01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-21 | 16 | 2026-05-21 | 14 |
| Cycle 2 | 2022-01-14 | 2 | 2022-01-14 | 5 |
| Cycle 3 | 2019-10-24 | 1 | 2019-10-24 | 4 |
CMS CCN 0154402026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Huntsville Health & Rehabilitation, Llc
4010 Chris Drive · Huntsville, AL 35802 · Madison County
Certified beds105CMS provider file
Recent citation rows42current 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.
02 / CITATION DETAIL
42 rows in the current release
4 rows carry G–L scope/severity codes; 4 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-21 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2026-06-042026-05-21 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2026-06-042026-05-21 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2026-06-042026-05-21 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor 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.
Correction field: Deficient, Provider has date of correction · 2026-06-23 · complaint2026-05-21 · HEALTHF0600Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2026-06-23 · complaint2026-05-21 · HEALTHF0604Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Past Non-Compliance · 2025-08-05 · complaint2026-05-21 · 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 · 2026-06-23 · complaint2026-05-21 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-06-23 · complaint2026-05-21 · HEALTHF0686Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-07-13 · complaint2026-05-21 · HEALTHF0689Severity K · pattern of immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-07-13 · complaint2026-05-21 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Past Non-Compliance · 2026-04-08 · complaint2026-05-21 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2026-06-232026-05-21 · HEALTHF0740Severity K · pattern of immediate jeopardy
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction field: Deficient, Provider has date of correction · 2026-06-23 · complaint2026-05-21 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Past Non-Compliance · 2026-04-08 · complaint2026-05-21 · HEALTHF0803Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure 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.
Correction field: Deficient, Provider has date of correction · 2026-06-23 · complaint2026-05-21 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2026-06-23 · complaint2026-05-21 · HEALTHF0837Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Establish 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.
Correction field: Deficient, Provider has date of correction · 2026-07-13 · complaint2026-05-21 · HEALTHF0867Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2026-07-132026-05-21 · 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 · 2026-06-232026-05-21 · FIREK0223Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2026-06-042026-05-21 · FIREK0226Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have horizontal exits used in accordance with safety requirements.
Correction field: Deficient, Provider has date of correction · 2026-06-042026-05-21 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-06-042026-05-21 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-06-042026-05-21 · FIREK0351Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2026-06-0403 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- NORTHPORT HOLDING OPERATIONS, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 07/28/2011
- JAMES N ESTES JR FAMILY DYNASTY TR NO 2Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST18% · since 12/27/2012
- JAMES NORMAN ESTES JR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 06/30/2013
- JENNIFER E AGEE FAMILY DYNASTY TR NO 2Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST18% · since 12/27/2012
- JENNIFER LEE ESTES TR 031093Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 06/30/2013
- ESTES, JAMESIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST51% · since 07/28/2011
- CAPITAL FUNDING LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 05/01/2014
- CAPITAL FUNDING LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 05/01/2014
- HUNTSVILLE HEALTH REALTY, LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 11/30/2017
- SERVISFIRST BANKOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 08/29/2018
- COX, TAMMYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/23/2023
- RASCO, LYNNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2022
- WARD, SONNYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/10/2024
- ESTES, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/28/2011
- LONG, PHILLIPIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2019
- CHANDLER, ANITAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/02/2024
- COX, TAMMYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/23/2023
- RASCO, LYNNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2022
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
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.92per resident day
RN hours0.54per resident day
Weekend nurse hours3.16per resident day
Staff turnover63.0%CMS reported field
06 / LOCAL RECORDS
Open the Huntsville ledger →Other published facilities nearby
Brookshire Healthcare Center129 beds · CMS overall 3/518 citation rowsDiversicare Of Big Springs145 beds · CMS overall 4/516 citation rowsFairview At Redstone Village56 beds · CMS overall 4/58 citation rowsRegency Health Care And Rehabilitation Center90 beds · CMS overall 1/520 citation rowsRocket City Rehabilitation And Healthcare Center159 beds · CMS overall 1/531 citation rowsThe Health Center At Research Park91 beds · CMS overall 1/523 citation rowsWillowbrooke Ct Skilled Care Ctr At Magnolia Trace59 beds · CMS overall 5/513 citation rowsWindsor House117 beds · CMS overall 1/528 citation rows