About Highlands Health And RehabHighlands Health And Rehab is located at 380 Woods Cove Road, Scottsboro, AL, reachable at (256) 218-3708. This Government – County facility operates 50.0 certified beds and serves an average of 46 residents per day. It is part of the Huntsville Hospital Health System network (3 facilities nationwide). Medicare and Medicaid services have been provided since 1967-01-01. The facility currently holds a average (3-star) overall CMS rating.
Highlands Health And Rehab offers a mid-range care option in Scottsboro, AL. It performs well for short-stay and post-acute rehabilitation patients. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5. Its clean five-year compliance record adds confidence for families making this important decision.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★3 / 5
Health Inspection
★★★★★4 / 5
Staffing Rating
★★★★★1 / 5
Quality Measures (QM)
★★★★★4 / 5
Long-Stay QM Rating
★★★★★3 / 5
Short-Stay QM Rating
★★★★★5 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
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 — 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 3.5 hours per day
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 %
Compliance SummaryHighlands Health And Rehab has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. No substantiated complaints have been recorded in the available data.
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).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
AL State Rank
Note
2022
—
#14,124 / 14,703
#218 / 224
⚠️ Bottom 5%
2023
4.70
#1,653 / 14,703
#19 / 224
Top 25%
2024
5.18
#913 / 14,703
#5 / 224
Top 10%
2025
4.84
#1,462 / 14,703
#13 / 224
Top 10%
2026
—
#14,175 / 14,703
#222 / 224
⚠️ Bottom 5%
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
AL State Rank
Note
2022
—
#14,124 / 14,703
#218 / 224
⚠️ Bottom 5%
2023
1.11
#1,314 / 14,703
#9 / 224
Top 10%
2024
1.07
#1,462 / 14,703
#5 / 224
Top 10%
2025
1.12
#1,346 / 14,703
#5 / 224
Top 10%
2026
—
#14,175 / 14,703
#222 / 224
⚠️ Bottom 5%
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = 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 (4★), Staffing (1★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — 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 — N/A; Licensed Practical Nurse (LPN) — N/A; Nurse Aide — 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 (2022–2026), 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 — 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/
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. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.