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C
Below Standard

LIMESTONE NURSING AND REHABILITATION CENTER, LLC

1600 WEST HOBBS STREET · ATHENS, AL 35611

2562323461 · For profit - Corporation

170 beds135.1 residents201 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LIMESTONE NURSING AND REHABILITATION CENTER, LLC receives an overall staffing grade of C (Below Standard). With 4.0544 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4506 HPRD, below the recommended 0.75. It is 0.16 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 22.08% compared to weekdays. The facility has low agency staff usage (0.01% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4506 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.01%) — mostly permanent, familiar staff
Total Nurse HPRD
4.0544hrs/resident/day▲ 0.16
CMS benchmark: 3.48
RN HPRD
0.4506hrs/resident/day▼ 0.23
Recommended: 0.75
Weekend Drop-off
22.08%
4.3242 weekday → 3.3694 weekend
⚠ Significant weekend reduction
Agency Staff
0.01%
0.12% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7816hrs/resident/day
Direct care aides
LPN HPRD
1.0611hrs/resident/day
Licensed practical nurses
Consistency
0.5906std 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. Limestone County Average+0.17 HPRD
3.89
04.05 HPRD
vs. Alabama State Average+0.13 HPRD
3.92
04.05 HPRD
vs. National Average+0.16 HPRD
3.90
04.05 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
LIMESTONE NURSING AND REHABILITATION CENTER, LLC ★
ATHENS · This facility
—
C
4.05440.4506★★★☆☆
ATHENS HEALTH AND REHABILITATION LLC
ATHENS
0.8 mi
B
3.7170.5942★★★★☆
VALLEY VIEW HEALTH AND REHABILITATION, LLC
MADISON
14.1 mi
C
3.72420.5461★★★★☆
RIVER CITY CENTER
DECATUR
15.1 mi
C
3.29380.7876★☆☆☆☆
MADISON MANOR NURSING HOME
MADISON
15.9 mi
B
4.39360.7463★★★☆☆
DECATUR HEALTH & REHAB CENTER
DECATUR
16.3 mi
C
3.94580.5336★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
10
Total Deficiencies
$0
Fines Assessed
Feb 13, 2020Health
3 deficiencies cited
▼
Mar 20, 2019Health
2 deficiencies cited
▼
Feb 15, 2018Health
5 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.