Prattville Health and Rehabilitation, LLC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 124 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (6 vs median 3.0)
- High staff turnover (60%)
- High RN turnover (52%)
Bottom 25% in AL · Meets national RN staffing standard · Above recommended total nurse staffing · Worst in NHS MANAGEMENT chain · No penalties on record
What this means for your family
While the facility's therapy and activity programs are highly regarded, the recurring reports of severe neglect and communication failures are deeply concerning. If you choose this facility, we strongly recommend daily, unannounced visits to monitor your loved one's hygiene and care, and to ensure that medication and call-light response times are being managed appropriately.
Google Reviews
Google Reviews
124 reviews on Google“Prattville Health and Rehabilitation receives highly polarized feedback, with many families praising the physical and occupational therapy teams while others report severe neglect and communication failures. While some residents have positive experiences with specific staff members, multiple reviewers describe a facility that is chronically understaffed, leading to poor hygiene, slow response times, and difficulty reaching staff by phone. Families considering this facility should be aware of these significant inconsistencies in care quality.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy teams
- Engaging activity programs for residents
- Helpful and knowledgeable financial/admissions staff
- Clean, modern rehab wing
Concerns
- Chronic understaffing leading to neglect (mentioned by 12 reviewers)
- Poor communication and inability to reach staff by phone (mentioned by 9 reviewers)
- Hygiene issues, including failure to assist with bathroom needs or changing soiled linens (mentioned by 8 reviewers)
- Medication management errors or delays (mentioned by 5 reviewers)
- Lack of responsiveness to call lights (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 125 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your facility has a very active therapy department; how do you integrate those physical and occupational therapy programs into the daily routines of long-term residents?
- 2Given that communication is a top priority for our family, what is the best way to ensure we can reach a staff member directly if we have questions about our loved one’s care?
- 3We understand that staffing can be a challenge in nursing homes; what specific protocols do you have in place to ensure call lights are answered promptly and hygiene needs are met consistently?
- 4I see that you are very engaged in responding to feedback online; how does that commitment to listening translate into improvements in daily resident care and medication management?
- 5Could you walk us through the process for how your nursing team handles urgent medical changes or emergencies to ensure residents receive timely attention?
- 6With the facility having a large capacity of 162 residents, how do you ensure that each resident receives personalized attention and that their specific daily preferences are honored?
Personalized based on this facility's data
Key Review Excerpts
“My mother was in the nursing home portion of PHR for 7 years. It is always far too understaffed to get good care. The CNAs did almost all the work without adequate pay or support.”
“My Dad was at this place for 20 days. The lack of communication is awful. He went to the hospital twice we received one phone call the first time then we weren't even aware he had gone back to the facility.”
“The Therapy and all the therapist are fabulous. They make sure you stay on course and teach you things that will help when you go home. They make sure you are safe at all times and also work together as a team very well.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
9
measures
2
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents on antipsychotic medication
Residents with pressure sores (bedsores)
Residents who lost too much weight
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a pattern of recurring deficiencies across three surveys, particularly in fire safety systems, dietary services, and care planning. Fire safety issues including smoke barriers and alarm systems appeared in all three surveys, while food handling and waste disposal problems recurred twice. Care planning and resident assessment deficiencies also repeated across multiple inspections. All violations were corrected according to state records, but the recurring nature of safety and operational issues warrants careful consideration during visits.
Jun 10, 2022Routine7
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 7, 2019Routine12
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Oct 21, 2018Routine14
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.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Ownership & Operations
Who Operates This Facility
Prattville Health and Rehabilitation, LLC
for profit
Chain Affiliation
Nhs Management
43 facilities nationwide
Chain avg rating: 2.8/5 · Rank 41 of 43 (Worst)
Ownership & Management
Owners
Northport Holding Operations, LLC
Owner · Organization
James N Estes Jr Family Dynasty Tr no 2
Owner (parent company) · Organization
James Norman Estes Jr Tr
Owner (parent company) · Organization
Jennifer E Agee Family Dynasty Tr no 2
Owner (parent company) · Organization
Jennifer Lee Estes Tr 031093
Owner (parent company) · Organization
Estes, James
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
124 reviews from families & visitors
Official Website
Visit prattvillehealthandrehab.com
Medicare data downloads
Original nursing home datasets
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