nursing home in Birmingham, AL
Northway Health and Rehabilitation, LLC
1424 North 25th Street, Birmingham, AL 35234 · (205) 328-5870
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Northway Health and Rehabilitation, LLC at a glance
Northway Health and Rehabilitation, LLC is a 113-bed for-profit nursing home in Birmingham, Alabama (Jefferson County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Alabama average of 3.
Residents receive about 3.6 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (April 17, 2024) found 6 health citations. The Alabama average is 3.9.
It has not received a federal fine in the past three years.
Nursing staff turnover is 51.8% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 113
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Nhs Management
- Medicare-certified since
- November 1, 1976
- Resident/family council
- Resident
- County
- Jefferson County
- CMS Certification Number
- 015047
Ratings
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.6 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.2 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.4 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.57 hrs | 3.88 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.35 hrs | 0.65 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.73 hrs | 2.44 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 2.86 hrs | 3.26 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 51.8% | 46.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 44.4% | 39.5% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 1 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 24 | 50.6 | 80.6 | Better |
Penalties
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $12,315 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
Size
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 113 | 118 | 107 | |
| Average residents per day | 108 | 98 | 86 | |
| Occupancy | 95.8% | 83.7% | 80.9% |
Long-stay residents
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.6% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3% | 5.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 35.4% | 21.2% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.2% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 9.2% | 12% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 7% | 12.1% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.1% | 5.4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 1.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.6% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 24.2% | 24.5% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 7.6% | 12.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 95.4% | 94.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 41.8% | 92.2% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 76% | 80.3% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 49.5% | 85.3% | 82% | Worse |
Inspection citations
State inspectors cited this home for 11 health deficiencies and 19 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 17, 2024 Fire safety | Install a two-hour-resistant firewall separation. Construction Deficiencies · Tag K0133 | D Potential harm, isolated | Corrected May 29, 2024 |
| April 17, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected May 29, 2024 |
| April 17, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected May 29, 2024 |
| April 17, 2024 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | D Potential harm, isolated | Corrected May 29, 2024 |
| April 17, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected May 29, 2024 |
| April 17, 2024 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | D Potential harm, isolated | Corrected May 29, 2024 |
| April 17, 2024 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | D Potential harm, isolated | Corrected May 29, 2024 |
| April 17, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 22, 2024 |
| April 17, 2024 Complaint | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | E Potential harm, pattern | Corrected May 22, 2024 |
| April 17, 2024 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected May 22, 2024 |
| April 17, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected May 22, 2024 |
| April 17, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected May 22, 2024 |
| April 17, 2024 Complaint | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected May 22, 2024 |
| April 17, 2024 Complaint | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | C No harm, widespread | Corrected May 22, 2024 |
| May 23, 2019 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected June 28, 2019 |
| May 23, 2019 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected June 28, 2019 |
| May 23, 2019 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected June 28, 2019 |
| May 23, 2019 Fire safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232 | E Potential harm, pattern | Corrected June 28, 2019 |
| May 23, 2019 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected June 28, 2019 |
| May 23, 2019 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected June 28, 2019 |
| May 23, 2019 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 28, 2019 |
| May 23, 2019 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected June 28, 2019 |
| May 23, 2019 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected June 28, 2019 |
| May 23, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 24, 2019 |
| June 7, 2018 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected July 6, 2018 |
| June 7, 2018 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected July 6, 2018 |
| June 7, 2018 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected July 6, 2018 |
| June 7, 2018 Standard | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Tag F0809 | F Potential harm, widespread | Corrected July 19, 2018 |
| June 7, 2018 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected July 6, 2018 |
| June 7, 2018 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 19, 2018 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| NORTHPORT HOLDING OPERATIONS, LLC Organization | 5% or greater direct ownership interest | 100% | 01/01/2003 |
| ESTES, JAMES Individual | 5% or greater indirect ownership interest | 51% | 01/01/2003 |
| JAMES N ESTES JR FAMILY DYNASTY TR NO 2 Organization | 5% or greater indirect ownership interest | 18% | 12/27/2012 |
| JAMES NORMAN ESTES JR TR Organization | 5% or greater indirect ownership interest | 6% | 06/30/2013 |
| JENNIFER E AGEE FAMILY DYNASTY TR NO 2 Organization | 5% or greater indirect ownership interest | 18% | 12/27/2012 |
| JENNIFER LEE ESTES TR 031093 Organization | 5% or greater indirect ownership interest | 6% | 06/30/2013 |
| CAPITAL FUNDING LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 06/01/2012 |
| CAPITAL FUNDING LLC Organization | 5% or greater security interest | NOT APPLICABLE | 06/01/2012 |
| HOLDING FACILITIES GROUP LLC Organization | 5% or greater security interest | NOT APPLICABLE | 06/01/2012 |
| NORTHWAY HEALTH REALTY LLC Organization | 5% or greater security interest | NOT APPLICABLE | 06/01/2012 |
| SERVISFIRST BANK Organization | 5% or greater security interest | NOT APPLICABLE | 08/29/2018 |
| HOLMES, LETCHERNIQUE Individual | corporate director | NOT APPLICABLE | 01/03/2022 |
| PATTERSON, DEREK Individual | corporate director | NOT APPLICABLE | 01/03/2022 |
| RASCO, LYNN Individual | corporate director | NOT APPLICABLE | 07/01/2022 |
| ESTES, JAMES Individual | corporate officer | NOT APPLICABLE | 09/07/2000 |
| LONG, PHILLIP Individual | corporate officer | NOT APPLICABLE | 10/01/2019 |
| HOLMES, LETCHERNIQUE Individual | operational/managerial control | NOT APPLICABLE | 01/03/2022 |
| KILGORE, JORDAN Individual | operational/managerial control | NOT APPLICABLE | 01/15/2024 |
| PATTERSON, DEREK Individual | operational/managerial control | NOT APPLICABLE | 01/03/2022 |
| RASCO, LYNN Individual | operational/managerial control | NOT APPLICABLE | 07/01/2022 |
| KILGORE, JORDAN Individual | w-2 managing employee | NOT APPLICABLE | 01/15/2024 |
Other nursing homes near Northway Health and Rehabilitation, LLC
Civic Center Health and Rehabilitation, LLC
1201 22nd Street North, Birmingham, AL 35234 · under 1 mi
For-profit · 95 beds · Part of Nhs Management
★★★★★2Below averageGreenbriar at the Altamont Skilled Nursing Facilit
2831 Highland Avenue South, Birmingham, AL 35205 · 2.5 mi
Non-profit · 95 beds · Part of Noland Health
★★★★★3AverageSouth Health and Rehabilitation, LLC
1220 South 17th Street, Birmingham, AL 35205 · 2.6 mi
For-profit · 83 beds · Part of Nhs Management
★★★★★2Below averageOak Knoll Health and Rehabilitation, LLC
824 Sixth Avenue West, Birmingham, AL 35204 · 2.8 mi
For-profit · 100 beds · Part of Nhs Management
★★★★★3AverageArlington Rehabilitation & Healthcare Center
1020 Tuscaloosa Avenue, SW, Birmingham, AL 35211 · 3.5 mi
For-profit · 117 beds · Part of Ball Healthcare Services
★★★★★4Above averageBirmingham Nursing and Rehabilitation Ctr LLC
1000 Dugan Avenue, Birmingham, AL 35214 · 4.4 mi
For-profit · 132 beds · Part of Legacy Healthcare
- Abuse citation
★★★★★1Much below average
Frequently asked questions
What is Northway Health and Rehabilitation, LLC's rating?
Northway Health and Rehabilitation, LLC has 3 out of 5 stars on the CMS overall star rating. The average for Alabama nursing homes is 3 stars.
How many inspection citations did Northway Health and Rehabilitation, LLC receive?
Its most recent standard health inspection found 6 citations, compared with a Alabama average of 3.9. Every citation is listed on this page with its severity.
Does Northway Health and Rehabilitation, LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Northway Health and Rehabilitation, LLC?
It is for profit - limited liability company and part of Nhs Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Northway Health and Rehabilitation, LLC and how do I contact it?
Northway Health and Rehabilitation, LLC is at 1424 North 25th Street, Birmingham, AL 35234. Phone: (205) 328-5870.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.