HIGHLANDS HEALTH AND REHAB – SCOTTSBORO, AL

CMS Verified | 2026-03-01

Highlands Health And Rehab

380 WOODS COVE ROAD, Scottsboro, AL 35768
(256) 218-3708
50 beds
All Scottsboro facilities
3.0*
Overall
4.0*
Health Inspection
4.0*
Quality Care
1.0*
Staffing
83.65
Score /100
#2173
National Rank

#2173
of 14703 facilities
National
85.2% position
#22
of 224 in AL
State Rank
#1
of 3 in Jackson
County Rank
#1
of 2 in Scottsboro
City Rank
#1
of 2 in ZIP 35768
ZIP Rank






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.
Facility

Highlands Health And Rehab

Address

380 Woods Cove Road, Scottsboro, AL 35768

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 50 Certified Beds
  • Ownership: Government – County
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: HUNTSVILLE HOSPITAL HEALTH SYSTEM

Quick Verdict

Overall Quality
⚠️ Average (3★) overall rating
Health Inspection
✅ Above Average (4★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
✅ Zero fines across all 5 years
5-Year Trend
Improving over 5 years
83.65
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#2173 of 14703 nationally – #22 of 224 in Alabama

Who Is This Facility Best For?

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.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 5.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#2,173
of 14,703
National
Top 15%
#22
of 224
AL State
Top 10% in AL
#1
of 3
️ Jackson County
Best in county
#1
of 2
️ Scottsboro
Best in city
#1
of 2
ZIP 35768
Best in ZIP

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 do we calculate these rankings?

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/

Contact and Location

ADR
Address

380 WOODS COVE ROAD, Scottsboro, AL 35768
Get directions on Google Maps

TEL
LLC
Legal Name

HH HEALTH SYSTEM – JACKSON LLC

MAP
Browse by Location

All Alabama ·
Jackson County ·
Scottsboro ·
ZIP 35768

Facility Details

Number of Certified Beds 50
Average 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
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 015012
Data Processing Date March 1, 2026
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.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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