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Civic Center Health And Rehabilitation, Llc

1201 22nd Street North, Birmingham, AL 35234
2052515271
Website not available
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Overall CMS Rating

3.0/5

vs State Average: 3.0 stars

2.0/5

Health Inspections

vs State Average: 2.9/5

3.0/5

Staffing Level

vs State Average: 3.5/5

5.0/5

Quality Measures

vs State Average: 3.2/5

0 penalties in last 3 years
Penalties
vs State Average: 0.5 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.9
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Mar 22, 2024 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D
Mar 22, 2024 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F
Mar 22, 2024 Provide and implement an infection prevention and control program. E
Mar 22, 2024 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. D
Mar 22, 2024 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D
Score
3.0
State Average
3.5
National Average
2.9
0.4 RN Hours / Resident / Day
3.6 Total Nurse Hours / Resident / Day
53.3% RN Turnover Rate
Score
5.0
State Average
3.2
National Average
3.6
5.0 Long-Stay QM Rating
Short-Stay QM Rating
91.1 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST NHS OPERATIONS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST JAMES NORMAN ESTES JR TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST JENNIFER LEE ESTES TR 031093
5% OR GREATER INDIRECT OWNERSHIP INTEREST ESTES, JAMES
OPERATIONAL/MANAGERIAL CONTROL HOLMES, LETCHERNIQUE
OPERATIONAL/MANAGERIAL CONTROL PATTERSON, DEREK
OPERATIONAL/MANAGERIAL CONTROL RASCO, LYNN
OPERATIONAL/MANAGERIAL CONTROL WEBB, STELLA
CORPORATE DIRECTOR HOLMES, LETCHERNIQUE
CORPORATE DIRECTOR PATTERSON, DEREK
Recent Penalties

No penalty records found.

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