Facility type
Nursing Home
Status
Regular
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Alabama
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Limestone Nursing and Rehabilitation Center
Nursing Home in Alabama
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Limestone Nursing and Rehabilitation Center
Limestone Nursing and Rehabilitation Center is a skilled nursing facility located in Athens, Alabama. It specializes in long-term care, short-term care, and rehabilitation services. The center is committed to enhancing the quality of life for each resident.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
170
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
74.6%
Residents per day (avg)
137
Occupancy rate
74.6%
Residents per day (avg)
137
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
49% of new residents, usually for short-term rehab.
Typical stay
28 days
Private pay
45% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
6% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Privately-owned community
Home revenue
$13.1M
Profit
$694.0K
Privately-owned community
Home revenue
$13,107,829.00
Profit
$694,047.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.4M
170-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
About this community
License details
County:
Limestone
Additional licensing details
CMS Certification Number:
015024
Accreditations:
AHCA/NCAL Bronze National Quality Award
Ownership & operating entity
Limestone Nursing and Rehabilitation Center is administrated by Sherry Bowling.
Profit status:
Corporation
Safety & Compliance
Emergency Systems:
Alarm system for resident security
Care Services
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Activities
Large Activity Room with scheduled activities 7 days a week
Specific Programs
Long Term Care, Short Term Care, Champion Rehab, Respite Care
Inspection History
In Alabama, the Department of Public Health, Bureau of Health Provider Standards conducts unannounced surveys to ensure facilities meet state licensing and federal certification safety standards.
Alabama average: 1 complaint visit
Alabama average: 1 inspection
Show Inspection Reports
Health Inspection History
Inspections
Total health inspections
3
Alabama average 2.9
Last Health inspection on Feb 2020
Total health citations
10
Alabama average 10.4
Citations per inspection
3.33
Alabama average 3.46
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 10 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Alabama averageAlabama average: 0.7
Serious Health citations
0
0
100% better than Alabama averageAlabama average: 0.2
0 critical citations
0 serious citations
10 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 13, 2020
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 13, 2020
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 13, 2020
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 13, 2020
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Feb 13, 2020
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Feb 13, 2020
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 20, 2019
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 20, 2019
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Alabama The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.
Filter by care type
Adams Rehabilitation and Healthcare Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Alexander City
75
62.7%
-22%
4.53
+4%
0
4
2.0
0
64
Stalnaker, Deborah
$4.2M
$2.2M
51.3%
15386
Aliceville Manor Nursing Home
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Aliceville
100
92.2%
+14%
4.70
+8%
0
8
2.7
0
83
-
$10.1M
$5.6M
55.2%
15137
Albertville Nursing Home
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Albertville
159
97.4%
+21%
5.06
+16%
0
9
3.0
0
154
Brown, Terri
$17.7M
$8.9M
50.4%
15163
Limestone Nursing and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Athens
170
74.6%
-8%
3.73
-15%
0
10
3.3
0
137
Walker, James
$12.6M
$5.5M
43.6%
15024
Altoona Health & Rehab
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Altoona
50
96.0%
+19%
4.33
-1%
0
7
2.3
0
46
Long, Bradley
$5.1M
$3.0M
59.7%
15101
Places of interest near Limestone Nursing and Rehabilitation Center
0.0 miles from city center
Athens, AL 35611-2333
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
209
Employees
164
Contractors
45
Staff to resident ratio
1.38:1
12% worse than Alabama averageAlabama average ratio: 1.57:1
Avg staff/day
65
Average shift
8.8 hours
11% better than Alabama averageAlabama average: 7.9 hours
Total staff hours (quarter)
51,889
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
39
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
62
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
6.9%
3,606 contractor hours this quarter
Speech Language Pathologist: 11
Physical Therapy Aide: 10
Qualified Social Worker: 7
Physical Therapy Assistant: 7
Respiratory Therapy Technician: 4
Occupational Therapy Aide: 2
Medical Director: 2
Registered Nurse: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 62 | 0 | 62 | 19,752 | 91 | 100% | 9.3 |
| Licensed Practical Nurse | 39 | 0 | 39 | 11,559 | 91 | 100% | 9.5 |
| Nurse Aide in Training | 26 | 0 | 26 | 5,734 | 90 | 99% | 8.8 |
| Registered Nurse | 20 | 1 | 21 | 4,551 | 91 | 100% | 9.2 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,753 | 91 | 100% | 9.3 |
| Speech Language Pathologist | 0 | 11 | 11 | 1,324 | 78 | 86% | 7.2 |
| Physical Therapy Aide | 0 | 10 | 10 | 1,173 | 70 | 77% | 7.3 |
| RN Director of Nursing | 2 | 0 | 2 | 1,005 | 72 | 79% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 650 | 61 | 67% | 8.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Qualified Social Worker | 0 | 7 | 7 | 451 | 59 | 65% | 6.5 |
| Other Dietary Services Staff | 3 | 0 | 3 | 431 | 56 | 62% | 7.2 |
| Administrator | 1 | 0 | 1 | 400 | 50 | 55% | 8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 350 | 67 | 74% | 5.2 |
| Physical Therapy Assistant | 0 | 7 | 7 | 150 | 53 | 58% | 2.5 |
| Occupational Therapy Aide | 0 | 2 | 2 | 111 | 41 | 45% | 2.7 |
| Medical Director | 0 | 2 | 2 | 25 | 25 | 27% | 0.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 10 | 3 | 3% | 3.2 |
62 Certified Nursing Assistant
% of Days
100%
39 Licensed Practical Nurse
% of Days
100%
26 Nurse Aide in Training
% of Days
99%
21 Registered Nurse
% of Days
100%
6 Medication Aide/Technician
% of Days
100%
11 Speech Language Pathologist
% of Days
86%
10 Physical Therapy Aide
% of Days
77%
2 RN Director of Nursing
% of Days
79%
2 Clinical Nurse Specialist
% of Days
67%
1 Mental Health Service Worker
% of Days
68%
1 Nurse Practitioner
% of Days
67%
1 Dietitian
% of Days
66%
7 Qualified Social Worker
% of Days
65%
3 Other Dietary Services Staff
% of Days
62%
1 Administrator
% of Days
55%
4 Respiratory Therapy Technician
% of Days
74%
7 Physical Therapy Assistant
% of Days
58%
2 Occupational Therapy Aide
% of Days
45%
2 Medical Director
% of Days
27%
1 Occupational Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
152 residents
Residents by payment source
Medicare
19 residents (12.5%)
Medicaid
88 residents (57.9%)
Private pay or other
45 residents (29.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.1
54% better than Alabama averageAlabama average: 8.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.5
28% better than Alabama averageAlabama average: 14.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
7.3%
Percent of long-stay residents whose need for help with daily activities has increased
7.3%
47% better than Alabama averageAlabama average: 13.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
6.1%
Percent of long-stay residents whose ability to move independently worsened
6.1%
62% better than Alabama averageAlabama average: 16.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.9%
32% worse than Alabama averageAlabama average: 13.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
52% better than Alabama averageAlabama average: 3.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.5%
Percent of long-stay high risk residents with pressure ulcers
5.5%
7% better than Alabama averageAlabama average: 5.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.1%
Percent of long-stay residents with a urinary tract infection
3.1%
13% worse than Alabama averageAlabama average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.0%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Alabama averageAlabama average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Alabama averageAlabama average: 1.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
24.3%
Percent of long-stay residents who received an antipsychotic medication
24.3%
18% worse than Alabama averageAlabama average: 20.7%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
8% better than Alabama averageAlabama average: 91.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.5%
In line with Alabama averageAlabama average: 94.8%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
18% better than Alabama averageAlabama average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
42% worse than Alabama averageAlabama average: 2.1%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.4%
16% better than Alabama averageAlabama average: 80.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Limestone Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
74.6%
↑ 6.6pp vs 2022
Net Income
$694,047
↑ ~$43K vs 2022
Total Payroll
$7,435,845
↑ ~$2.8M vs 2022
Profit Margin
5.5%
→ 0.0pp vs 2022
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