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Nursing HomeMedicaid

Moundville Health and Rehabilitation, LLC

Strong Medicare quality ratings; families often praise warm, compassionate, and long-tenured staff. Still worth an in-person visit.

Third Avenue, Moundville, AL 3547468 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.9/5

based on 72 Google reviews

5
4
3
2
1
Moundville Health and Rehabilitation, LLC Nursing Home in Moundville, AL — Street View
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What this means for your family

Moundville Health and Rehabilitation is highly regarded for its compassionate, long-tenured staff and excellent communication with families. The facility is consistently described as clean and engaging, making it a strong candidate for those seeking a supportive, home-like environment for their loved ones.

Google Reviews

Google Reviews

72 reviews on Google
Moundville Health and Rehabilitation is consistently praised by families for its warm, hometown atmosphere and dedicated, long-tenured staff who treat residents like family. Reviewers frequently highlight the facility's cleanliness, proactive communication regarding medical updates, and a robust calendar of engaging activities. Families express high levels of peace of mind, noting that the facility successfully balances professional care with a compassionate, personalized approach.

Quality Themes

Tap a score for details
Food10.0Staff10.0Clean10.0Activities10.0Meds10.0Memory10.0Comms10.0ValueN/A

Strengths

  • Warm, compassionate, and long-tenured staff
  • Clean and well-maintained facility
  • Proactive and transparent family communication
  • Engaging and frequent resident activities

Rating Trends

Tap a year to see what changed

2341.02021(1)5.02022(4)5.02023(26)4.92024(17)5.02025(14)4.82026(12)

Distribution · 74 analyzed

5
71
4
1
3
0
2
1
1
1
10 reviews posted between May 14, 2023May 19, 2023 · 10 were 5-star

How They Respond to Reviews

93%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you incorporate that kind of open communication into your daily updates with families?
  • 2With your staff having such a strong reputation for longevity and compassion, what specific programs or culture initiatives help you retain such a dedicated team?
  • 3Given that your facility maintains a 4-star health inspection rating, what are some of the proactive measures you take to ensure the environment remains clean and well-maintained for the residents?
  • 4I see that engaging activities are a highlight here; could you walk me through a typical week of programming and how you tailor those events to residents with different interests?
  • 5Since staffing levels are a critical part of care, could you explain how your current staffing model ensures that residents receive consistent attention throughout the day and night?
  • 6In the event of a medical emergency, what is the specific protocol for notifying family members and coordinating with local healthcare providers?

Personalized based on this facility's data


Key Review Excerpts

The facility is clean, busy yet very organized, and does NOT have the odor many other like facilities have. Their staff is personable, helpful, professional, and well trained.

Long-term resident's family · 2024★★★★★

They always notify us if his medication is changed or if there is any change in his health. Our community is blessed to have MHR!

Long-term resident's family · 2024★★★★★

The event coordinator keeps our loved one busy with her wonderful events and services that she provides.

Family member · 2026★★★★★
Source: 72 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.65hrs
87%
Registered nurses for medical care
Total Nursing
3.93hrs
96%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
54%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

3

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility46.3%
Worse than Avg
Here
46.3%
US
19.5%
AL
24.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
AL
1.4%

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 Facility99.6%
Better than Avg
Here
99.6%
US
93.4%
AL
91.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
15.3%
AL
13.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
AL
94.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility15.2%
Mixed vs Avgs
Here
15.2%
US
19.4%
AL
13.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
AL
84.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
AL
2.0%
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

This facility had 19 deficiencies across two surveys in 2018-2019, with all issues reportedly corrected. The most recurring problems involved care planning and assessment, infection control, and fire safety systems. While the deficiencies covered important areas like pressure ulcer care, medication labeling, and emergency preparedness, the facility appears to have addressed these concerns, suggesting improvements in their operations.

Apr 4, 2019Routine
12
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.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Mar 22, 2018Routine
7
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Moundville Health and Rehabilitation, LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Nhs Management

Chain Size

43 facilities nationwide

Chain avg rating: 2.8/5 · Rank 5 of 43

Ownership & Management

Owners

Nhs Operations LLC

Owner · Organization

100%

James Norman Estes Jr Tr

Owner (parent company) · Organization

5%

Jennifer Lee Estes Tr 031093

Owner (parent company) · Organization

5%

Estes, James

Owner (parent company)

89%

Key personnel

Moundville Health Realty, LLC5% or Greater Security InterestNhs Facilities Group LLC5% or Greater Security InterestRegions Bank5% or Greater Security InterestServisfirst Bank5% or Greater Security InterestMilligan, BrettW-2 Managing Employee
Source: Medicare provider data

Contact

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References & Resources

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