CCN 015440 · Madison County, Alabama
Huntsville Health & Rehabilitation, LLC
4010 Chris Drive, Huntsville, AL 35802
Huntsville Health & Rehabilitation, LLC is a 105-bed for-profit nursing home in Huntsville, Alabama, first certified for Medicare or Medicaid in 1999. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 100.3 residents a day, about 96% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 105
- Average residents per day
- 100.3 (95.5% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Huntsville Health and Rehabilitation, LLC
- Certified since
- Nov 18, 1999
- Chain or affiliated group
- Nhs Management (43 facilities, chain average 2.9 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Alabama median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 42 at 1, 45 at 2, 50 at 3, 41 at 4, 45 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.92 | 3.88 | 3.68 |
| RN hours per resident per day | 0.54 | 0.64 | 0.58 |
| Weekend nurse hours per resident per day | 3.16 | ||
| Nursing staff turnover | 63.0% | 46.7% | 44.9% |
| Occupancy (residents / beds) | 95.5% | 88.2% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 16 (May 21, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Huntsville Health & Rehabilitation, LLC does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Northport Holding Operations, LLCOrganization | Direct Ownership Interest | 100% | 07/28/2011 |
| James N Estes Jr Family Dynasty Tr No 2Organization | Indirect Ownership Interest | 18% | 12/27/2012 |
| James Norman Estes Jr TrOrganization | Indirect Ownership Interest | 6% | 06/30/2013 |
| Jennifer E Agee Family Dynasty Tr No 2Organization | Indirect Ownership Interest | 18% | 12/27/2012 |
| Jennifer Lee Estes Tr 031093Organization | Indirect Ownership Interest | 6% | 06/30/2013 |
| Estes, JamesIndividual | Indirect Ownership Interest | 51% | 07/28/2011 |
| Capital Funding LLCOrganization | Mortgage Interest | n/a | 05/01/2014 |
| Capital Funding LLCOrganization | Security Interest | n/a | 05/01/2014 |
| Huntsville Health Realty, LLCOrganization | Security Interest | n/a | 11/30/2017 |
| Servisfirst BankOrganization | Security Interest | n/a | 08/29/2018 |
| Chandler, AnitaIndividual | Operational / Managerial Control | n/a | 12/02/2024 |
| Cox, TammyIndividual | Operational / Managerial Control | n/a | 10/23/2023 |
| Rasco, LynnIndividual | Operational / Managerial Control | n/a | 07/01/2022 |
| Ward, SonnyIndividual | Operational / Managerial Control | n/a | 05/10/2024 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Capital Funding LLC.
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.