Home / Owners / James Norman Estes JR TR
Nursing homes owned by James Norman Estes JR TR
The CMS ownership file lists James Norman Estes JR TR with an ownership interest in 40 certified nursing homes with 5,150 beds in Alabama (30), Arkansas (5), Florida (5).
CMS ownership and Care Compare data as of September 1, 2026
These homes are largely the same group CMS tracks as the chain Nhs Management. That page has the group's full record.
What the ownership file says
CMS lists James Norman Estes JR TR as a direct owner of 10 homes, indirect owner of 30 homes. Its earliest ownership association date on file is August 20, 2002, the latest October 6, 2015.
An indirect owner holds its stake through another company. Owners are listed by the homes themselves when they enroll in Medicare and Medicaid; the file names owners with a 5% or greater stake and the companies with control over operations.
CMS also groups these homes into the chain Nhs Management (40).
The homes' record in brief
40 of the 40 homes have a CMS overall rating, averaging 2.9 stars against a national average of 3. 40 are for profit, 0 nonprofit; 40 are certified for Medicaid.
Across the inspections on file the homes carry 532 health citations; 13 citations were rated actual harm or immediate jeopardy, 10 immediate jeopardy. At their latest standard inspections they averaged 4.0 health deficiencies (national 9.2).
3 homes were fined in the last three years, $51,504 across 3 fines. Average nursing staff turnover was 49.4% (national 45.8%).
Staffing at these homes, January to March 2026
| Hours per resident per day | These homes | United States |
|---|---|---|
| All nursing staff | 3.88 | 3.75 |
| Registered nurses | 0.55 | 0.62 |
| Weekdays | 4.12 | 3.92 |
| Weekends | 3.27 | 3.33 |
| Share of nursing hours by contract staff | 0.0% | 5.3% |
Daily payroll records of 40 homes, summed. Weekends ran 21% below weekdays. Source: CMS Payroll Based Journal Daily Nurse Staffing.
Every home it owns
| Home | City | State | Role in the CMS file | Share | Overall | Citations | Fines |
|---|---|---|---|---|---|---|---|
| Athens Health and Rehabilitation LLC | Athens | AL | Indirect owner (5% or more), since October 2015 | 6% | 5 | 10 | |
| Civic Center Health and Rehabilitation, LLC | Birmingham | AL | Indirect owner (5% or more), since August 2002 | 5% | 2 | 10 | |
| Northway Health and Rehabilitation, LLC | Birmingham | AL | Indirect owner (5% or more), since June 2013 | 6% | 3 | 11 | |
| Oak Knoll Health and Rehabilitation, LLC | Birmingham | AL | Indirect owner (5% or more), since August 2002 | 5% | 3 | 12 | |
| South Haven Health and Rehabilitation, LLC | Birmingham | AL | Indirect owner (5% or more), since July 2013 | 6% | 3 | 12 | |
| South Health and Rehabilitation, LLC | Birmingham | AL | Indirect owner (5% or more), since August 2002 | 5% | 2 | 6 | |
| Columbiana Health and Rehabilitation, LLC | Columbiana | AL | Indirect owner (5% or more), since June 2013 | 6% | 4 | 4 | $8,018 |
| Crossville Health and Rehabilitation, LLC | Crossville | AL | Indirect owner (5% or more), since June 2013 | 6% | 5 | 12 | |
| Florala Health and Rehabilitation LLC | Florala | AL | Indirect owner (5% or more), since June 2013 | 6% | 3 | 3 | |
| Georgiana Health and Rehabilitation, LLC | Georgiana | AL | Indirect owner (5% or more), since April 2003 | 5% | 4 | 5 | |
| Aspire Physical Recovery Center at Hoover, LLC | Hoover | AL | Indirect owner (5% or more), since June 2013 | 6% | 1 | 12 | |
| Huntsville Health & Rehabilitation, LLC | Huntsville | AL | Indirect owner (5% or more), since June 2013 | 6% | 1 | 19 | |
| Jacksonville Health and Rehabilitation, LLC | Jacksonville | AL | Indirect owner (5% or more), since June 2013 | 6% | 3 | 12 | |
| Lineville Health and Rehabilitation, LLC | Lineville | AL | Indirect owner (5% or more), since November 2002 | 5% | 5 | 5 | |
| Luverne Health and Rehabilitation, LLC | Luverne | AL | Indirect owner (5% or more), since November 2002 | 5% | 4 | 8 | |
| Ashland Place Health and Rehabilitation, LLC | Mobile | AL | Indirect owner (5% or more), since June 2013 | 6% | 3 | 11 | |
| Gulf Coast Health and Rehabilitation, LLC | Mobile | AL | Indirect owner (5% or more), since June 2013 | 6% | 2 | 11 | |
| Palm Gardens Health and Rehabilitation, LLC | Mobile | AL | Indirect owner (5% or more), since June 2013 | 6% | 5 | 4 | |
| Moundville Health and Rehabilitation, LLC | Moundville | AL | Indirect owner (5% or more), since November 2002 | 5% | 4 | 10 | |
| Aspire Physical Recovery Center of West Alabama | Northport | AL | Indirect owner (5% or more), since January 2015 | 4 | 6 | ||
| Glen Haven Health and Rehabilitation, LLC | Northport | AL | Indirect owner (5% or more), since November 2002 | 5% | 1 | 9 | |
| Hunter Creek Health and Rehabilitation, LLC | Northport | AL | Indirect owner (5% or more), since November 2002 | 5% | 3 | 9 | |
| Park Manor Health and Rehabilitation, LLC | Northport | AL | Indirect owner (5% or more), since November 2002 | 5% | 3 | 11 | |
| Opp Health and Rehabilitation, LLC | Opp | AL | Indirect owner (5% or more), since November 2002 | 5% | 3 | 6 | |
| Ozark Health and Rehabilitation, LLC | Ozark | AL | Indirect owner (5% or more), since November 2002 | 5% | 3 | 5 | |
| Legacy Health and Rehabilitation of Pleasant Grove | Pleasant Grove | AL | Indirect owner (5% or more), since July 2013 | 6% | 1 | 18 | |
| Prattville Health and Rehabilitation, LLC | Prattville | AL | Indirect owner (5% or more), since June 2013 | 6% | 1 | 20 | |
| Aspire Physical Recovery Center at Cahaba River | Vestavia | AL | Indirect owner (5% or more), since June 2013 | 6% | 1 | 17 | $16,801 |
| Wetumpka Health and Rehabilitation, LLC | Wetumpka | AL | Indirect owner (5% or more), since August 2002 | 5% | 1 | 18 | |
| Sumter Health and Rehabilitation, L L C | York | AL | Indirect owner (5% or more), since June 2013 | 6% | 3 | 8 | |
| Fayetteville Health and Rehabilitation Center | Fayetteville | AR | Direct owner (5% or more), since December 2006 | 3 | 29 | ||
| Covington Court Health and Rehabilitation Center | Fort Smith | AR | Direct owner (5% or more), since December 2006 | 5 | 19 | ||
| Legacy Health and Rehabilitation Center | Fort Smith | AR | Direct owner (5% or more), since December 2006 | 2 | 34 | ||
| Paris Health and Rehabilitation Center | Paris | AR | Direct owner (5% or more), since December 2006 | 3 | 20 | ||
| Springdale Health and Rehabilitation Center | Springdale | AR | Direct owner (5% or more), since December 2006 | 2 | 20 | ||
| Crystal River Health and Rehabilitation Center | Crystal River | FL | Direct owner (5% or more), since June 2013 | 6% | 4 | 26 | |
| Daytona Beach Health and Rehabilitation Center | Daytona Beach | FL | Direct owner (5% or more), since June 2013 | 6% | 5 | 7 | |
| Ocala Health and Rehabilitation Center | Ocala | FL | Direct owner (5% or more), since June 2013 | 6% | 4 | 20 | |
| St. Augustine Health and Rehabilitation Center | Saint Augustine | FL | Direct owner (5% or more), since June 2013 | 6% | 1 | 16 | $26,685 |
| West Melbourne Health & Rehabilitation Center | West Melbourne | FL | Direct owner (5% or more), since June 2013 | 6% | 2 | 37 |
Source: CMS Ownership, data as of September 1, 2026, as the homes reported it. Name spelling follows the file; spellings that differ only in punctuation are combined. Being listed as an owner is a fact of record, not a finding about care. Something wrong? Ask for a correction.