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Nursing HomeMedicaid

Valley View Health and Rehabilitation, LLC

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

5968 Wall Triana Highway, Madison, AL 35757155 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 87 Google reviews

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

While the physical therapy team is frequently praised for helping patients regain mobility, the facility faces severe, recurring reports of neglect, poor hygiene, and unresponsiveness. Families considering this facility should be extremely cautious and conduct an unannounced visit to observe staffing levels and cleanliness firsthand before making a decision.

Google Reviews

Google Reviews

87 reviews on Google
Valley View Health and Rehabilitation receives highly polarized reviews, with many families reporting severe neglect, including unaddressed bedsores, poor hygiene, and significant understaffing. While some reviewers praise the physical therapy team and specific staff members, the recurring reports of unresponsive communication, medication delays, and unprofessional administrative conduct present a high-risk environment for potential residents.

Quality Themes

Tap a score for details
Food3.0Staff3.0Clean2.0ActivitiesN/AMeds2.0MemoryN/AComms1.0ValueN/A

Strengths

  • Effective physical therapy department
  • Select compassionate and attentive individual staff members
  • Clean facility appearance (noted by some reviewers)

Concerns

  • Severe understaffing leading to delayed call button response and neglect (mentioned by 14 reviewers)
  • Poor hygiene and sanitation (soiled linens, patients left in wet diapers, bedsores) (mentioned by 11 reviewers)
  • Communication failures (unanswered phones, difficulty reaching staff/admin) (mentioned by 9 reviewers)
  • Medication management errors and delays (mentioned by 6 reviewers)
  • Unprofessional or rude administrative/office staff (mentioned by 6 reviewers)

Rating Trends

Tap a year to see what changed

234'16(3)'18(8)'20(9)'22(12)'24(9)'26(2)

Distribution · 89 analyzed

5
37
4
5
3
0
2
7
1
40

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1Given the facility's size of 155 residents, what specific protocols are in place to ensure that call buttons are answered promptly and that residents receive timely assistance with hygiene and personal care?
  • 2I noticed that staffing levels are a key focus for your team; how do you manage shift coverage to ensure consistent, high-quality care throughout the day and night?
  • 3Could you walk me through your current process for medication administration and how you ensure accuracy and timeliness for residents with complex needs?
  • 4I see that you are very active in responding to feedback online; how do you incorporate that family input into your daily operations and communication strategies?
  • 5What steps are currently being taken to maintain high standards of cleanliness and sanitation in resident rooms and common areas?
  • 6How does your team facilitate communication with families, especially when we have urgent questions or need to reach administrative staff?

Personalized based on this facility's data


Key Review Excerpts

The nurses and CNAs were not friendly. It would take forever for the night CNAs to answer the call button. I hardly ever used it.

Rehab patient · 2026★★☆☆☆

My mother-in-law has been left in wet poopy diapers! Dirty sheets on her bed. Soiled sheets left on her bed! She has been left in a wheelchair every single day where she cries in pain from discomfort.

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

The staff was unbelievable and the physical therapists did an outstanding job in getting my sis back on her feet.(literally!) Jessica and Brooke in admissions made the check in effortless.

Long-term resident's family · 2022★★★★★
Source: 87 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.71hrs
94%
Registered nurses for medical care
Total Nursing
4.21hrs
OK
All nurses + aides combined
Staff Turnover
79%
Lower is better (< 30% = good)
RN Turnover
71%
Lower is better (< 30% = good)

RN 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

Medicare Rating
5/ 5
Better Than Avg

15

measures

Worse Than Avg

1

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.8%
Better than Avg
Here
4.8%
US
15.5%
AL
21.4%
Madison
18.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.4%
Mixed vs Avgs
Here
4.4%
US
12.1%
AL
1.4%
Madison
19.5%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility7.2%
Better than Avg
Here
7.2%
US
19.4%
AL
13.3%
Madison
19.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.6%
Better than Avg
Here
13.6%
US
19.5%
AL
24.7%
Madison
24.7%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
95.5%
AL
94.8%
Madison
91.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
93.4%
AL
91.7%
Madison
91.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.6%
Better than Avg
Here
95.6%
US
81.8%
AL
84.8%
Madison
78.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility87.2%
Better than Avg
Here
87.2%
US
79.8%
AL
80.3%
Madison
70.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
1.6%
AL
2.0%
Madison
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Above state avg (3.9)

Valley View has 21 deficiencies across three surveys with all issues reportedly corrected by the facility. The most recurring problems involve fire safety systems, resident care quality, and building safety features. While no families filed complaints triggering investigations, the facility has faced consistent challenges with smoke barriers, sprinkler systems, daily care assistance, and infection control protocols across multiple inspection cycles.

Apr 22, 2022Routine
7
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Aug 22, 2019Routine
8
0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

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.

0929Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Jul 12, 2018Routine
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.

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.

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.

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.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0814Minimal · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Valley View 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 4 of 43

Ownership & Management

Owners

Millennium Health Operations, LLC

Owner · Organization

100%

James N Estes Jr Family Dynasty Tr no 2

Owner (parent company) · Organization

8%

Jennifer E Agee Family Dynasty Tr no 2

Owner (parent company) · Organization

8%

Estes, James

Owner (parent company)

83%

Key personnel

Regions Bank5% or Greater Security InterestValley View Health Realty LLC5% or Greater Security InterestWard, SonnyManaging Control - Governing BodyCox, TammyOfficer / DirectorRasco, LynnOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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