CMS Verified · Updated March 2026
Highlands Health And Rehab
80.8
Score /100
3.0★
CMS Overall
4.0★
Health Inspection
4.0★
Quality Care
1.0★
Staffing
#1214
National Rank
#1214
of 14703 nationally
National Rank
#1
of 3 in county
County Rank
#1
of 2 in ZIP 35768
ZIP Rank
Facility
Highlands Health And Rehab
Address
380 Woods Cove Road, Scottsboro, AL 35768
Phone
Care Offered
- Long-Term Care
- Rehab / Short-Term
Medicare & Medicaid
- Accepts Medicare
- Accepts Medicaid
Facility Details
- 50 Certified Beds
- Ownership: Government – County
- Resident Council: Resident
- Auto Sprinklers: Yes
- Network: HUNTSVILLE HOSPITAL HEALTH SYSTEM
Quick Verdict
Overall Quality
⚠️ Average (3★) overall
Health Inspection
✅ Above Average (4★) health inspection
Staffing
❌ Poor (1★) staffing
Quality of Care
✅ Above Average (4★) quality of care
Compliance
✅ No fines in 5 years
5-Year Trend
Improving over 5 years
Composite Quality Score
80.8
/ 100
Composite Quality Score
Built from 5 components using official CMS data. How it’s calculated →
Safety & Inspections (35 pts)
34.9 / 35
34.9 / 35
Quality of Care (25 pts)
18.8 / 25
18.8 / 25
Nurse Staffing (20 pts)
11.7 / 20
11.7 / 20
Compliance History (15 pts)
14.5 / 15
14.5 / 15
Staff Stability (10 pts)
5.0 / 10
5.0 / 10
Improvement Trend (+5 pts)
5.0 / 5
5.0 / 5
Is This Facility Right For Your Loved One?
✅ Dementia / Alzheimer’s
Only 4.6% of residents receive antipsychotic medication vs the national average of 16.7%. This is a strong indicator of person-centered dementia care.
✅ Short-Stay Rehab
Only 19.0% of short-stay residents are rehospitalized — well below the national average of 23.9%. Good choice for post-surgery or post-hospital recovery.
❌ Bedridden / Immobile Residents
8.0% pressure ulcer rate — above the national average of 5.1%. Ask about repositioning schedules and wound care staff.
❌ ️ Fall-Risk Residents
5.8% falls with major injury — above the national average of 3.3%. Ask about fall assessment protocols.
Overall Rating 2022–2026
Total Nurse Hours/Day 2022–2026
Quality Measures vs National Average
Long-Stay Residents
Antipsychotic Medication Uselong-stay
4.6%
-12.1% vs national
-12.1% vs national
National avg: 16.7% | 4-quarter average (2024Q4–2025Q3)
Falls with Major Injurylong-stay
5.8%
+2.5% vs national
+2.5% vs national
National avg: 3.3% | 4-quarter average (2024Q4–2025Q3)
Pressure Ulcerslong-stay
8.0%
+2.9% vs national
+2.9% vs national
National avg: 5.1% | 4-quarter average (2024Q4–2025Q3)
Daily Activity Declinelong-stay
24.7%
+9.8% vs national
+9.8% vs national
National avg: 14.9% | 4-quarter average (2024Q4–2025Q3)
Walking/Mobility Worsenedlong-stay
53.4%
+37.1% vs national
+37.1% vs national
National avg: 16.3% | 4-quarter average (2024Q4–2025Q3)
Urinary Tract Infectionslong-stay
2.0%
+0.3% vs national
+0.3% vs national
National avg: 1.7% | 4-quarter average (2024Q4–2025Q3)
Residents with Depressive Symptomslong-stay
2.1%
-9.2% vs national
-9.2% vs national
National avg: 11.4% | 4-quarter average (2024Q4–2025Q3)
Physical Restraints Usedlong-stay
1.0%
+0.8% vs national
+0.8% vs national
National avg: 0.1% | 4-quarter average (2024Q4–2025Q3)
Residents Losing Too Much Weightlong-stay
8.5%
+3.2% vs national
+3.2% vs national
National avg: 5.4% | 4-quarter average (2024Q4–2025Q3)
Short-Stay / Rehab Residents
Rehospitalized After Admissionshort-stay
19.0%
-4.9% vs national
-4.9% vs national
National avg: 23.9% | 4-quarter average (2024Q4–2025Q3)
Emergency Dept. Visit Rateshort-stay
6.3%
-5.7% vs national
-5.7% vs national
National avg: 12.0% | 4-quarter average (2024Q4–2025Q3)
Quality Measure Trends (2022–2026)
Antipsychotic Medication Use % (lower = better)
Falls with Major Injury % (lower = better)
Pressure Ulcers % (lower = better)
Rehospitalization Rate % (lower = better)
Why does a facility with 1 CMS star sometimes have a higher composite score? CMS star ratings place hundreds of facilities into just 5 buckets. Our composite score uses the raw underlying data to rank facilities more precisely. A 1-star facility may have been penalized in health inspection while performing well in staffing and quality care. Read our methodology.
Current CMS Ratings (2026)
Overall Rating
★★★★★3 / 5
Health Inspection
★★★★★4 / 5
Staffing Rating
★★★★★1 / 5
Quality Measures (QM)
★★★★★4 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM) Rating
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightHighlands Health And Rehab currently provides N/A of total nurse staffing per resident per day, including N/A of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average â a point worth discussing with facility management before admission.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing
Nurse Aide Hours
Licensed Practical Nurse (LPN) Hours
Registered Nurse (RN) Hours
Physical Therapist Hours
National average total nurse staffing is approximately 3.9 hours per resident per day (CMS, March 2026).
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours
Weekend Registered Nurse (RN) Hours
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
5-Year Compliance Record (2022–2026)
✅ No fines or serious findings in 5 years
Total citations (2022–2026)35
Citations causing actual harm (severity G+)0
Immediate jeopardy citations (most serious)0
Complaint-driven citations0
Abuse / neglect related citations0
Government fines (2022–2026)0
Total fines paid$0
Medicare/Medicaid payment denial days0
Severity A–C: minor | D–F: potential harm | G–I: actual harm | J–L: immediate jeopardy. Data covers 2022–2026.
Annual Trends
Government Fines ($) Per Year
Substantiated Complaints Per Year
Composite Quality Rankings
#1,214
of 14,703
National
Top 10%
Nationally, Highlands Health And Rehab ranks 2173rd out of 14,703 facilities (composite score: 83.7/100), placing it in the top 25% nationwide. Within AL, it ranks 22nd out of 224 nursing homes. In Scottsboro, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2025 staffing: total nurse hours rank #1,462 nationally and RN hours rank #1,346 nationally (#5 in AL).
How are these rankings calculated? →
Total Nurse Staffing — Year-by-Year National and State Ranks
| Year | Hours/Day | National Rank | AL State Rank |
|---|---|---|---|
| 2022 | — | #14,124 / 14,703 | #218 / 224 |
| 2023 | 4.70 | #1,653 / 14,703 | #19 / 224 |
| 2024 | 5.18 | #913 / 14,703 | #5 / 224 |
| 2025 | 4.84 | #1,462 / 14,703 | #13 / 224 |
| 2026 | — | #14,175 / 14,703 | #222 / 224 |
Registered Nurse (RN) Hours — Year-by-Year National and State Ranks
| Year | Hours/Day | National Rank | AL State Rank |
|---|---|---|---|
| 2022 | — | #14,124 / 14,703 | #218 / 224 |
| 2023 | 1.11 | #1,314 / 14,703 | #9 / 224 |
| 2024 | 1.07 | #1,462 / 14,703 | #5 / 224 |
| 2025 | 1.12 | #1,346 / 14,703 | #5 / 224 |
| 2026 | — | #14,175 / 14,703 | #222 / 224 |
Total Nurse Rank — National (lower = better)
Registered Nurse Rank — National (lower = better)
Frequently Asked Questions
Highlands Health And Rehab is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1967-01-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (256) 218-3708 or your local Medicaid office to verify current eligibility.
Highlands Health And Rehab holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (4â
), Staffing (1â
), and Quality of Resident Care (4â
). Our independent composite quality score â which uses the raw underlying CMS numbers to break ties between similarly-rated facilities â is 83.7/100, placing it #2173 of 14703 facilities nationally and #22 of 224 in Alabama. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Highlands Health And Rehab receives a reported average of N/A of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage â N/A; Licensed Practical Nurse (LPN) â N/A; Nurse Aide â N/A. On weekends, total nurse staffing is N/A per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Families are encouraged to ask about current staffing schedules during their facility visit.
Highlands Health And Rehab has received zero fines across all five years of available data (2022â2026), reflecting a strong regulatory compliance record. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 5.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Highlands Health And Rehab ranks 2173rd out of 14,703 facilities (composite score: 83.7/100), placing it in the top 25% nationwide. Within AL, it ranks 22nd out of 224 nursing homes. In Scottsboro, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2025 staffing: total nurse hours rank #1,462 nationally and RN hours rank #1,346 nationally (#5 in AL). Our composite quality score of 83.7/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends â giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Scottsboro, visit: https://nursinghomesnearme.org/alabama/scottsboro/
Contact and Location
ADR
Address
380 WOODS COVE ROAD, Scottsboro, AL 35768
Get directions on Google Maps
TEL
Phone
LLC
Legal Name
HH HEALTH SYSTEM – JACKSON LLC
MAP
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Facility Details
| Certified Beds | 50 |
| Avg Residents / Day | 46 (93% occupancy) |
| Ownership Type | Government – County |
| Provider Type | Medicare and Medicaid |
| County | Jackson County, AL |
| City | Scottsboro, AL |
| ZIP Code | 35768 |
| Approved Since | January 1, 1967 |
| Resident Council | ✅ Yes |
| Auto Sprinklers | ✅ All areas |
| Ownership Changed | No |
| CMS Certification # | 015012 |
| Last Inspection | March 24, 2022 |
| CMS Data Updated | March 1, 2026 |
10 Closest Nursing Homes
The 10 nearest CMS-certified nursing homes to this facility, measured in straight-line distance. Use this to compare alternatives in the area.
📌 Straight-line distances only — does not account for roads or terrain. Source: CMS Provider Data Catalog, March 2026. ⚠ = approximate location (ZIP centroid geocoding).
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org using a proprietary methodology. Learn how rankings are calculated. Information may not reflect current facility conditions. Always verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare · March 2026 ·
Ranked among 14703 U.S. facilities ·
Ranking Methodology ·
NursingHomesNearMe.org
Ranked among 14703 U.S. facilities ·
Ranking Methodology ·
NursingHomesNearMe.org