Opp Health and Rehabilitation, LLC
Opp Health and Rehabilitation, LLC
4.4 (74 reviews)
Skilled Nursing Facility • 197 Licensed Beds
115 Paulk Avenue P O Box 730, Opp, AL
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Claimed

Opp Health and Rehabilitation, LLC

Skilled Nursing Facility • 197 Licensed Beds
115 Paulk Avenue P O Box 730,
Opp, AL
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Opp Health and Rehabilitation, LLC – Medicare Certified Since 1978

Opp Health and Rehabilitation, LLC is a Medicare and Medicaid certified skilled nursing facility located in Opp, Alabama. This facility has been serving the community for 48 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 197 certified beds with a current occupancy rate of 79% (averaging 156 residents per day), which is moderate. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 4.15 hours of total nursing care per resident per day (2.83 hours from CNAs, 0.89 hours from LPNs, 0.43 hours from RNs). Physical therapy staffing is 0.01 hours per resident per day. This staffing level meets research-recommended quality thresholds.

Medicare Quality Ratings: According to CMS, Opp Health and Rehabilitation, LLC has an overall quality rating of 3 out of 5 stars, which is average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 3 stars, staffing: 3 stars, quality measures: 2 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How Opp Health and Rehabilitati... compares to 77 facilities in Rural AL

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
3
3.6
Quality Measures
Clinical outcomes & safety
2
2.9
Health Inspections
State survey results
3
3.5
Staffing
Nurse-to-resident ratio
3
3.9
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.43 hrs
0.64 hrs
LPN/LVN Hours
Licensed practical nurses
0.89 hrs
0.82 hrs
CNA Hours
Certified nursing assistants
2.83 hrs
2.56 hrs
Total Nursing Hours
CNA + LPN + RN combined
4.14 hrs
4.02 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
0 %
0.7 %
LPN/LVN Agency Use
% of LPN hours from contractors
0 %
0.6 %
CNA Agency Use
% of CNA hours from contractors
0 %
0.1 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
49 %
39 %
Occupancy Rate
Percentage of beds filled
79 %
82 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$272
$295
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 77 facilities in Rural AL.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
3/5
Quality Measures
2/5
Health Inspections
3/5
Staffing
3/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 77 other nursing homes in Rural AL

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Opp Health and Rehabilitati...
Rural AL Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Opp Health and Rehabilitati...
Rural AL Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Opp Health and Rehabilitati...
Rural AL Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Opp Health and Rehabilitati...
Rural AL Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
170
minutes/day
CNAs
Certified Nursing Assistants
53
minutes/day
LPNs
Licensed Practical Nurses
26
minutes/day
RNs
Registered Nurses
1
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Opp Health and Rehabilitati...
Rural AL Average (82.4%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$272
per resident per day
Compared to 77 facilities in your area
Below local median ($295)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
3% 1% Above
Net Income
Annual profit or loss
$398,860 $398,860 Below
Staff Cost per Resident
Daily salary expense per resident
$106/day $136/day Lower
Occupancy Rate
Bed utilization percentage
79% 83% Lower
Est. Daily Rate
Average revenue per patient day
$272/day $295/day Lower
Total Beds
Licensed bed capacity
197 100 Larger

Local comparisons based on 77 skilled nursing facilities in the Alabama (Rural) metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$15,136,909
Operating Expenses
Total operating costs
$14,746,401
Total Salaries
Staff compensation
$6,138,013

Payer Mix

Medicare
7%
Medicaid
72%
Private Pay & Other
20%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
57,707
Medicare
Short-term skilled nursing
7%
Medicaid
Long-term care residents
72%
Private Pay / Other
Self-pay, insurance, VA
20%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
112.27
days
Medicare Stays
41.57
days
Medicaid Stays
262.81
days
Total Admissions
503
Total Discharges
514
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in OPP

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Reviews

4.4 (74 reviews)
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Jack's profile photo
Jack a month ago

This was the worst experience I have ever had in my entire life. I do not have the space to list the violations. I hope to write a book about it. You have no idea what kind of people you have working for you. All you wanted was my insurance money. All I can say to anyone reading this, do not send your loved ones here. They will be living in an actual horror movie.

Jen Chacon's profile photo
Jen Chacon 6 months ago

My grandfather passed away just a few days ago. I was not able to be there with him and his night nurse, Blair, was so amazing and compassionate. She called me as he was passing so that I could speak to him and she will never know how much that meant to me. He had several other amazing nurses too (Donna, Mary Lee) and others that I did not get to personally speak with. Blair will always hold a special place in my heart as she went above and beyond to also make sure his religious beliefs were followed.

Felicia Clark's profile photo
Felicia Clark 5 months ago

I am so disappointed in ONH. I’ve been here since 10/2023 and nothing has changed, other than recycled CNA, the moral is low, the quality of care I’m getting is the worst. All I’m getting is a bunch of empty promises. I’m not getting proper baths, been to the shower maybe 10 times since I was admitted. I’m not being transported to Doctor apps, haven’t been outside my room maybe 10-15 times since being admitted. Most nights after meds no CNA even comes to check on me. This facility has failed me, I’m tired of just having pointless conversations. I have PLENTY of records, photos to back up my claims. This is just a couple of examples. There are some excellent staff members that really do care Nurse Blair is heaven sent. ❤️ ONH needs to clean house and weed out the unprofessional ones, starting with the CNA. The neglect and mistreatment has to stop! Knowing that there is a God that sits high and looks low, is the only hope that I have left.

Laurie Tucker's profile photo
Laurie Tucker a year ago

Edit to add to original review.... Mom ended up having to return to Opp Health and Rehab after a series of falls at home. There was no question in my mind that I wanted her there after the care she received during the respite stay. I feel so secure knowing she's safe and so well cared for. Samantha was so professional and welcoming when I brought my Mom here for respite. Every staff member was kind and patient and Mom (age 96 with memory issues) was able to be involved visiting with others and activities. I was nervous about having her come here and taking respite but will not feel that way again. Very nice and clean too.

Gail Defee's profile photo
Gail Defee a year ago

I just got my Dad registered in for rehab at Opp, and I had the pleasure of meeting with Mrs Samantha, and Mrs Courtney in Admissions, they really took their time to explain everything I needed to know and was very polite to answer any questions I had. They are very kind, sweet and I also had the pleasure of meeting the Administrator Mrs. Jeanell and she was very sweet and kind also. The facility is beautiful and everyone seems so welcoming, I know my Dad will be in great hands. If you have a loved one that needs nursing home care or rehab care, I would definitely recommend Opp Health and Rehabilitation, great place, wonderful people ❤️❤️❤️

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