Alabama › Limestone County › Athens
Limestone Nursing and Rehabilitation Center, LLC
1600 West Hobbs Street, Athens, AL 35611
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Limestone Nursing and Rehabilitation Center, LLC, in Athens, Alabama, is certified for 170 beds under for-profit, corporation ownership and belongs to the Preston Health Services chain.
CMS gives it 3 of 5 stars overall, equal to the Alabama median; the health inspection rating is 3, staffing 2 and quality measures 3.
Inspectors recorded 10 health deficiencies across the three most recent survey cycles (3, 2, 5 by cycle, most recent first), none at the actual-harm level. That is 5.9 per 100 beds, fewer than the state median of 7.7.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the Alabama median of 3.9; nursing staff turnover is 48.3%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Limestone Co. median | Alabama median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 10 | 10 | 9 | 28.7 |
| Citations per 100 beds | 5.9 | 6.7 | 7.7 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.9 | 3.9 | 3.9 |
| RN hours per resident day | 0.4 | 0.7 | 0.6 | 0.7 |
| Nursing staff turnover | 48.3% | 48.3% | 46.7% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (2 in the county, 224 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Alabama average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Feb 2020, 20 Mar 2019.
Severity mix: D ×7 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 13 Feb 2020 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 19 Mar 2020 |
| 13 Feb 2020 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 19 Mar 2020 |
| 13 Feb 2020 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Mar 2020 |
| 20 Mar 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 24 Apr 2019 |
| 20 Mar 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 24 Apr 2019 |
| 15 Feb 2018 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Mar 2018 |
| 15 Feb 2018 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 22 Mar 2018 |
| 15 Feb 2018 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 22 Mar 2018 |
| 15 Feb 2018 | F0803 | 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. | D | Standard survey | 22 Mar 2018 |
| 15 Feb 2018 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Mar 2018 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Alabama average. Turnover: nursing staff 48.3%, RNs 31.6%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Alabama median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.2% | 11.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.0% | 0.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.7% | 1.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.1% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.3% | 1.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.8% | 11.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.2% | 20.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Limestone Nursing And Rehabilitation Center Llc. Chain: Preston Health Services (5 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Preston Health Services Inc | Operational/managerial control | NOT APPLICABLE | 01/01/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Limestone County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Athens Health and Rehabilitation LLC | Athens | 149 | 5 | 4 | 4 | 10 | 6.7 | — | 29 Aug 2019 |
All 2 facilities in Limestone County
Questions and answers
How many deficiencies has Limestone Nursing and Rehabilitation Center, LLC been cited for?
10 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Alabama median is 9 per facility.
Has Limestone Nursing and Rehabilitation Center, LLC been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Limestone Nursing and Rehabilitation Center, LLC compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Alabama median of 3.9 and a national average of 3.9.
Who operates Limestone Nursing and Rehabilitation Center, LLC?
It is part of the Preston Health Services chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Preston Health Services Inc. Individual owners and managers are not listed on this site.
When was Limestone Nursing and Rehabilitation Center, LLC last inspected?
The most recent survey or investigation in the CMS record is dated 13 Feb 2020; the most recent standard health survey was 13 Feb 2020.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.