CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 0151822026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Georgiana Health And Rehabilitation, Llc

CMS lists this provider in Georgiana, AL, with 91 certified beds, an overall rating of 4/5, and 12 citation rows in the current August 2026 release.

206 Palmer Avenue · Georgiana, AL 36033 · Butler County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds91CMS provider file
Recent citation rows12current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Georgiana Health And Rehabilitation, Llc survey cycles in this release

CMS supplies 3 survey-cycle rows for Georgiana Health And Rehabilitation, Llc in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12019-12-0512019-12-052
Cycle 22018-12-1332018-12-132
Cycle 32018-02-2212018-02-223
02 / CITATION DETAIL

Georgiana Health And Rehabilitation, Llc citations in the current release

CMS reports 12 citation rows, including 0 with G–L codes and 0 with J–L codes.

0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2019-12-05 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2019-12-21
2019-12-05 · FIREK0353Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2019-12-23
2019-12-05 · FIREK0372Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2019-12-23
2018-12-13 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2019-01-09
2018-12-13 · HEALTHF0690Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction field: Deficient, Provider has date of correction · 2019-01-09
2018-12-13 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2019-01-03
2018-12-13 · FIREK0353Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2019-01-16
2018-12-13 · FIREK0923Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2018-12-26
2018-02-22 · FIREE0001Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Establish an Emergency Preparedness Program (EP).

Correction field: Deficient, Provider has date of correction · 2018-04-02
2018-02-22 · HEALTHF0607Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Correction field: Deficient, Provider has date of correction · 2018-03-12
2018-02-22 · FIREK0343Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Correction field: Deficient, Provider has date of correction · 2018-04-02
2018-02-22 · FIREK0374Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Correction field: Deficient, Provider has date of correction · 2018-04-02
03 / ENFORCEMENT FILE

CMS penalties reported for Georgiana Health And Rehabilitation, Llc

The August 2026 file contains 0 penalty rows and $0 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Georgiana Health And Rehabilitation, Llc

CMS matched 18 ownership disclosure rows to Georgiana Health And Rehabilitation, Llc; names and roles are reported fields, not independently verified identities.

  • NHS OPERATIONS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 04/28/2003
  • JAMES NORMAN ESTES JR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    5% · since 04/28/2003
  • JENNIFER LEE ESTES TR 031093Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    5% · since 04/28/2003
  • ESTES, JAMESIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    89% · since 04/23/2003
  • GEORGIANA HEALTH REALTY, LLCOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 10/08/2008
  • NHS FACILITIES GROUP LLCOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 05/01/2022
  • REGIONS BANKOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 08/27/2012
  • SERVISFIRST BANKOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 05/01/2022
  • HARTLEY, MATILDAIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 07/20/2015
  • MACDONALD-LAMIER, STARANNIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 08/28/2023
  • RASCO, LYNNIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 07/01/2022
  • SIMMONS, ALICEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/22/2024
  • ESTES, JAMESIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 04/28/2003
  • LONG, PHILLIPIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 10/01/2019
  • HARTLEY, MATILDAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/20/2015
  • MACDONALD-LAMIER, STARANNIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/28/2023
  • RASCO, LYNNIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2022
  • SIMMONS, ALICEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/22/2024

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Staffing hours and turnover for Georgiana Health And Rehabilitation, Llc

CMS reports 4.29 total nurse hours and 0.50 RN hours per resident day for this provider.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.29per resident day
RN hours0.50per resident day
Weekend nurse hours3.25per resident day
Staff turnover38.5%CMS reported field
06 / LOCAL RECORDS

Facilities published near Georgiana Health And Rehabilitation, Llc

No second published facility record in Georgiana, AL met the local peer rule in this release.

Open the Alabama ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.