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.
Nursing Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab
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
Health Inspection History
Inspections
Total health inspections
3
Alabama average 2.9
Last Health inspection on Feb 2020
Total health citations
10
Citations per inspection
3.33
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
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
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.
Adams Rehabilitation and Healthcare Center
+13%
+4%
-22%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AL 35010
75
STALNAKER, DEBORAH
62.7%
$4,222,043.00
$2,165,079.00
51.3%
64.00
4.5297
4
+13%+4%-22%
Aliceville Manor Nursing Home
-11%
+8%
+14%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AL 35442
100
-
92.2%
$10,132,599.00
$5,588,302.00
55.2%
83
4.7042
8
-11%+8%+14%
Albertville Nursing Home
-15%
+16%
+21%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AL 35951
159
BROWN, TERRI
97.4%
$17,716,965.00
$8,937,954.00
50.4%
154
5.0559
9
-15%+16%+21%
Limestone Nursing and Rehabilitation Center
+4%
-15%
-8%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AL 35611-2333
170
WALKER, JAMES
74.6%
$12,566,678.00
$5,474,956.00
43.6%
136.60
3.7280
10
+4%-15%-8%
Altoona Health & Rehab
+3%
-1%
+19%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AL 35952
50
LONG, BRADLEY
96.0%
$5,086,458.00
$3,037,649.00
59.7%
45.60
4.3258
7
+3%-1%+19%
Adams Rehabilitation and Healthcare Center
Type of care:
SNF
AL
Community:
AL 35010
Bed Count:
75
Operator:
STALNAKER, DEBORAH
CCN:
15386
Occupancy:
62.7%
Home Revenue:
$4,222,043.00
Payroll Costs:
$2,165,079.00
Payroll %:
51.3%
Avg Residents/Day:
64.00
Overall Rating:
Adj Nurse Hours:
4.5297
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+13%
+13%
Staffing vs State Avg:
+4%
+4%
Occupancy vs State Avg:
-22%
-22%
Aliceville Manor Nursing Home
Type of care:
SNF
AL
Community:
AL 35442
Bed Count:
100
CCN:
15137
Occupancy:
92.2%
Home Revenue:
$10,132,599.00
Payroll Costs:
$5,588,302.00
Payroll %:
55.2%
Avg Residents/Day:
83
Overall Rating:
Adj Nurse Hours:
4.7042
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
8
RN share vs State Avg:
-11%
-11%
Staffing vs State Avg:
+8%
+8%
Occupancy vs State Avg:
+14%
+14%
Albertville Nursing Home
Type of care:
SNF
AL
Community:
AL 35951
Bed Count:
159
Operator:
BROWN, TERRI
CCN:
15163
Occupancy:
97.4%
Home Revenue:
$17,716,965.00
Payroll Costs:
$8,937,954.00
Payroll %:
50.4%
Avg Residents/Day:
154
Overall Rating:
Adj Nurse Hours:
5.0559
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-15%
-15%
Staffing vs State Avg:
+16%
+16%
Occupancy vs State Avg:
+21%
+21%
Limestone Nursing and Rehabilitation Center
Type of care:
SNF
AL
Community:
AL 35611-2333
Bed Count:
170
Operator:
WALKER, JAMES
CCN:
15024
Occupancy:
74.6%
Home Revenue:
$12,566,678.00
Payroll Costs:
$5,474,956.00
Payroll %:
43.6%
Avg Residents/Day:
136.60
Overall Rating:
Adj Nurse Hours:
3.7280
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+4%
+4%
Staffing vs State Avg:
-15%
-15%
Occupancy vs State Avg:
-8%
-8%
Altoona Health & Rehab
Type of care:
SNF
AL
Community:
AL 35952
Bed Count:
50
Operator:
LONG, BRADLEY
CCN:
15101
Occupancy:
96.0%
Home Revenue:
$5,086,458.00
Payroll Costs:
$3,037,649.00
Payroll %:
59.7%
Avg Residents/Day:
45.60
Overall Rating:
Adj Nurse Hours:
4.3258
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
7
RN share vs State Avg:
+3%
+3%
Staffing vs State Avg:
-1%
-1%
Occupancy vs State Avg:
+19%
+19%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
Source: CMS Payroll-Based Journal (Q2 2025)
209
Total Staff
164
Employees
45
Contractors
51,889
Total Hours (Quarter)
65
Avg Staff/Day
8.8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 21 | 9.2 | Yes |
| Licensed Practical Nurse | 39 | 9.5 | No |
| Certified Nursing Assistant | 62 | 9.3 | No |
Staff by Category
Administration ⓘ
3 staff
5.6hs shift avg
Nursing Staff ⓘ
156 staff
9.2hs shift avg
Physicians & Practitioners ⓘ
3 staff
8.3hs shift avg
Therapy Services ⓘ
35 staff
6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
7 staff
6.5hs shift avg
Dietary Services ⓘ
4 staff
7.6hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
6.9%
of total hours from contractors
3,606 contractor hours this quarter
Speech Language Pathologist: 11
Physical Therapy Aide: 10
Registered Nurse: 1
Occupational Therapy Aide: 2
Respiratory Therapy Technician: 4
Qualified Social Worker: 7
Medical Director: 2
Physical Therapy Assistant: 7
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
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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