01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2021-10-07 | 0 | 2021-10-07 | 0 |
| Cycle 2 | 2019-04-04 | 6 | 2019-04-04 | 6 |
| Cycle 3 | 2018-03-22 | 4 | 2018-03-22 | 3 |
CMS CCN 0151872026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Moundville Health And Rehabilitation, Llc
Third Avenue · Moundville, AL 35474 · Hale County
Certified beds68CMS provider file
Recent citation rows19current 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
19 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2019-04-04 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2019-05-092019-04-04 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2019-05-092019-04-04 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
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 · 2019-05-092019-04-04 · 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 · 2019-05-092019-04-04 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2019-05-092019-04-04 · 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 · 2019-05-092019-04-04 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2019-05-132019-04-04 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2019-05-132019-04-04 · 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 · 2019-05-132019-04-04 · FIREK0711Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2019-05-132019-04-04 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2019-05-132019-04-04 · FIREK0923Severity D · isolated; 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 · 2019-05-132018-03-22 · FIREE0039Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2018-05-032018-03-22 · 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 · 2018-04-262018-03-22 · 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 · 2018-04-262018-03-22 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure 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.
Correction field: Deficient, Provider has date of correction · 2018-04-262018-03-22 · 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 · 2018-04-262018-03-22 · FIREK0293Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2018-05-032018-03-22 · FIREK0761Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2018-05-0303 / 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
- NHS OPERATIONS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 11/08/2002
- JAMES NORMAN ESTES JR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST5% · since 11/08/2002
- JENNIFER LEE ESTES TR 031093Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST5% · since 11/08/2002
- ESTES, JAMESIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST89% · since 11/08/2002
- MOUNDVILLE HEALTH REALTY, LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 09/12/2008
- NHS FACILITIES GROUP LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 05/01/2022
- REGIONS BANKOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 08/27/2012
- SERVISFIRST BANKOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 05/01/2022
- MILLIGAN, BRETTIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 02/24/2023
- BOYD, CASEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/28/2023
- DUFFY, MARCIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/12/2003
- RASCO, LYNNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2022
- ESTES, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/08/2002
- LONG, PHILLIPIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2019
- BOYD, CASEYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/28/2023
- DUFFY, MARCIAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/12/2003
- MILLIGAN, BRETTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/24/2023
- 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 hours3.98per resident day
RN hours0.62per resident day
Weekend nurse hours3.45per resident day
Staff turnover44.0%CMS reported field
06 / LOCAL RECORDS
Open the Alabama ledger →Other published facilities nearby
No second facility in the same city met the directory rule.