Highlands Health and Rehab: Staffing, Turnover, and Inspection Record
Highlands Health and Rehab is a 50-bed government-run nursing home in Scottsboro, Alabama, part of Huntsville Hospital Health System. In the CMS August 2026 release it reported 2.79 nurse aide hours per resident per day, 15% above the Alabama average of 2.44.
Highlands Health and Rehab
380 Woods Cove RoadScottsboro, AL 35768
Jackson County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Highlands Health and Rehab, nurse aides logged 2.79 hours per resident per day, 15% above the Alabama average. With about 45 residents a day, that works out to roughly 124 aide hours a day, or about 16 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 20% below the all-days figure.
| Hours per resident per day | This home | Alabama avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.79 | 2.44 | 2.32 |
| Licensed practical nurses | 0.88 | 0.79 | 0.86 |
| Registered nurses | 1.13 | 0.65 | 0.69 |
| All nursing staff | 4.80 | 3.88 | 3.86 |
| All nursing staff, weekends | 3.84 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
CMS publishes no nursing staff turnover figure for Highlands Health and Rehab in this release. No administrators left over the same period.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 24, 2022. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 0 health deficiencies (Alabama average 4.0). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Highlands Health and Rehab holds 5 of 5 overall; the Alabama average is 3.0.
About Highlands Health and Rehab
- Ownership: Government - County
- Chain: Huntsville Hospital Health System, 3 homes
- Legal name: HH Health System - Jackson LLC
- Medicare and Medicaid certified since: Jan 1, 1967
- Councils: resident council
- Area: rural
Nursing homes near Highlands Health and Rehab
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Cloverdale Rehabilitation and Wellness Scottsboro | 0.3 | 141 | 2.58 | 4.02 | 36.4% | 4 | None |
| Barfield Health Care Guntersville | 20.5 | 113 | 2.99 | 4.29 | 57.1% | 5 | None |
| Crowne Health Care of Ft Payne Fort Payne | 23.6 | 123 | 2.31 | 3.96 | 30.3% | 4 | None |
| South Hampton Nursing & Rehabilitation Center Owens Cross Roads | 23.6 | 81 | 2.45 | 4.00 | 55.1% | 3 | None |
| Crossville Health and Rehabilitation, LLC Crossville | 25.5 | 143 | 2.55 | 3.78 | 46.8% | 5 | None |
| Cumberland Health and Rehab Bridgeport · SFF candidate · abuse citation | 27.0 | 100 | 2.37 | 3.77 | 35.6% | 2 | $238,745 |
| Marshall Manor Nursing Home Guntersville | 28.2 | 91 | 2.72 | 4.28 | 57.8% | 3 | None |
| Collinsville Healthcare & Rehab Collinsville | 28.9 | 200 | 3.05 | 4.52 | — | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.