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PRESTON HEALTH SERVICES

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

5

States

1

Beds

732

Avg score

73.3

Avg turnover

51%

Federal fines

$0

All 5 homes

B

82.5/100

Mitchell-Hollingsworth Nursing & Rehabilitation

Florence, AL · Lauderdale County

CMS 3/5222 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
37%
Serious cites
0

Mitchell-Hollingsworth runs 222 certified beds in Florence under for-profit LLC ownership, and its staffing figure of 3.38 nurse hours per resident day sits about 12% under the national average of 3.86. Weekend coverage drops roughly 16% below what the home staffs on weekdays, so if you're visiting or calling on a Saturday, that's the stretch where help is thinnest. Turnover lands at 36.6%, which is actually better than the 45.8% national rate, aides and nurses here tend to stay longer than elsewhere. The current record shows 11 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the last inspection was September 2025.

B

72/100

Gadsden Health And Rehab Center

Gadsden, AL · Etowah County

CMS 4/5168 bedsFor-profitMedicaid
Nurse hours
4.40 /day
Staff turnover
58%
Serious cites
0

Gadsden Health And Rehab Center runs 168 certified beds under individual for-profit ownership, and the raw staffing number looks decent: 4.40 total nurse hours per resident day, roughly 14% above the national average of 3.86. The catch is consistency. Weekend staffing drops about 14% below the home's own weekday level, and annual turnover sits at 57.7% against a national average of 45.8%, meaning the people covering those weekend shifts are often new. On paper the record is clean: six deficiencies, none at harm or jeopardy level, none abuse-related, with a 4/5 inspection rating. But the last inspection was July 2021, so that rating describes a facility from several years ago.

B

71/100

Limestone Nursing And Rehabilitation Center, Llc

Athens, AL · Limestone County

CMS 3/5170 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
48%
Serious cites
0

Limestone Nursing and Rehabilitation Center runs 170 certified beds in Athens under corporate for-profit ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average of 3.86. Weekends dip about 10 percent below its own weekday coverage, and annual turnover is 48.3 percent, a few points above the 45.8 percent national figure. The current record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with a three-out-of-five inspection rating and the same for quality measures. One thing worth noting: the last inspection on file dates to February 2020, so that three-star inspection score reflects a snapshot that hasn't been refreshed in years.

B

70.5/100

Marshall Manor Nursing Home

Guntersville, AL · Marshall County

CMS 3/591 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
58%
Serious cites
0

Marshall Manor runs nurse staffing at 4.28 hours per resident day, about 11% above the national average of 3.86, that's the strongest number in its file. The catch is weekends, when coverage drops roughly 24% below the home's own weekday level, so the daily average doesn't tell you what a Saturday looks like. Staff turnover sits at 57.8% against a national 45.8%, meaning more than half the nursing staff leaves each year, which matters for residents who rely on familiar faces. The inspection record is clean where it counts most: three deficiencies total, none at harm or jeopardy level, none abuse-related, with the last full inspection in June 2023. Corporate-owned, 91 beds.

B

70.5/100

South Hampton Nursing & Rehabilitation Center

Owens Cross Roads, AL · Madison County

CMS 3/581 bedsFor-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
55%
Serious cites
0

South Hampton runs a for-profit limited liability operation with 81 certified beds, and its nurse staffing comes in at 4.00 hours per resident day, a bit above the 3.86 national average. That cushion isn't evenly spread, though: weekends run roughly 21% thinner than weekdays, and annual turnover sits at 55.1% against a national 45.8%, so the people providing that care change often. The current record shows 7 deficiencies, none rising to harm or jeopardy, but 3 of them abuse-related, which is worth asking about directly. The last inspection was July 14, 2023, so the picture is over a year old. Quality measures score low even as staffing scores well, a home held up by hours rather than outcomes.