Jefferson County, Alabama · Nursing home
Birmingham Nursing and Rehabilitation Ctr LLC
1 of 5 overall from CMS
1000 Dugan Avenue, Birmingham, AL 35214
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.23 hours Below the state average of 3.88
- Nursing staff who left in a year 63.2% Above the state average of 46.9%
- Health citations, last 3 inspection cycles 20 4 at the harm level or above
- Fines in 3 years $68,647 1 fine
- Certified beds in use 84.6% of 132 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Birmingham Nursing and Rehabilitation Ctr LLC is a 132-bed nursing home in Birmingham, Alabama (Jefferson County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.23 nurse staffing hours per resident per day, below the Alabama average of 3.88. CMS lists 1 fine totaling $68,647 in the past three years.
- Certified beds
- 132
- Residents per day (average)
- 111.7
- Certified since
- 1978 (48 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Legacy Healthcare (95 homes)CMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Birmingham Nursing and Rehabilitation Ctr LLC
Chosen from this home's public data.
- CMS lists 1 fine totaling $68,647 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 8 health deficiencies in the latest inspection cycle (the standard inspection on Jun 26, 2024 plus complaint and infection-control inspections); the Alabama average is 4.0. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 63.2%, above the Alabama average of 46.9%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Alabama average 3.0
- Health inspections 1 of 5 Alabama average 2.8
- Staffing 2 of 5 Alabama average 3.6
- Quality measures 4 of 5 Alabama average 3.2
The vertical line marks the Alabama average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.23 h Alabama average 3.88
- Nurse aides 1.87 h Alabama average 2.44
- Licensed practical nurses 0.98 h Alabama average 0.79
- Registered nurses 0.39 h Alabama average 0.65
- All staff, weekends 2.44 h Alabama average 3.26
How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the Alabama average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover63.2%
- Alabama average46.9%
- Registered nurse turnover54.5%
- Alabama average39.5%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Alabama and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Alabama | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 6.2% | 12.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 6.3% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% | 1.0% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.1% | 2.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 1.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.6% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.3% | 3.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 92.2% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 9.1% | 12.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.0% | 24.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.2% | 94.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 3.6% | 5.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.2% | 12.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 20.9% | 21.2% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.25 | 1.96 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.92 | 1.70 | 1.78 |
Short-stay residents
| Measure | This home | Alabama | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.3% | 85.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% | 2.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.9% | 80.3% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.8% | 24.8% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 2.9% | 11.3% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 20 health deficiencies in the three most recent inspection cycles. Of these, 4 were at the immediate jeopardy level; the rest were graded as no actual harm. 11 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Oct 29, 2025: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jun 26, 2024 | 8 | 1 |
| Jan 25, 2024 | 7 | 4 |
| Aug 16, 2023 | 5 | 0 |
Alabama homes averaged 4.0 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (20)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 22, 2025)
-
JImmediate jeopardy, isolated
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 27, 2025)
-
JImmediate jeopardy, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 22, 2025)
-
JImmediate jeopardy, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Nov 27, 2025)
Show 15 more
-
JImmediate jeopardy, isolated
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Nov 27, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 22, 2025)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Apr 30, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Feb 7, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Nov 10, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 12, 2024)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Jun 4, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 29, 2024)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Feb 29, 2024)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 29, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 29, 2024)
-
FPotential for more than minimal harm, widespread
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 20, 2023)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 20, 2023)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Sep 20, 2023)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 20, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Oct 29, 2025 | Fine | $68,647 |
| Oct 29, 2025 | Payment Denial | 24 days |
Alabama homes averaged 0.3 fines and $12,315 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Alabama
- Size73 of 224 by certified beds
- Alabama average residents per day98.1
- ChainLegacy Healthcare
- Chain average overall rating2.9 of 5
- Resident or family councilResident
- Homes in Birmingham20
- Homes in Jefferson County34
Common questions
What is the CMS star rating for Birmingham Nursing and Rehabilitation Ctr LLC?
Birmingham Nursing and Rehabilitation Ctr LLC has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 4.
How many beds does Birmingham Nursing and Rehabilitation Ctr LLC have?
Birmingham Nursing and Rehabilitation Ctr LLC has 132 certified beds. It averages 111.7 residents per day, about 84.6% of its certified beds.
How much nursing care do residents get at Birmingham Nursing and Rehabilitation Ctr LLC?
The home reports 3.23 hours of nurse staffing per resident per day, including 0.39 hours from registered nurses. The Alabama average is 3.88 hours and 0.65 hours from registered nurses.
Has Birmingham Nursing and Rehabilitation Ctr LLC been fined?
Yes. CMS lists 1 fine totaling $68,647 in the past three years. It also lists 1 payment denial.
Does Birmingham Nursing and Rehabilitation Ctr LLC accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Cherry Hill Rehabilitation & Healthcare Center 117beds 92.7%in use 3.23nurse hours a day
- 3 of 5 Oak Knoll Health and Rehabilitation, LLC 100beds 98.7%in use 3.71nurse hours a day
- 4 of 5 Arlington Rehabilitation & Healthcare Center 117beds 92.6%in use 3.35nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Jefferson County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 015217. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.