Nursing homeActive

Wetumpka Health And Rehabilitation, LLC

1825 Holtville Road, Wetumpka, AL 360923345675131121 certified beds · 114 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2019
Deficiencies
18
1170
Penalties · 3 yrs
none on file
Last survey
2023-12-07
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Alabama Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2023-12-07Standard1140CMS-2567 (Care Compare)
2022-01-27Standard000CMS-2567 (Care Compare)
2019-04-25Standard030CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Alabama Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2023-12-07Standard survey · 15 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 015027-20231207-F580
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 015027-20231207-F584
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 015027-20231207-F609
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 015027-20231207-F644
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 015027-20231207-F658
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 015027-20231207-F686
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 015027-20231207-F698
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 015027-20231207-F755
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 015027-20231207-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 015027-20231207-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 015027-20231207-F812
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 015027-20231207-F814
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 015027-20231207-F880
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 015027-20231207-F908
F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2024-01-11Record 015027-20231207-F809
2019-04-25Standard survey · 3 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-23Record 015027-20190425-F641
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-23Record 015027-20190425-F655
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-05-23Record 015027-20190425-F812

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.55
Facility
Alabama
National
Alabama 0.65 · National 0.69
Total nurse hours per resident day3.72
Facility
Alabama
National
Alabama 3.88 · National 3.86
Weekend total nurse hours3.07
Facility
Alabama
National
Alabama 3.26 · National 3.42
Total nursing staff turnover50%
Facility
Alabama
National
Alabama 47% · National 46%
Registered nurse turnover62%
Facility
Alabama
National
Alabama 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityAlabamaNational
Percentage of long-stay residents with pressure ulcers
lower is better
5.9%5.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.7%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
22.8%21.2%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.7%2.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.6%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
11.5%12.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.8%5.4%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
26.7%24.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Nhs Operations LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Estes, James
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST89%
James Norman Estes Jr Tr
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST5%
Jennifer Lee Estes Tr 031093
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST5%
Algarin, Lisa
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Baggett, Bryan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Rasco, Lynn
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Richburg, Julie
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Algarin, Lisa
Individual
ADP OF THE SNFNOT APPLICABLE
Baggett, Bryan
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Berkadia Commercial Mortgage LLC
Organization
5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
Berkadia Commercial Mortgage LLC
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Estes, James
Individual
CORPORATE OFFICERNOT APPLICABLE
Long, Phillip
Individual
CORPORATE OFFICERNOT APPLICABLE
Rasco, Lynn
Individual
CORPORATE DIRECTORNOT APPLICABLE
Regions Bank
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Richburg, Julie
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Wetumpka Health Realty LLC
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Part of a chain
Nhs Management43 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Alabama.

No county cost figures on file for Elmore.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Merry Wood Lodge
Elmore
5.9 mi2024-10-17126
Montgomery Children's Specialty Center
Montgomery
10.1 mi2023-05-25000
Hillview Terrace
Montgomery
12.4 mi2020-03-05000
Crowne Health Care Of Montgomery
Montgomery
12.4 mi2023-04-17000
Charlton Place Rehab And Healthcare Center
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11.9 mi2020-12-10000
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01