SNF
ANNISTON HEALTH AND REHAB SERVICES
CCN: 015375 · ANNISTON, AL 36207 · Calhoun County
Inspection > 2 years ago
Overview
- Address
- 600 E 8TH STREET, ANNISTON, AL 36207
- Phone
- 2562364949
- Certified beds
- 85
- Avg daily residents
- 77 (91% of beds filled)
- Ownership
- Non-profit (other)
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1981-01-20
- Setting
- Urban
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.22 | 3.60 | 4.52 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.91 | 0.63 | 0.98 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.59 | 0.80 | 0.64 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.71 | 2.17 | 2.90 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.51 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.05 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.73
hrs / resident / day
RN (weekend)
0.44
hrs / resident / day
Total nurse (adjusted, weekend)
3.99
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
40.9%
annual
RN turnover
37.5%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.28
higher acuity than avg
Case-Mix Index Ratio
0.93
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2021-12-02 | 2 | 2 | 0 | 20 | 1 | 20 |
| Cycle 2/3 (prior) | 2019-06-27 | 2 | 2 | 0 | 20 | 1 | 20 |
Total weighted health score
20.0
lower is better
Deficiencies (4)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
4 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2021-12-02 | 2022-01-03 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2021-12-02 | 2022-01-03 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-06-27 | 2019-07-29 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2019-06-27 | 2019-07-29 |
Financial Health (FY 2024)
Payer mix (share of resident days)
Medicare 10.9% Medicaid 61.6% Other 27.5%
Operating performance
Operating Margin
-0.3%
Total Margin
-0.3%
Occupancy Rate
92.8%
Cost per Resident Day
$33
Revenue & costs
Net Patient Revenue
$8.6M
Total Costs
$943K
Net Income
-$22K
Balance sheet
Total Assets
$12.9M
Total Liabilities
$12.2M
Fund Balance
$706K
Current Ratio
0.06
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: NOLAND HEALTH
- Chain ID
374- Facilities in chain
- 10
- Legal business name
- ANNISTON HEALTH AND REHAB SERVICES, LLC
Chain-average star ratings (for peer context)
Overall
2.5
Health
2.4
Staffing
3.9
QM
2.9
Owner / manager organizations (3)
| Organization | Role | Association |
|---|---|---|
| NOLAND HEALTH SERVICES, INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 08/25/2016 |
| THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/30/2018 |
| NOLAND HEALTH SERVICES, INC | OPERATIONAL/MANAGERIAL CONTROL | since 08/25/2016 |
Owner / manager individuals (17)
| Name | Role | Association |
|---|---|---|
| BLACKWELL, CRYSTAL | OPERATIONAL/MANAGERIAL CONTROL | since 03/09/2025 |
| ESTEP, BARBARA | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2024 |
| HALL, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | since 01/31/2022 |
| HAWKINS, ALICIA | OPERATIONAL/MANAGERIAL CONTROL | since 03/23/2025 |
| HILL, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | since 09/09/2024 |
| KENWRIGHT, KAREN | OPERATIONAL/MANAGERIAL CONTROL | since 11/27/2017 |
| RENDA, NICHOLAS | OPERATIONAL/MANAGERIAL CONTROL | since 10/26/2020 |
| SMOTHERS, KATHY | OPERATIONAL/MANAGERIAL CONTROL | since 04/12/2021 |
| URBAN, KELLEY | OPERATIONAL/MANAGERIAL CONTROL | since 03/19/2019 |
| ADAMSON, MICHELE | CORPORATE DIRECTOR | since 05/10/2017 |
| BRITTON, ISAAC | CORPORATE DIRECTOR | since 02/14/2007 |
| ESTEP, BARBARA | CORPORATE DIRECTOR | since 04/01/2024 |
| GOFF, ROBERT | CORPORATE DIRECTOR | since 09/02/1987 |
| NELSON, DEBRA | CORPORATE DIRECTOR | since 05/11/2016 |
| RENDA, NICHOLAS | CORPORATE DIRECTOR | since 10/26/2020 |
| SMITH, GEORGE | CORPORATE DIRECTOR | since 08/25/2009 |
| WAGGONER, JAMES | CORPORATE DIRECTOR | since 05/10/2017 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $33 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.06 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 61.6% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 10.9% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-22,323 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $8,614,465 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 92.8% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -0.3% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $12,919,633 | metrics.total_assets |
| Cost Report | Total Costs ($) | $942,648 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $706,466 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $12,213,167 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -0.3% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.63637 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.89958 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.97970 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.51565 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.99080 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 77.1 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.80003 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.17430 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.63060 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.60492 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.17736 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.4 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.5 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 2.9 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.9 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 374 | Chain ID |
| Provider Information | Chain Name | NOLAND HEALTH | Chain Name |
| Provider Information | City/Town | ANNISTON | City/Town |
| Provider Information | CMS Certification Number (CCN) | 015375 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Calhoun | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1981-01-20 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 33.6549 | Latitude |
| Provider Information | Legal Business Name | ANNISTON HEALTH AND REHAB SERVICES, LLC | Legal Business Name |
| Provider Information | Location | 600 E 8TH STREET,ANNISTON,AL,36207 | Location |
| Provider Information | Long-Stay QM Rating | 1 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -85.822 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | Y | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 85 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 10 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.27706 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.92699 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Other | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 600 E 8TH STREET | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | ANNISTON HEALTH AND REHAB SERVICES | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 070 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 2 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 20 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 2 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2021-12-02 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 20 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 2 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 2 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2019-06-27 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 20 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 20 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 2 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.44264 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 37.5 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.50892 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.59418 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.70732 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.05446 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.91474 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.21623 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 5 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | AL | State |
| Provider Information | Telephone Number | 2562364949 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.72618 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 40.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 20.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 36207 | ZIP Code |