND HYGIENE, the facility failed to ensure licensed staff: 1. Did not place the glucose meter and vial of glucose test strips in his pocket while washing hands, 2. Did not open a vial of glucose test strips with a gloved hand, after performing a finger stick on Resident Identifier (RI) #19, and 3. Washed hands after removal of gloves, before touching the medication cart and preparing RI #19's medications. This was observed during medication administration on 8/21/2019 at 5:25 PM and affected one of four nurses observed during medication administration observation.
Inspectors wroteBased on observation, interviews and a review of the facility's policies related to thermometer sanitization, food holding temperatures, and therapeutic supplements, staff failed to ensure: 1) the thermometer used to measure food temperatures on the 07/10/18 tray line (500/600 Hall) was effectively sanitized between uses; 2) meat was served from the above tray line was held and served at recommended safe and sanitary temperatures; and 3) commercially prepared milkshakes were discarded from one of three nursing pantry refrigerators in a once the use by date was exceeded. This had the potential to affect all 134 residents for whom meals were prepared and served at the time of this survey.
Inspectors wroteBased on observation, interview and review of a facility policy titled Perineal Care, the facility failed to ensure a Certified Nursing Assistant (CNA) did not clean bowel movement from Resident Identifier (RI) #85, a resident with a history of Urinary Tract Infections (UTI)s, then handle a clean brief without changing her gloves or washing her hands. This was observed on 7/11/18 and affected one of one resident observed for perineal care. Findings Include: A review of a facility policy Perineal Care with an effective date of October 1, 2010 revealed: PURPOSE: Good perineal care helps prevent infection, irritation and skin breakdown. RI #85 was admitted to the facility 12/15/12 and readmitted on [DATE] with a diagnosis of Personal history of Urinary Tract Infections. [...]
Inspectors wroteBased on observation, interviews and the policy, 'Garbage and Refuse, the facility failed to maintain the area surrounding the dumpsters in a condition free of debris. This had the potential to affect all 140 residents in the facility.
11 fire safety citations on file: 2 on April 22, 2022, 6 on August 22, 2019, 3 on July 12, 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) | 4.42 | 3.88 | 3.86 |
| Registered nurses | 0.72 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.87 | 3.26 | 3.42 |
| Nurse aides | 2.85 | ||
| Licensed practical nurses | 0.85 | ||
| Nursing staff turnover (share who left in a year) | 70.8% | 46.9% | 45.8% |
| Registered nurse turnover | 75.0% | 39.5% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.43 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 4.64 on weekdays and 3.87 on weekends, 17% 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 4.05 in April to June 2025 to 4.42 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 | 4.42 | 0.72 | 4.64 | 3.87 | 0.0% | 0 of 90 | 147 |
| Oct to Dec 2025 | 4.21 | 0.71 | 4.39 | 3.75 | 0.0% | 0 of 92 | 146 |
| Jul to Sep 2025 | 3.72 | 0.55 | 3.82 | 3.46 | 0.0% | 0 of 92 | 136 |
| Apr to Jun 2025 | 4.05 | 0.76 | 4.31 | 3.39 | 0.0% | 0 of 91 | 133 |
| 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 | 7.0 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.5 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.6 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.4 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 32.7 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.3 | 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 | 0.6 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Valley View 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 (64.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
64.2% 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. 452 eligible stays.
9.6% 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. 483 eligible stays.
5.5% 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. 253 eligible stays.
42.4% 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. 177 residents counted.
1.2% 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. 257 residents counted.
2.0% 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. 257 residents counted.
90.7% this home
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. 150 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: VALLEY VIEW 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 | |
| Valley View Health Realty LLC | 5% or greater security interest | Organization | 12/01/2002 | |
| Ward, Sonny | Managing control - governing body | Individual | 05/10/2024 | |
| Cox, Tammy | Corporate director | Individual | 10/23/2023 | |
| Rasco, Lynn | Corporate director | Individual | 07/01/2022 | |
| Estes, James | Corporate officer | Individual | 10/08/2002 | |
| Long, Phillip | Corporate officer | Individual | 10/01/2019 | |
| Cox, Tammy | Operational/managerial control | Individual | 10/23/2023 | |
| Rasco, Lynn | Operational/managerial control | Individual | 07/01/2022 | |
| Ward, Sonny | Operational/managerial control | Individual | 12/02/2024 | |
| Ward, Sonny | Adp of the SNF | Individual | 02/04/2025 |
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.