HIGHLANDS HEALTH AND REHAB
380 WOODS COVE ROAD, SCOTTSBORO, AL, 35768 · 2562183708
Nursing HomeMedicare CertifiedMedicaid CertifiedUpdated 2026-05-17
5.0
★★★★★
Overall Rating
Health Inspection
4.0
Staffing
4.0
Quality Measures
5.0
50
Licensed Beds
4.0
Staffing Rating
Highlands Health and Rehab earned an overall 5-star rating from CMS, which is the highest possible score and puts this facility well above average compared to nursing homes nationwide. That overall rating is built from three separate pieces, each measuring something different about the facility. On health inspections, they scored 4 stars, meaning state inspectors found fewer or less serious problems than most facilities. On staffing, they also earned 4 stars, which tells you nurses and aides are spending more time with residents than the average facility can offer. And on quality measures, they hit the top mark with 5 stars, meaning the actual health outcomes for residents, things like how often people develop pressure wounds, experience falls, or need to be hospitalized, are tracking much better than most places.
The way these three pieces come together into an overall score means Highlands is consistently performing well across the board, not just excelling in one area while struggling in another. For families, that combination is reassuring. Strong staffing means your loved one is less likely to wait long for help or feel overlooked. Strong quality measures mean the care is actually producing good results in real, day-to-day health. And a solid inspection record means regulators are not finding serious problems when they come to look. Taken together, this is a facility worth putting near the top of your list.
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Questions to ask when visiting
1. How many residents does each certified nursing assistant care for during a typical day shift and night shift?
2. How often do residents see the same caregivers, and what is your current staff turnover rate?
3. Can you walk me through exactly what happens when a resident falls or has a medical emergency, from the moment it occurs to when the family is notified?
4. How does your staff handle a resident who refuses care, becomes confused at night, or shows signs of depression?
5. What does a typical weekday look like for a resident who does not have many visitors and does not participate in group activities?
6. Has this facility been cited for any deficiencies in the last two state inspections, and can I see the most recent survey report before I leave today?
For more guidance on evaluating facilities, see our guide to [questions to ask when choosing a Florida nursing home](/blog/questions-to-ask-before-choosing-a-nursing-home-in-florida).
About CMS Star Ratings
CMS assigns 1–5 star ratings to Medicare and Medicaid-certified nursing homes based on three domains: health inspections, staffing levels, and quality measures. The overall rating is a weighted composite.
A 5-star overall rating does not guarantee excellence in every domain — inspect each sub-rating independently. Data is updated quarterly.
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Data sourced from CMS Care Compare. Last updated via nightly pipeline.