SNF
VALLEY VIEW HEALTH AND REHABILITATION, LLC
CCN: 015431 · MADISON, AL 35757 · Madison County
Inspection > 2 years ago
Overview
- Address
- 5968 WALL TRIANA HIGHWAY, MADISON, AL 35757
- Phone
- 2568302316
- Certified beds
- 155
- Avg daily residents
- 136 (88% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1996-03-19
- 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 | 3.72 | 3.55 | 4.04 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.55 | 0.62 | 0.59 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.81 | 0.79 | 0.88 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.36 | 2.14 | 2.56 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.36 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.03 | — | — | — |
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)
3.46
hrs / resident / day
RN (weekend)
0.31
hrs / resident / day
Total nurse (adjusted, weekend)
3.76
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
80.2%
annual
RN turnover
68.6%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.26
higher acuity than avg
Case-Mix Index Ratio
0.91
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) | 2022-04-22 | 5 | 5 | 0 | 24 | 1 | 24 |
| Cycle 2/3 (prior) | 2019-08-22 | 2 | 2 | 0 | 8 | 1 | 8 |
Total weighted health score
20.0
lower is better
Deficiencies (10)
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).
1 A/B/C No actual harm — minor
9 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-04-22 | 2022-05-27 |
| 0679 | Provide activities to meet all resident's needs. | D | 2022-04-22 | 2022-05-27 |
| 0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2022-04-22 | 2022-05-27 |
| 0761 | 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. | D | 2022-04-22 | 2022-05-27 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2022-04-22 | 2022-05-27 |
| 0685 | Assist a resident in gaining access to vision and hearing services. | D | 2019-08-22 | 2019-09-26 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2019-08-22 | 2019-09-26 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2018-07-12 | 2018-08-16 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2018-07-12 | 2018-08-16 |
| 0814 | Dispose of garbage and refuse properly. | C | 2018-07-12 | 2018-08-16 |
Financial Health (FY 2024)
Payer mix (share of resident days)
Medicare 13.9% Medicaid 53.0% Other 33.1%
Operating performance
Operating Margin
-10.1%
Total Margin
-6.3%
Occupancy Rate
80.8%
Cost per Resident Day
$66
Revenue & costs
Net Patient Revenue
$16.3M
Total Costs
$3.0M
Net Income
-$1.1M
Balance sheet
Fund Balance
-$1.1M
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: NHS MANAGEMENT
- Chain ID
372- Facilities in chain
- 43
- Legal business name
- VALLEY VIEW HEALTH AND REHABILITATION, LLC
Chain-average star ratings (for peer context)
Overall
2.8
Health
2.6
Staffing
3.7
QM
3.4
Owner / manager organizations (5)
| Organization | Role | Association |
|---|---|---|
| MILLENNIUM HEALTH OPERATIONS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 10/08/2002 |
| JAMES N ESTES JR FAMILY DYNASTY TR NO 2 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 09/30/2019 |
| JENNIFER E AGEE FAMILY DYNASTY TR NO 2 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 09/30/2019 |
| REGIONS BANK | 5% OR GREATER SECURITY INTEREST | since 08/27/2012 |
| VALLEY VIEW HEALTH REALTY LLC | 5% OR GREATER SECURITY INTEREST | since 12/01/2002 |
Owner / manager individuals (8)
| Name | Role | Association |
|---|---|---|
| ESTES, JAMES | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/08/2002 |
| COX, TAMMY | OPERATIONAL/MANAGERIAL CONTROL | since 10/23/2023 |
| RASCO, LYNN | OPERATIONAL/MANAGERIAL CONTROL | since 07/01/2022 |
| WARD, SONNY | OPERATIONAL/MANAGERIAL CONTROL | since 12/02/2024 |
| COX, TAMMY | CORPORATE DIRECTOR | since 10/23/2023 |
| RASCO, LYNN | CORPORATE DIRECTOR | since 07/01/2022 |
| ESTES, JAMES | CORPORATE OFFICER | since 10/08/2002 |
| LONG, PHILLIP | CORPORATE OFFICER | since 10/01/2019 |
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 110 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $66 | metrics.cost_per_resident_day |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 53.0% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 13.9% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-1,055,587 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $16,292,306 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 80.8% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -10.1% | metrics.operating_margin |
| Cost Report | Total Costs ($) | $3,045,171 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-1,055,587 | metrics.fund_balance |
| Cost Report | Total Margin (%) | -6.3% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.88482 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.56423 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.59450 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.04355 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.75926 | 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 | 136.4 | 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 | 0.78841 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.14272 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.62144 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.55257 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.13122 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.6 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.8 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.4 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.7 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 372 | Chain ID |
| Provider Information | Chain Name | NHS MANAGEMENT | Chain Name |
| Provider Information | City/Town | MADISON | City/Town |
| Provider Information | CMS Certification Number (CCN) | 015431 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Madison | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1996-03-19 | 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 | 34.7556 | Latitude |
| Provider Information | Legal Business Name | VALLEY VIEW HEALTH AND REHABILITATION, LLC | Legal Business Name |
| Provider Information | Location | 5968 WALL TRIANA HIGHWAY,MADISON,AL,35757 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -86.75 | 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 | 155 | 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 | 43 | 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 | 1.25852 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.91353 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | 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 | 5968 WALL TRIANA HIGHWAY | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | VALLEY VIEW HEALTH AND REHABILITATION, LLC | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 440 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 24 | 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 | 5 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2022-04-22 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 24 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 5 | 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 | 2019-08-22 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 8 | 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 | 8 | 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 | 0.31291 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 68.6 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.36117 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.81415 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.35943 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.03435 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.54702 | 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 | 3.72061 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | 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 | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | AL | State |
| Provider Information | Telephone Number | 2568302316 | 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 | 3.45903 | 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 | 80.2 | 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 | 35757 | ZIP Code |