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A
Very Good

HIGHLANDS HEALTH AND REHAB

380 WOODS COVE ROAD · SCOTTSBORO, AL 35768

2562183708 · Government - County

50 beds46.4 residents111 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

HIGHLANDS HEALTH AND REHAB receives an overall staffing grade of A (Very Good). With 4.5172 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.62 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 24.17% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
4.5172hrs/resident/day▲ 0.62
CMS benchmark: 3.48
RN HPRD
0.9277hrs/resident/day▲ 0.24
Recommended: 0.75
Weekend Drop-off
24.17%
4.8485 weekday → 3.6764 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.7239hrs/resident/day
Direct care aides
LPN HPRD
0.8656hrs/resident/day
Licensed practical nurses
Consistency
0.6833std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Jackson County Average+0.40 HPRD
4.11
04.52 HPRD
vs. Alabama State Average+0.60 HPRD
3.92
04.52 HPRD
vs. National Average+0.62 HPRD
3.90
04.52 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
HIGHLANDS HEALTH AND REHAB ★
SCOTTSBORO · This facility
—
A
4.51720.9277★★★☆☆
CLOVERDALE REHABILITATION AND NURSING CENTER
SCOTTSBORO
0.3 mi
B
4.1060.5529★★★★☆
BARFIELD HEALTH CARE
GUNTERSVILLE
20.5 mi
D
4.63970.3531★★★★★
CROWNE HEALTH CARE OF FT PAYNE
FORT PAYNE
23.6 mi
A
4.24760.8231★★★★★
CROSSVILLE HEALTH AND REHABILITATION, LLC
CROSSVILLE
25.5 mi
B
3.66670.5697★★★★☆
CUMBERLAND HEALTH AND REHAB
BRIDGEPORT
27 mi
B
3.71490.8947★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
6
Total Deficiencies
$0
Fines Assessed
Jun 6, 2019Health
2 deficiencies cited
▼
May 3, 2018Health
4 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.