Limestone Nursing and Rehabilitation Center

Nursing Home, Respite Care & Skilled Nursing · Athens, AL

CMS overall rating

1600 West Hobbs Street, Athens, AL 35611-2333 View map

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Limestone Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Limestone Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Limestone Nursing and Rehabilitation Center

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 info@limestonehf.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 44m per day

vs avg

4 of 6 metrics below state avg

Standout metric LPN / LVN is +36% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) 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.	27m per day	▼ 28% State avg: 38m per day · National avg: 41m per day
LPN / LVN 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 4m per day	▲ 36% State avg: 47m per day · National avg: 52m per day
Nurse Aide 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 26m per day	▼ 3% State avg: 2h 30m per day · National avg: 2h 20m per day
Weekend Total Nursing 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 22m per day	■ Avg State avg: 3h 17m per day · National avg: 3h 26m per day
Physical Therapist 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 per day	▼ 21% State avg: 2m per day · National avg: 4m per day
Weekend RN 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 per day	▼ 25% State avg: 22m per day · National avg: 28m per day

Capacity and availability

125 days

170-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

Walk Score: 64 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

82%

Similar to the Alabama average: 80.8%

Occupied beds

139 / 170

Average occupied beds in Alabama homes 97 beds

Facility TypeNursing Home

StatusRegular

CountyLimestone

CMS Certification Number015024

AccreditationsAHCA/NCAL Bronze National Quality Award

Limestone Nursing and Rehabilitation Center is administered by Sherry Bowling.

Profit StatusFor-profit

Emergency SystemsAlarm system for resident security

Rehabilitation Services

Respite Care

Short-Term Rehab

Doctor on Staff

Pets not allowed

Medical Director (Full Time)

Nurse Practitioner (3-Days A Week)

Housekeeping Services

Spacious Private Or Semi-Private Living

Wireless Internet Access

One Level

Easy Access Open Floor Gym

Private Courtyard

On-Site Beauty Salon

Activities

Since 2018 · 8 years of data 22 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Alabama state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Alabama state average

Overall vs. AL average

Latest Inspection February 13, 2020 Routine

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	AL Average	vs. AL Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	22	17	This facility has 29% more total deficiencies than a typical Alabama assisted living residence (22 vs. AL avg 17).↑ 29% worse
Deficiencies per year Average deficiencies per year since 2018.	2.8	2.1	This facility has 33% more deficiencies per year than a typical Alabama assisted living residence (2.8 vs. AL avg 2.1).↑ 33% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

February 13, 2020 inspection found 11 deficiencies including privacy violations with Foley catheter bags, multiple food safety violations, and staff hand hygiene lapses.
March 20, 2019 inspection cited 4 deficiencies related to unlabeled food, oven cleanliness, and failure to perform proper hand hygiene during wound care.
February 15, 2018 inspection identified 7 deficiencies involving medication handling, catheter care, food preference violations, and inadequate cleaning and sanitizing of kitchen equipment.

Show Inspection Reports

Inspections since 2018

Total health inspections 3

State average N/A

Last Health inspection on Feb 2020

Total health citations

State average N/A

Citations per inspection

3.33

State average N/A

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

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

10 moderate citations State average: N/A

0 minor citations State average: N/A

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

Total staff 203

Employees 161

Contractors 42

Staff to resident ratio 1.34 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 69

Average shift 8.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 55,751

Nursing staff breakdown

8.6 hours

9.5 hours

9.4 hours

Contractor staffing

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


Certified Nursing Assistant	64	0	64	22,397	92	100%	9.4
Licensed Practical Nurse	39	0	39	12,682	92	100%	9.5
Nurse Aide in Training	30	0	30	6,219	92	100%	9
Registered Nurse	14	1	15	4,914	92	100%	8.6
Medication Aide/Technician	5	0	5	2,604	92	100%	8.7
Speech Language Pathologist	0	12	12	1,220	75	82%	6.6
RN Director of Nursing	2	0	2	981	68	74%	8.1
Physical Therapy Aide	0	8	8	883	71	77%	7.2
Administrator	1	0	1	496	62	67%	8
Other Dietary Services Staff	1	0	1	487	65	71%	7.5
Nurse Practitioner	1	0	1	472	59	64%	8
Clinical Nurse Specialist	1	0	1	453	57	62%	7.9
Dietitian	2	0	2	446	59	64%	7.6
Qualified Social Worker	0	4	4	436	61	66%	6.6
Mental Health Service Worker	1	0	1	432	54	59%	8
Respiratory Therapy Technician	0	7	7	337	66	72%	5
Physical Therapy Assistant	0	6	6	161	45	49%	3.3
Occupational Therapy Aide	0	1	1	109	51	55%	2.1
Medical Director	0	2	2	20	22	24%	0.8
Occupational Therapy Assistant	0	1	1	3	3	3%	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%

5 Medication Aide/Technician

% of Days 100%

12 Speech Language Pathologist

% of Days 82%

2 RN Director of Nursing

% of Days 74%

8 Physical Therapy Aide

% of Days 77%

1 Administrator

% of Days 67%

1 Other Dietary Services Staff

% of Days 71%

1 Nurse Practitioner

% of Days 64%

1 Clinical Nurse Specialist

% of Days 62%

2 Dietitian

% of Days 64%

4 Qualified Social Worker

% of Days 66%

1 Mental Health Service Worker

% of Days 59%

7 Respiratory Therapy Technician

% of Days 72%

6 Physical Therapy Assistant

% of Days 49%

1 Occupational Therapy Aide

% of Days 55%

2 Medical Director

% of Days 24%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data

No penalties in the past 3 years

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

High-risk clinical events score 4.1

54% better than State average

State average: 8.9

Functional decline score 10.5

28% better than State average

State average: 14.5

Long-stay resident measures

Above average State avg: 3.3

Need for Help with Daily Activities Increased 7.3%

47% better than State average

State average: 13.9%

Walking Ability Worsened 6.1%

62% better than State average

State average: 16.1%

Low Risk Residents with Bowel/Bladder Incontinence 17.9%

32% worse than State average

State average: 13.6%

Falls with Major Injury 1.6%

52% better than State average

State average: 3.4%

High Risk Residents with Pressure Ulcers 5.5%

7% better than State average

State average: 5.9%

Urinary Tract Infection 3.1%

13% worse than State average

State average: 2.7%

Lost Too Much Weight 0.0%

100% better than State average

State average: 5.4%

Depressive Symptoms 0.0%

100% better than State average

State average: 1.2%

Antipsychotic Use 24.3%

18% worse than State average

State average: 20.7%

Pneumococcal Vaccine 99.1%

8% better than State average

State average: 91.5%

Influenza Vaccine 96.5%

In line with State average

State average: 94.8%

Hospitalizations per 1,000 days 1.79

11% better than State average

State average: 2.00

ED visits per 1,000 days 2.13

19% worse than State average

State average: 1.79

Short-stay resident measures

Below average State avg: 2.1

Pneumococcal Vaccine 98.7%

18% better than State average

State average: 83.7%

Antipsychotic medication increase 3.0%

42% worse than State average

State average: 2.1%

Influenza Vaccine 93.4%

16% better than State average

State average: 80.3%

Re-hospitalized after SNF stay 26.4%

8% worse than State average

State average: 24.5%

Emergency department visits 13.4%

17% worse than State average

State average: 11.5%

Falls with major injury 0.6%

22% better than State average

State average: 0.8%

Ability to care for self at discharge 51.7%

In line with State average

State average: 53.7%

Successful return to home or community 55.9%

11% better than State average

State average: 50.6%

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

Total residents 152

Medicare

12.5% of residents

Medicaid

57.9% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Limestone Nursing and Rehabilitation Center from 2012–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 74.6% ↑ 6.6pp vs 2022

Net Patient Income $161.7K ↓ ~$333.8K vs 2022

Payroll Costs $6.5M ↑ ~$1.9M vs 2022

Operating Margin 1.2% ↓ 2.8pp vs 2022

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2022	2023
Occupancy %	91.3%	93.8%	92.0%	89.2%	90.9%	88.8%	83.5%	78.4%	85.1%	68.1%	74.6%
Beds	170	170	170	170	170	170	170	170	170	170	170
Net Income	$301,115	$762,563	$536,334	$837,071	$1,227,965	$534,147	-$469,261	$405,283	$869,988	$651,524	$694,047
Gross Revenue	$14,179,280	$14,533,159	$15,000,054	$15,247,939	$15,618,835	$15,944,830	$16,587,263	$16,238,384	$15,910,881	$11,808,356	$12,566,678
Operating Expenses	$12,675,225	$12,532,788	$12,513,547	$12,488,487	$12,513,941	$13,012,389	$13,924,691	$12,548,894	$12,392,015	$11,903,561	$13,415,454
Net Patient Income	$233,839	$667,867	$398,160	$588,161	$986,795	$330,199	-$609,203	$408,806	$834,549	$495,509	$161,716
Net Patient Revenue	$12,909,064	$13,200,655	$12,911,707	$13,076,648	$13,500,736	$13,342,588	$13,315,488	$12,957,700	$13,226,564	$12,399,070	$13,577,170
Payroll Costs	$7,357,154	$7,142,432	$7,085,791	$6,693,598	$6,730,125	$6,675,201	$7,106,199	$5,700,700	$6,156,725	$4,599,862	$6,484,124
Operating Margin %	1.8%	5.1%	3.1%	4.5%	7.3%	2.5%	-4.6%	3.2%	6.3%	4.0%	1.2%
Medicare %	13.1%	11.6%	12.3%	14.0%	13.5%	12.6%	14.1%	12.0%	10.5%	13.7%	11.3%
Medicaid %	59.0%	56.8%	59.5%	60.6%	58.7%	56.7%	52.2%	51.5%	54.9%	46.1%	41.3%
Private %	27.9%	31.6%	28.2%	25.4%	27.9%	30.7%	33.7%	36.5%	34.6%	40.2%	47.4%
Net Patient Revenue/Day	$227	$227	$226	$236	$239	$242	$257	$266	$250	$294	$293
Cost/Day	$223	$215	$219	$226	$221	$236	$269	$258	$234	$282	$290
Avg Length of Stay	701.4 days	171.7 days	151.8 days	128.2 days	150.8 days	136.4 days	112.6 days	114.0 days	163.9 days	124.6 days	124.8 days

Finances and operations

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

Net patient revenue

$13.6M

Net patient income

$161.7K

For-profit Corporation

Net patient revenue

$13.6M

Net patient income

$161.7K

Other income

$541.2K

Payroll costs

$6.5M 47.8% of net patient revenue

Other operating costs

$6.9M

Total costs

$13.4M

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.

Coverage residents most often arrive under.

Medicare 49%

Private pay 45%

Medicaid 6%

Coverage residents most often leave under.

Medicare 38%

Private pay 54%

Medicaid 8%

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

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The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.


Westminster Village – Spanish Fort	NH AL HC HOS IL MC PC SNF	Spanish Fort (Bridgehead)	-	60	-	27	Studio / 1 Bed / 2 Bed
Crowne Health Care of Springhill	NH RC SNF	Mobile (College Park)	-	46	-	49	-
Palm Gardens Health and Rehabilitation, LLC	NH PC SNF	Mobile (South Crichton)	-	100	-	46	-
Washington County Nursing Home	NH ADC RC SNF	Chatom	-	88	-	37	-
Limestone Nursing and Rehabilitation Center	NH RC SNF	Athens	-	170	-	64	-

Nursing Home Explorer

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 82%.

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.

What is the address of Limestone Nursing and Rehabilitation Center?

Limestone Nursing and Rehabilitation Center is located at 1600 West Hobbs Street, Athens, AL 35611-2333.

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Limestone Nursing and Rehabilitation Center

Overview of Limestone Nursing and Rehabilitation Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Safety & Compliance

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Limestone Nursing and Rehabilitation Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Alabama state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2018

Breakdown of citation severity (last 8 years)

Citations history (last 8 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

64 Certified Nursing Assistant

39 Licensed Practical Nurse

30 Nurse Aide in Training

15 Registered Nurse

5 Medication Aide/Technician

12 Speech Language Pathologist

2 RN Director of Nursing

8 Physical Therapy Aide

1 Administrator

1 Other Dietary Services Staff

1 Nurse Practitioner

1 Clinical Nurse Specialist

2 Dietitian

4 Qualified Social Worker

1 Mental Health Service Worker

7 Respiratory Therapy Technician

6 Physical Therapy Assistant

1 Occupational Therapy Aide

2 Medical Director

1 Occupational Therapy Assistant

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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