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Nursing HomeMedicaid Top Rated

Highlands Health and Rehab

Strong Medicare quality ratings; families often praise excellent physical therapy services. Still worth an in-person visit.

380 Woods Cove Road, Scottsboro, AL 3576850 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 19 Google reviews

Highlands Health and Rehab Nursing Home in Scottsboro, AL — Street View
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What this means for your family

This facility is highly regarded for its therapy and nursing care, making it a strong candidate for rehabilitation needs. However, because the majority of recent reviews are brief and lack specific operational details, I recommend scheduling an in-person tour to observe the staff-to-resident interaction firsthand.

Google Reviews

Google Reviews

19 reviews on Google
Highlands Health and Rehab receives high praise for its therapy services and nursing staff, with families noting a compassionate and supportive environment. While recent feedback is overwhelmingly positive, the reviews are largely generic, lacking specific details regarding daily operations or potential challenges.

Quality Themes

Tap a score for details
Food10.0Staff10.0Clean10.0ActivitiesN/AMedsN/AMemoryN/AComms10.0ValueN/A

Strengths

  • Excellent physical therapy services
  • Compassionate and attentive nursing staff
  • Clean facility environment
  • Supportive administrative and admissions team

Rating Trends

Tap a year to see what changed

2345.02023(1)1.02024(1)5.02025(1)5.02026(18)

Distribution · 21 analyzed

5
20
4
0
3
0
2
0
1
1
15 reviews posted between Jan 28, 2026Jan 29, 2026 · 15 were 5-star

How They Respond to Reviews

5%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard wonderful things about the physical therapy services here; could you tell us more about how the therapists work with residents to help them regain their strength?
  • 2Since we've seen how much the administration team cares about the community, how do you typically communicate updates or changes to the families?
  • 3What steps are in place to ensure that the nursing staff can provide consistent, one-on-one attention to every resident throughout the day?
  • 4How does the facility handle medical emergencies or sudden changes in a resident's health during the overnight hours?
  • 5The facility looks very well-maintained; what is your routine for ensuring the resident living areas stay clean and comfortable?
  • 6What kind of daily activities or social events do you have planned to keep the residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

My sister who had a car accident was there for about seven weeks she had excellent care and therapy she is now doing well thanks to them. Great nurses and therapists very clean and meals were very good for her overall a great place.

Rehab patient's family · 2026★★★★★

Making a decision to place a loved one in a nursing facility is never easy, but the folks at Highlands will hold your hand through the entire process. The care and compassion is unrivaled.

Long-term resident's family · 2023★★★★★

Best of the Best for Therapy Services and Skilled Nursing Facility!

General visitor · 2026★★★★★
Source: 19 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.86hrs
OK
Registered nurses for medical care
Total Nursing
4.71hrs
OK
All nurses + aides combined

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility35.5%
Worse than Avg
Here
35.5%
US
15.3%
AL
13.3%
Jackson
16.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.9%
Better than Avg
Here
2.9%
US
15.5%
AL
21.4%
Jackson
19.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.8%
Worse than Avg
Here
29.8%
US
19.4%
AL
13.3%
Jackson
20.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.9%
Mixed vs Avgs
Here
2.9%
US
12.1%
AL
1.4%
Jackson
18.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
AL
91.7%
Jackson
90.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.4%
Worse than Avg
Here
21.4%
US
14.4%
AL
12.7%
Jackson
16.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
81.8%
AL
84.8%
Jackson
78.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.3%
Better than Avg
Here
97.3%
US
79.8%
AL
80.3%
Jackson
78.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
AL
2.0%
Jackson
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
Well below state avg (3.9)
Clean record — no deficiencies

Highlands Health and Rehab has 10 deficiencies across two surveys with all violations corrected by the facility. The main concerns involve food safety and sanitation, infection control, and fire safety systems. Infection control issues appeared in both 2018 and 2019 surveys, suggesting ongoing challenges in this area, though the facility provided correction dates for all deficiencies.

Jun 6, 2019Routine
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

May 3, 2018Routine
4
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Highlands Health and Rehab

Organization Type

government

Chain Affiliation

Chain Name

Huntsville Hospital Health System

Chain Size

3 facilities nationwide

Chain avg rating: 2.7/5 · Rank 2 of 3 (Best)

Ownership & Management

Owners

The Health Care Authority of the City of Huntsville

Owner · Organization

Key personnel

Anderson, JohnW-2 Managing EmployeeCarrier, JohnW-2 Managing EmployeeSamz, JeffreyW-2 Managing EmployeeAnderson, JohnOfficer / DirectorBentley, PhilipOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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