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Nursing HomeMedicaid

Opp Health and Rehabilitation, LLC

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

115 Paulk Avenue, Opp, AL 36467197 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 73 Google reviews

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

While the admissions team is highly regarded for their helpfulness, the facility has received concerning reports of neglect and poor weekend care in recent months. Families should conduct an unannounced visit during a weekend to observe staffing levels and quality of care firsthand before making a decision.

Google Reviews

Google Reviews

73 reviews on Google
Opp Health and Rehabilitation receives high praise for its admissions team, particularly Samantha Parks and Courtney Wilson, who are frequently cited for being professional, helpful, and supportive during the transition process. However, the facility faces serious allegations regarding inconsistent care, poor communication, and hygiene issues, with multiple reviewers reporting neglect, staffing shortages, and disorganized care on weekends.

Quality Themes

Tap a score for details
FoodN/AStaff7.0Clean3.0ActivitiesN/AMeds2.0Memory5.0Comms4.0Value2.0

Strengths

  • Highly professional and supportive admissions staff
  • Effective and smooth admission process
  • Compassionate nursing care on specific halls
  • Responsive to family questions during intake

Concerns

  • Inconsistent or poor quality of care, including hygiene and medication management (mentioned by 3 reviewers)
  • Staffing shortages and lack of responsiveness, especially on weekends (mentioned by 3 reviewers)
  • Poor communication regarding patient needs and requests (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.02017(2)4.02018(1)3.02020(2)3.02022(6)4.72023(20)5.02024(35)2.82025(9)

Distribution · 75 analyzed

5
61
4
2
3
0
2
2
1
10

How They Respond to Reviews

100%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 use that family input to improve the daily experience for residents?
  • 2Given the facility's size of 197 residents, what specific steps do you take to ensure consistent, personalized communication with families regarding a loved one's daily care needs?
  • 3How does your nursing team ensure that medication management remains accurate and timely, especially during weekend shifts when staffing levels can fluctuate?
  • 4What is your current protocol for maintaining hygiene standards and room cleanliness throughout the week?
  • 5Can you walk me through the process for how you handle medical emergencies or sudden changes in a resident's health status during off-peak hours?
  • 6What kind of social activities or engagement programs do you have in place to ensure residents feel connected and active within the community?

Personalized based on this facility's data


Key Review Excerpts

My dad spent 4 days in this terrible place. It was over a weekend. When my mom went to see him, he was in someone else’s clothes. No medications given, teeth not brushed. Dirty sheets.

Long-term resident's family · 2025☆☆☆☆

I’m not getting proper baths, been to the shower maybe 10 times since I was admitted. I’m not being transported to Doctor apps... Most nights after meds no CNA even comes to check on me.

Long-term resident · 2025☆☆☆☆

Samantha in admissions was invaluable in her efforts to get the best care for my mother. She helped my father find the best solution for every requirement that he had and answered all of our questions.

Long-term resident's family · 2024★★★★★
Source: 73 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.41hrs
55%
Registered nurses for medical care
Total Nursing
3.68hrs
90%
All nurses + aides combined
Staff Turnover
44%
Lower is better (< 30% = good)
RN Turnover
45%
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 · 17 measures

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

5

measures

Mixed Results

5

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.8%
Better than Avg
Here
5.8%
US
19.4%
AL
13.3%
Covington
21.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility30.5%
Worse than Avg
Here
30.5%
US
15.5%
AL
21.4%
Covington
29.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
AL
1.4%
Covington
2.0%

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

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
14.4%
AL
12.7%
Covington
18.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.8%
Mixed vs Avgs
Here
99.8%
US
93.4%
AL
91.7%
Covington
100.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
15.3%
AL
13.3%
Covington
16.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility65.3%
Worse than Avg
Here
65.3%
US
79.8%
AL
80.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility86.8%
Mixed vs Avgs
Here
86.8%
US
81.8%
AL
84.8%
Covington
95.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
1.6%
AL
2.0%
Covington
6.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
Well below state avg (3.9)

This facility shows a mixed record with 15 deficiencies across three surveys, primarily involving fire safety systems, food handling, and resident care issues like bladder/bowel care and respiratory care. All deficiencies have been corrected by the provider, and importantly, none were triggered by family complaints. The most recent survey in March 2020 showed fewer violations than earlier inspections, suggesting improvement over time, though families should verify current conditions during their visit.

Mar 2, 2020Routine
5
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.

0042Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Meet the requirements of an integrated health system.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

May 22, 2019Routine
3
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.

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Jul 26, 2018Routine
7
0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0343Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Opp 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 15 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

Nhs Facilities Group LLC5% or Greater Security InterestOpp Health Realty, LLC5% or Greater Security InterestRegions Bank5% or Greater Security InterestServisfirst Bank5% or Greater Security InterestBaggett, BryanManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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