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Limestone Nursing and Rehabilitation Center
Nursing Home, Respite Care & Skilled Nursing · Athens, AL
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Limestone Nursing and Rehabilitation Center

Nursing Home, Respite Care & Skilled Nursing · Athens, AL
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1600 West Hobbs Street, Athens, AL 35611-2333 View map Calculator: See prices in your area
Limestone Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.
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Limestone Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Limestone Nursing and Rehabilitation Center

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Owned by James Walker, Limestone Nursing and Rehabilitation Center is a skilled nursing home on West Hobbs Street in Athens, Alabama. The 170-bed facility currently serves 127 residents, operating at 75% occupancy. Medicare, Medicaid, and private pay are accepted, so families have several options when arranging coverage for rehabilitation stays and ongoing nursing care. Residents stay an average of 125 days, which is a mix of people recovering after hospital discharge and those remaining for longer-term care.

Champion Rehab is the facility’s specialized rehabilitation program. Aside from general nursing services, short-term rehabilitation and respite care are offered. Nurse staffing averages 3 hours and 44 minutes per resident each day. Registered nurses, nurse aides, and licensed practical nurses provide that support. A full-time medical director is part of the clinical team. A nurse practitioner is available three days each week.

The building is single-story. Residents can choose from private and semi-private room options. A large activity room hosts scheduled programs seven days a week. Mobile residents have access to an open-floor gym. Outside, the courtyard is an additional space for residents and visitors. Housekeeping services, wireless internet access, and a beauty salon are also available.

The neighborhood has a Walk Score of 64, so the area is moderately walkable for visiting family members and nearby errands. State inspections identified issues involving food service safety, kitchen sanitation, infection control practices, hygiene procedures, medication management, and equipment care documentation. Families touring the facility should ask how these operational areas are managed as part of daily care and oversight.

Facility Direct Line (256) 232-3461
Facility Direct Line (256) 232-3461 info@limestonehf.com
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 2.0% Above AL avg. ▲ 2.0% Above AL avg.AL average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 5.9% Above AL avg. ▲ 5.9% Above AL avg.AL average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 43.5% Below AL avg. ▼ 43.5% Below AL avg.AL average: 3.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
At AL avg. At AL avg.AL average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Alabama averages

Rank #114 / 125Nurse hours — State benchmarkedThis home is ranked 114th out of 125 homes we track in Alabama for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Alabama average, with a ranking across 125 Alabama facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Alabama that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 114th out of 125 homes we track in Alabama for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

3h 29m

20% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
25m
−34% State avg: 38m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
1h 3m
+34% State avg: 47m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 1m
−19% State avg: 2h 30m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 8m
−5% State avg: 3h 17m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
2m
−11% State avg: 2m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
17m
−24% State avg: 22m per day · National avg: 28m per day

5 of 6 metrics below state avg

Standout metric: LPN / LVN is +34% above Alabama average

Capacity and availability

Residents per day (avg)
144
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
125 days
Bed community size
170-bed community Rank #17 / 242Bed count — State benchmarkedThis home is ranked 17th out of 242 homes we track in Alabama for bed count. Shows this facility's certified or reported bed count compared to other Alabama facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Alabama that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score
Walk Score: 64 / 100 Rank #44 / 382Walk Score — State benchmarkedThis home is ranked 44th out of 382 homes we track in Alabama for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Alabama facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Alabama that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
85%
Rank #63 / 104Occupancy rate — State benchmarkedThis home is ranked 63rd out of 104 homes we track in Alabama for occupancy. Shows this facility's occupancy rate versus the Alabama average, with its Statewide rank out of 104. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Alabama that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the Alabama average: 80.8%
Occupied beds
144 / 170
Average occupied beds in Alabama homes 97 beds

License Details

Facility TypeNursing Home
StatusRegular
CountyLimestone
CMS Certification Number015024
AccreditationsAHCA/NCAL Bronze National Quality Award

Ownership & Operating Entity

Limestone Nursing and Rehabilitation Center is administered by Sherry Bowling.

Safety & Compliance

Emergency SystemsAlarm system for resident security

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
Doctor on Staff

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Housekeeping
Wi-Fi
Fitness Center
Courtyard
Salon
Activities
Specific ProgramsChampion Rehab

Contact Limestone Nursing and Rehabilitation Center

CMS Health Inspection History

Inspections Since 2018 · 8 years of data
Total health inspections 3

State average 2.9

Last Health inspection on Feb 2020

Total health citations
10 Rank #63 / 124Health citations — State benchmarkedThis home is ranked 63rd out of 124 homes we track in Alabama for health citations. Shows this facility's total health deficiency citations benchmarked to the Alabama State average, with a ranking across all 124 AL facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Alabama that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 10.4

Citations per inspection
3.33 Rank #61 / 124Citations per inspection — State benchmarkedThis home is ranked 61st out of 124 homes we track in Alabama for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Alabama mean across 124 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Alabama that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State 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 8 years)
Critical health citations
0
100% better than State average

State average: 0.7

Serious health citations
0
100% better than State average

State average: 0.2

0 critical citations State average: 0.7
0 serious citations State average: 0.2
10 moderate citations State average: 9.1
0 minor citations State average: 0.4
Citations history (last 8 years)
Infection Control moderate citation Feb 13, 2020
Corrected
Nutrition moderate citation Feb 13, 2020
Corrected
Resident Rights moderate citation Feb 13, 2020
Corrected
Infection Control moderate citation Mar 20, 2019
Corrected
Show Inspection Reports

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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 203
Employees 161
Contractors 42
Staff to resident ratio 1.34 : 1
14% fewer staff per resident than Alabama average
Alabama average ratio: 1.56 : 1 Alabama average ratio: 1.56 : 1See full Alabama ranking
Avg staff/day 69
Average shift 8.8 hours
11% better than Alabama average
Alabama average: 7.9 hours Alabama average shift: 7.9 hoursSee full Alabama ranking
Total staff hours (quarter) 55,751

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 15 total: 14 full-time employees and 1 contractor. 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 39 LPN Staff are full-time employees. No contractors work on this role. 39
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 64 CNA Staff are full-time employees. No contractors work on this role. 64
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.7%

3,176 contractor hours this quarter

Speech Language Pathologist: 12 Physical Therapy Aide: 8 Respiratory Therapy Technician: 7 Physical Therapy Assistant: 6 Qualified Social Worker: 4 Medical Director: 2 Registered Nurse: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant6406422,39792100%9.4
Licensed Practical Nurse3903912,68292100%9.5
Nurse Aide in Training300306,21992100%9
Registered Nurse141154,91492100%8.6
Medication Aide/Technician5052,60492100%8.7
Speech Language Pathologist012121,2207582%6.6
RN Director of Nursing2029816874%8.1
Physical Therapy Aide0888837177%7.2
Administrator1014966267%8
Other Dietary Services Staff1014876571%7.5
Nurse Practitioner1014725964%8
Clinical Nurse Specialist1014535762%7.9
Dietitian2024465964%7.6
Qualified Social Worker0444366166%6.6
Mental Health Service Worker1014325459%8
Respiratory Therapy Technician0773376672%5
Physical Therapy Assistant0661614549%3.3
Occupational Therapy Aide0111095155%2.1
Medical Director022202224%0.8
Occupational Therapy Assistant011333%1
64 Certified Nursing Assistant
% of Days 100%
39 Licensed Practical Nurse
% of Days 100%
30 Nurse Aide in Training
% of Days 100%
15 Registered Nurse
% of Days 100%
View All Staffing Data

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 average

Alabama average: 8.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 10.5
28% better than Alabama average

Alabama average: 14.5

Long-stay resident measures
Above average Alabama avg: 3.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 7.3%
47% better than Alabama average

Alabama average: 13.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 6.1%
62% better than Alabama average

Alabama average: 16.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 17.9%
32% worse than Alabama average

Alabama average: 13.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.6%
52% better than Alabama average

Alabama average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.5%
7% better than Alabama average

Alabama average: 5.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.1%
13% worse than Alabama average

Alabama average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.0%
100% better than Alabama average

Alabama average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Alabama average

Alabama average: 1.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 24.3%
18% worse than Alabama average

Alabama average: 20.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
8% better than Alabama average

Alabama average: 91.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.5%
In line with Alabama average

Alabama average: 94.8%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.79
11% better than Alabama average

Alabama average: 2.00

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.13
19% worse than Alabama average

Alabama average: 1.79

Short-stay resident measures
Below average Alabama avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.7%
18% better than Alabama average

Alabama average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.0%
42% worse than Alabama average

Alabama average: 2.1%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 93.4%
16% better than Alabama average

Alabama average: 80.3%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 26.4%
8% worse than Alabama average

Alabama average: 24.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 13.4%
17% worse than Alabama average

Alabama average: 11.5%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.6%
22% better than Alabama average

Alabama average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 51.7%
In line with Alabama average

Alabama average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 55.9%
11% better than Alabama average

Alabama average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 152
Medicare
19
12.5% of residents
Medicaid
88
57.9% of residents
Private pay or other
45
29.6% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$13.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$161.7K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$13.6M Rank #32 / 108Net patient revenue — State benchmarkedThis home is ranked 32nd out of 108 homes we track in Alabama. Shows this facility's net patient revenue compared to the Alabama average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Alabama that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$161.7K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$541.2K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #36 / 108Payroll costs — State benchmarkedThis home is ranked 36th out of 108 homes we track in Alabama. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Alabama average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Alabama that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$6.5M 47.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #71 / 107Payroll % of net patient revenue — State benchmarkedThis home is ranked 71st out of 107 homes we track in Alabama. Shows payroll as a percentage of net patient revenue versus the Alabama average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Alabama that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$6.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$13.4M
How we calculate these figures

This home is administered by Sherry Bowling.

This home is owned by James Walker

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 15024

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (49% of admissions), and a typical Medicare stay runs around 28 days.

Admissions
377 total

Coverage residents most often arrive under.

Medicare 49%
Private pay 45%
Medicaid 6%
Discharges
371 total

Coverage residents most often leave under.

Medicare 38%
Private pay 54%
Medicaid 8%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Limestone Nursing and Rehabilitation Center

Address 0.0 miles from city center Info Estimated distance in miles from Athens's city center to Limestone Nursing and Rehabilitation Center's address, calculated via Google Maps.

Calculate Travel Distance to Limestone Nursing and Rehabilitation Center

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the AL Dept. of Public Health (ADPH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Alabama average is: 53.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Palm Gardens Health and Rehabilitation, LLC ★ ★ ★ ★ ★
NH
PC
SNF
Mobile (South Crichton)
100
Facility 100
AL AVG 90
Rank #86 / 242
89.8%
Facility 89.8%
AL AVG 81.3
Rank #36 / 104
+10%
4.27
Facility 4.27
AL AVG 4.37
Rank #67 / 125
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ +40%-2%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
4
Facility 4
AL AVG 10.4
Rank #15 / 124
4.0
Facility 4.0
AL AVG 3.5
Rank #87 / 124
-90-
46
Facility 46
AL AVG 39
Rank #150 / 382
Jeanne Freeman
$10.6MFiscal year ending 06/2024
Facility $10.6MFiscal year ending 06/2024
AL AVG $11.3M
Rank #50 / 108
$5.4MFiscal year ending 06/2024
Facility $5.4MFiscal year ending 06/2024
AL AVG $5.7M
Rank #49 / 108
50.9%Fiscal year ending 06/2024
Facility 50.9%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #53 / 107
15403
Crowne Health Care of Springhill ★ ★ ★ ★ ★
NH
RC
SNF
Mobile (College Park)
46
Facility 46
AL AVG 90
Rank #192 / 242
39.1%
Facility 39.1%
AL AVG 81.3
Rank #102 / 104
-52%
4.70
Facility 4.70
AL AVG 4.37
Rank #35 / 125
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ -3%+8%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
3
Facility 3
AL AVG 10.4
Rank #5 / 124
1.0
Facility 1.0
AL AVG 3.5
Rank #1 / 124
-18-
49
Facility 49
AL AVG 39
Rank #124 / 382
Amber Detamore
$7.1MFiscal year ending 06/2024
Facility $7.1MFiscal year ending 06/2024
AL AVG $11.3M
Rank #92 / 108
$4.0MFiscal year ending 06/2024
Facility $4.0MFiscal year ending 06/2024
AL AVG $5.7M
Rank #86 / 108
56.2%Fiscal year ending 06/2024
Facility 56.2%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #33 / 107
15426
Albertville Nursing Home ★ ★ ★ ★ ★
NH
RC
SNF
North Albertville
159
Facility 159
AL AVG 90
Rank #23 / 242
96.5%
Facility 96.5%
AL AVG 81.3
Rank #6 / 104
+19%
5.28
Facility 5.28
AL AVG 4.37
Rank #13 / 125
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ -21%+21%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
9
Facility 9
AL AVG 10.4
Rank #52 / 124
3.0
Facility 3.0
AL AVG 3.5
Rank #46 / 124
-154-
66
Facility 66
AL AVG 39
Rank #33 / 382
Terri Brown
$18.0MFiscal year ending 06/2024
Facility $18.0MFiscal year ending 06/2024
AL AVG $11.3M
Rank #9 / 108
$10.6MFiscal year ending 06/2024
Facility $10.6MFiscal year ending 06/2024
AL AVG $5.7M
Rank #3 / 108
58.9%Fiscal year ending 06/2024
Facility 58.9%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #21 / 107
15163
Piedmont Health Care Center ★ ★ ★ ★ ★
NH
AL
MC
SNF
Piedmont
91
Facility 91
AL AVG 90
Rank #100 / 242
92.3%
Facility 92.3%
AL AVG 81.3
Rank #25 / 104
+14%
5.54
Facility 5.54
AL AVG 4.37
Rank #8 / 125
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ -49%+27%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
3
Facility 3
AL AVG 10.4
Rank #5 / 124
3.0
Facility 3.0
AL AVG 3.5
Rank #46 / 124
-84-
61
Facility 61
AL AVG 39
Rank #58 / 382
Piedmont Health Care Center
$9.3MFiscal year ending 06/2024
Facility $9.3MFiscal year ending 06/2024
AL AVG $11.3M
Rank #67 / 108
$5.6MFiscal year ending 06/2024
Facility $5.6MFiscal year ending 06/2024
AL AVG $5.7M
Rank #44 / 108
60.9%Fiscal year ending 06/2024
Facility 60.9%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #18 / 107
15194
Limestone Nursing and Rehabilitation Center ★ ★ ★ ☆ ☆
NH
RC
SNF
Athens
170
Facility 170
AL AVG 90
Rank #17 / 242
84.6%
Facility 84.6%
AL AVG 81.3
Rank #63 / 104
+4%
3.48
Facility 3.48
AL AVG 4.37
Rank #114 / 125
 ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -28%-20%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
10
Facility 10
AL AVG 10.4
Rank #63 / 124
3.3
Facility 3.3
AL AVG 3.5
Rank #61 / 124
-144-
64
Facility 64
AL AVG 39
Rank #44 / 382
James Walker
$13.6MFiscal year ending 12/2023
Facility $13.6MFiscal year ending 12/2023
AL AVG $11.3M
Rank #32 / 108
$6.5MFiscal year ending 12/2023
Facility $6.5MFiscal year ending 12/2023
AL AVG $5.7M
Rank #36 / 108
47.8%Fiscal year ending 12/2023
Facility 47.8%Fiscal year ending 12/2023
AL AVG 53.1%
Rank #71 / 107
15024
Nursing Home Explorer

Frequently Asked Questions about Limestone Nursing and Rehabilitation Center

Is Limestone Nursing and Rehabilitation Center in a walkable area?

Limestone Nursing and Rehabilitation Center has a walk score of 64. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Limestone Nursing and Rehabilitation Center?

Limestone Nursing and Rehabilitation Center's occupancy is 85%.

Are pets allowed at Limestone Nursing and Rehabilitation Center?

No, Limestone Nursing and Rehabilitation Center has a no-pet policy.

Does Limestone Nursing and Rehabilitation Center operate as a for-profit or non-profit?

Limestone Nursing and Rehabilitation Center is registered as a for-profit in AL.

Who is the administrator of Limestone Nursing and Rehabilitation Center?

Sherry Bowling is the administrator of Limestone Nursing and Rehabilitation Center.

How many beds does Limestone Nursing and Rehabilitation Center have?

Limestone Nursing and Rehabilitation Center has 170 beds.

Has Limestone Nursing and Rehabilitation Center had any deficiencies?

Limestone Nursing and Rehabilitation Center has had 22 reported deficiencies since 2018 according to records from AL Department of Health.

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