Nursing homeActive
Huntsville Health & Rehabilitation, LLC
4010 Chris Drive, Huntsville, AL 358022568838656105 certified beds · 100 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2019
Deficiencies
19
● 1● 14● 4
Penalties · 3 yrs
—
none on file
Last survey
2026-05-21
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
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 |
|---|---|---|---|---|
| 2026-05-21 | Standard | 1114 | CMS-2567 (Care Compare) | — |
| 2022-01-14 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2019-10-24 | Standard | 010 | 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.
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-08-05Record 015440-20260521-F604
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-07-13Record 015440-20260521-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2026-07-13Record 015440-20260521-F689
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2026-06-23Record 015440-20260521-F740
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-23Record 015440-20260521-F578
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-23Record 015440-20260521-F600
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 2026-06-23Record 015440-20260521-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-23Record 015440-20260521-F609
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-08Record 015440-20260521-F697
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-08Record 015440-20260521-F755
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-23Record 015440-20260521-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-23Record 015440-20260521-F804
F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-13Record 015440-20260521-F837
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-13Record 015440-20260521-F867
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 2026-06-23Record 015440-20260521-F880
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2026-06-23Record 015440-20260521-F732
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 2022-02-18Record 015440-20220114-F690
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-02-18Record 015440-20220114-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 2019-11-28Record 015440-20191024-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.54
Facility
Alabama
National
Alabama 0.65 · National 0.69
Total nurse hours per resident day3.92
Facility
Alabama
National
Alabama 3.88 · National 3.86
Weekend total nurse hours3.16
Facility
Alabama
National
Alabama 3.26 · National 3.42
Total nursing staff turnover63%
Facility
Alabama
National
Alabama 47% · National 46%
Registered nurse turnover65%
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 | 10.1% | 5.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.1% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 21.5% | 21.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.2% | 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 | 8.8% | 12.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.4% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.0% | 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 |
|---|---|---|---|---|
| Northport Holding Operations, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Estes, James Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 51% | — | — |
| James N Estes Jr Family Dynasty Tr No 2 Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18% | — | — |
| James Norman Estes Jr Tr Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | — | — |
| Jennifer E Agee Family Dynasty Tr No 2 Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18% | — | — |
| Jennifer Lee Estes Tr 031093 Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | — | — |
| Chandler, Anita Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cox, Tammy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rasco, Lynn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ward, Sonny Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Capital Funding LLC Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Capital Funding LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Chandler, Anita Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cox, Tammy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Estes, James Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Huntsville Health Realty, LLC Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Long, Phillip Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Rasco, Lynn Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Servisfirst Bank Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Ward, Sonny Individual | CORPORATE DIRECTOR | 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 |
|---|---|---|---|
| Rocket City Rehabilitation And Healthcare Center Huntsville | 1.3 mi | 2023-02-26 | 000 |
| Willowbrooke Ct Skilled Care Ctr At Magnolia Trace Huntsville | 1.3 mi | 2022-05-17 | 000 |
| Diversicare Of Big Springs Huntsville | 3.0 mi | 2022-01-27 | 000 |
| Brookshire Healthcare Center Huntsville | 3.9 mi | 2022-03-17 | 000 |
| Windsor House Huntsville | 3.9 mi | 2023-09-20 | 032 |
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 |