facebook tracking Highlands Health and Rehab, Scottsboro AL: CMS Ratings
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Highlands Health and Rehab

All states › Alabama › Scottsboro › Highlands Health and Rehab

380 Woods Cove Road Scottsboro, AL 35768 · Jackson County

(256) 218-3708

All 2 nursing homes in Scottsboro, AL (2 take Medicaid)

Accepts Medicare Accepts Medicaid 50 certified beds Government

CMS certification number 015012 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Highlands Health and Rehab a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Highlands Health and Rehab as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Alabama average of 3.0. Inspectors issued 6 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 5 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 4.70 hours per resident per day at Highlands Health and Rehab, above the Alabama median of 3.90 (US median: 3.72). About 1.17 of those hours are from registered nurses. On weekends it falls to 3.73 hours, 21% below its all-week average. Ask how weekends are staffed. 39.3% of nursing staff left within a year (Alabama median 46.2%).

Nursing care per resident per day 4.70 hours
Above the Alabama median of 3.90 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.17 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.73 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 39.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 41.7% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds50
Residents per day 45 About 89% of beds filled, on average
OwnershipGovernment - County
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 1967
Part of a chainHuntsville Hospital Health System
Legal business nameHH HEALTH SYSTEM - JACKSON LLC

Paying for care at Highlands Health and Rehab: Medicare and Medicaid

Highlands Health and Rehab is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Alabama's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on March 24, 2022 and found 0 deficiencies. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 6 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 6 citations at Highlands Health and Rehab across 2 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 6 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were nutrition and dietary (3) and infection control (2). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, June 6, 2019).

June 6, 2019 · 2 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jul 11, 2019)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 11, 2019)

May 3, 2018 · 4 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 4, 2018)

FDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Jun 4, 2018)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Jun 4, 2018)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 4, 2018)

Questions to ask on a tour of Highlands Health and Rehab

  1. Weekend staffing is 21% below the all-week average. Who is on duty on Saturday nights?
  2. The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 4/5 5/5 5/5
August 2026 5/5 4/5 4/5 5/5
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Location

Hospitals near Highlands Health and Rehab

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 0.1 mi
    Highlands Medical Center Scottsboro
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 56m for patients treated and sent home
  • 22.5 mi
    Dekalb Regional Medical Center Fort Payne
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 44m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Cloverdale Rehabilitation and Wellness Scottsboro · 0.3 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 141 beds · Medicaid
Barfield Health Care Guntersville · 20.5 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 113 beds · Medicaid
Crowne Health Care of Ft Payne Fort Payne · 23.6 mi away ★★☆☆☆ Inspection 2/5 · Staffing 5/5 123 beds · Medicaid
South Hampton Nursing & Rehabilitation Center Owens Cross Roads · 23.6 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 81 beds · Medicaid
Crossville Health and Rehabilitation Crossville · 25.5 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 143 beds · Medicaid

More nursing homes near Highlands Health and Rehab ›   All nursing homes in Scottsboro ›

Compare Highlands Health and Rehab with the 3 closest homes side by side ›

Other Huntsville Hospital Health System nursing homes in Alabama

Affiliation comes from CMS's affiliated-entity data, October 2026. All 3 Huntsville Hospital Health System nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/alabama/scottsboro/highlands-health-and-rehab/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.