Nursing homeActive
Opp Health And Rehabilitation, LLC
115 Paulk Avenue, Opp, AL 364673344934558197 certified beds · 163 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2018
Deficiencies
6
● 0● 6● 0
Penalties · 3 yrs
—
none on file
Last survey
2020-03-02
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2020-03-02 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2019-05-22 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2018-07-26 | Standard | 020 | CMS-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.
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 2020-04-05Record 015210-20200302-F812
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 2019-06-25Record 015210-20190522-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-06-25Record 015210-20190522-F695
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 2019-06-25Record 015210-20190522-F812
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 2018-08-30Record 015210-20180726-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 2018-08-30Record 015210-20180726-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.46
Facility
Alabama
National
Alabama 0.65 · National 0.69
Total nurse hours per resident day3.40
Facility
Alabama
National
Alabama 3.88 · National 3.86
Weekend total nurse hours2.87
Facility
Alabama
National
Alabama 3.26 · National 3.42
Total nursing staff turnover45%
Facility
Alabama
National
Alabama 47% · National 46%
Registered nurse turnover41%
Facility
Alabama
National
Alabama 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Alabama | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.6% | 5.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.1% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 30.4% | 21.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.0% | 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 | 7.2% | 12.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.4% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 22.1% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Nhs Operations LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Estes, James Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 89% | — | — |
| James Norman Estes Jr Tr Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | — | — |
| Jennifer Lee Estes Tr 031093 Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | — | — |
| Baggett, Bryan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Perkins, Jeanell Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rasco, Lynn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Richburg, Julie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Baggett, Bryan Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Estes, James Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Long, Phillip Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Nhs Facilities Group LLC Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Opp Health Realty, LLC Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Perkins, Jeanell Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rasco, Lynn Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Regions Bank Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Richburg, Julie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Richburg, Julie Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Servisfirst Bank Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Nhs Management — 43 facilities
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 Covington.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Elba Nursing And Rehabilitation Center, LLC Elba | 14.1 mi | 2022-05-17 | 000 |
| Andalusia Manor Andalusia | 14.4 mi | 2024-01-04 | 020 |
| Florala Health And Rehabilitation LLC Florala | 20.5 mi | 2022-08-24 | 000 |
| Enterprise Health & Rehabilitation Center Enterprise | 24.7 mi | 2026-01-18 | 023 |
| Luverne Health And Rehabilitation, LLC Luverne | 29.2 mi | 2021-07-29 | 000 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |