CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Alabama. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Moundville Health and Rehabilitation, LLC is a 4-star Medicare and Medicaid certified nursing home in Moundville, Alabama with 68 certified beds. It has been operating since 1977. Its overall CMS rating is 4 out of 5.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| NHS OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Nov 8, 2002 |
| JAMES NORMAN ESTES JR TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 5% | Nov 8, 2002 |
| JENNIFER LEE ESTES TR 031093 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 5% | Nov 8, 2002 |
| ESTES, JAMES | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 89% | Nov 8, 2002 |
| MOUNDVILLE HEALTH REALTY, LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Sep 12, 2008 |
| NHS FACILITIES GROUP LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | May 1, 2022 |
| REGIONS BANK | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Aug 27, 2012 |
| SERVISFIRST BANK | 5% OR GREATER SECURITY INTEREST | Organization | N/A | May 1, 2022 |
| MILLIGAN, BRETT | W-2 MANAGING EMPLOYEE | Individual | N/A | Feb 24, 2023 |
| BOYD, CASEY | CORPORATE DIRECTOR | Individual | N/A | Apr 28, 2023 |
| DUFFY, MARCIA | CORPORATE DIRECTOR | Individual | N/A | Dec 12, 2003 |
| RASCO, LYNN | CORPORATE DIRECTOR | Individual | N/A | Jul 1, 2022 |
| ESTES, JAMES | CORPORATE OFFICER | Individual | N/A | Nov 8, 2002 |
| LONG, PHILLIP | CORPORATE OFFICER | Individual | N/A | Oct 1, 2019 |
| BOYD, CASEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 28, 2023 |
| DUFFY, MARCIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 12, 2003 |
| MILLIGAN, BRETT | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 24, 2023 |
| RASCO, LYNN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2022 |
Compare CMS ratings and recorded fines for Moundville Health and Rehabilitation, LLC and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 43 facilities. View all →