Nursing homeActive
Valley View Health And Rehabilitation, LLC
5968 Wall Triana Highway, Madison, AL 357572568302316155 certified beds · 147 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2018
Deficiencies
10
● 1● 9● 0
Penalties · 3 yrs
—
none on file
Last survey
2022-04-22
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 3
Quality 5
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 |
|---|---|---|---|---|
| 2022-04-22 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2019-08-22 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2018-07-12 | Standard | 120 | 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.
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-27Record 015431-20220422-F677
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-27Record 015431-20220422-F679
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-05-27Record 015431-20220422-F693
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 2022-05-27Record 015431-20220422-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-05-27Record 015431-20220422-F880
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-09-26Record 015431-20190822-F685
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 2019-09-26Record 015431-20190822-F880
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 2018-08-16Record 015431-20180712-F690
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 2018-08-16Record 015431-20180712-F812
F814Dispose of garbage and refuse properly.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2018-08-16Record 015431-20180712-F814
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.72
Facility
Alabama
National
Alabama 0.65 · National 0.69
Total nurse hours per resident day4.42
Facility
Alabama
National
Alabama 3.88 · National 3.86
Weekend total nurse hours3.87
Facility
Alabama
National
Alabama 3.26 · National 3.42
Total nursing staff turnover71%
Facility
Alabama
National
Alabama 47% · National 46%
Registered nurse turnover75%
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 | 4.6% | 5.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.3% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 5.4% | 21.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 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 | 7.0% | 12.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.5% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.6% | 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 |
|---|---|---|---|---|
| Millennium Health Operations, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Estes, James Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 83% | — | — |
| James N Estes Jr Family Dynasty Tr No 2 Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | — | — |
| Jennifer E Agee Family Dynasty Tr No 2 Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | — | — |
| Cox, Tammy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rasco, Lynn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ward, Sonny Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cox, Tammy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Estes, James Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Long, Phillip Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Rasco, Lynn Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Regions Bank Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Valley View Health Realty LLC Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Ward, Sonny Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Ward, Sonny Individual | ADP OF THE SNF | 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 Madison.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Madison Manor Nursing Home Madison | 5.0 mi | 2024-08-15 | 030 |
| The Health Center At Research Park Huntsville | 5.0 mi | 2024-06-18 | 093 |
| Brookshire Healthcare Center Huntsville | 7.4 mi | 2022-03-17 | 000 |
| Windsor House Huntsville | 7.4 mi | 2023-09-20 | 032 |
| Regency Health Care And Rehabilitation Center Huntsville | 8.9 mi | 2024-08-21 | 0113 |
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 |