Nursing homeActive

Georgiana Health And Rehabilitation, LLC

206 Palmer Avenue, Georgiana, AL 36033334376226791 certified beds · 79 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2018
Deficiencies
5
050
Penalties · 3 yrs
none on file
Last survey
2019-12-05
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 2
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
2019-12-05Standard010CMS-2567 (Care Compare)
2018-12-13Standard030CMS-2567 (Care Compare)
2018-02-22Standard010CMS-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.

2019-12-05Standard survey · 1 deficiencyOfficial report
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 2019-12-21Record 015182-20191205-F880
2018-12-13Standard survey · 3 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-01-09Record 015182-20181213-F656
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-01-09Record 015182-20181213-F690
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 2019-01-03Record 015182-20181213-F880
2018-02-22Standard survey · 1 deficiencyOfficial report
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-03-12Record 015182-20180222-F607

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.50
Facility
Alabama
National
Alabama 0.65 · National 0.69
Total nurse hours per resident day4.29
Facility
Alabama
National
Alabama 3.88 · National 3.86
Weekend total nurse hours3.25
Facility
Alabama
National
Alabama 3.26 · National 3.42
Total nursing staff turnover39%
Facility
Alabama
National
Alabama 47% · National 46%
Registered nurse turnover36%
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
1.9%5.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.6%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
34.1%21.2%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.6%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
8.1%12.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.8%5.4%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
22.9%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%
Hartley, Matilda
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Macdonald-Lamier, Starann
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Rasco, Lynn
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Simmons, Alice
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Estes, James
Individual
CORPORATE OFFICERNOT APPLICABLE
Georgiana Health Realty, LLC
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Hartley, Matilda
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Long, Phillip
Individual
CORPORATE OFFICERNOT APPLICABLE
Macdonald-Lamier, Starann
Individual
CORPORATE DIRECTORNOT APPLICABLE
Nhs Facilities Group LLC
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Rasco, Lynn
Individual
CORPORATE DIRECTORNOT APPLICABLE
Regions Bank
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Servisfirst Bank
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Simmons, Alice
Individual
CORPORATE DIRECTORNOT 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 Butler.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Crowne Health Care Of Greenville
Greenville
15.3 mi2022-01-12000
Evergreen Nursing Home
Evergreen
19.3 mi2020-03-12000
Andalusia Manor
Andalusia
28.4 mi2024-01-04020
Luverne Health And Rehabilitation, LLC
Luverne
28.3 mi2021-07-29000
Orchard Rehabilitation & Healthcare Center
Hayneville
39.2 mi2021-04-11000
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