Civic Center Health and Rehabilitation, LLC
1201 22nd Street North, Birmingham, AL 35234 · Jefferson County · (205) 251-5271
95 certified beds, about 87 residents a day · For profit - Corporation · Medicare and Medicaid since 1969
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015109 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 22, 2024, inspectors cited 6 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 10 health citations since March 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.56 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
50.0% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Nhs Management, an affiliated group of 43 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
March 22, 2024Standard inspection, Complaint inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, the 2022 United States (U.S.) Food and Drug Administration (FDA) Food Code, and the facility's policies titled Cleaning Schedules, Cleaning of Miscellaneous Equipment and Utensils, and Insect and Rodent Control, the facility failed to prevent the potential for cross-contamination and foodborne illness as evidenced by: The kitchen floor was dirty and had grease build up; The stove had grease build up present; The deep fryer had grease and food build up; The drain near the deep fryer had water and grease on top of the drain; Chipping paint was observed on the ceiling directly above clean pots and pans; and A serving tray with an unknown liquid brown substance was observed in the walk-in cooler. This had the potential to affect all residents who received meals from the facility's kitchen.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, and review of facility policies titled, Hand Hygiene, LAUNDRY STORAGE, COLLECTION & TRANSPORT, and LAUNDRY - HANDLING CLEAN LINEN, the facility failed to ensure staff provided care to residents and handled supplies and linen in a manner to prevent the possibility for cross-contamination of residents and their environment. On 03/19/2024 Certified Nursing Assistant (CNA) #7 touched the floor and without performing hand hygiene touched Resident Identifier (RI) #53. On 03/19/2024 Nursing Assistant (NA) #8 took supplies from RI #10's room to RI #16's room, and touched soiled barrels and then clean linen for RI #9 and RI #74 without performing hand hygiene. The wipes taken from room to room were also placed on the clean linen. [...]
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interviews, resident record review, review of an Employee file, and review of a facility policy titled Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation, the facility failed to ensure an allegation of exploitation was reported to the State Agency after the Administrator/Abuse Coordinator was made aware on 10/18/2023 of Licensed Practical Nurse (LPN) #13 taking money from Resident Identifier (RI) #27 on multiple occasions. This deficient practice affected RI #27, one of nineteen sampled residents and one of five residents investigated for abuse.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interviews, resident record review, and review of a facility policy titled Incidents and Accidents the facility failed to ensure Resident Indentifer (RI) #81 and RI #26 was not left alone after being dropped off unaccompanied at a local health clinic on 01/25/2024. This affected 2 of 4 residents sampled for accident concerns.
- D 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.
Inspectors wroteBased on observations, interviews, medical record review, and review of a facility policy titled, Medication Storage, the facility failed to ensure Vitamin B12 tablets were disposed of by the expiration date and not left on the medication cart and administered to Resident Identifier (RI) #3 by Medication Technician (MT) #6. This was observed on 01/21/2024 during medication administration observations and had the potential to affect RI #3 one of three residents observed for medication administration.
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on interview and review of facility employee training logs and transcripts, the facility failed to ensure Certified Nursing Assistant (CNA) #12 received required Dementia training from January 2023 through January 2024. This affected one of three employee files reviewed during the survey.
June 10, 2021Standard inspection · 1 citation
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview the facility failed to ensure Resident Identifier (RI) # 47's quarterly Minimum Data Set with and Assessment Reference Date (ARD) of 1/22/21 and 4/23/21 were coded to reflect RI # 47 receiving hospice and oxygen. This affected 1of 1 resident sampled for hospice and 1 of 2 residents sampled for oxygen. Findings Include: A review of RAI Version 3.0 Manual documented .O0100K, Hospice care Code residents identified as being in a hospice program .O0100C, Oxygen therapy code continuous .oxygen administered via mask, cannula .delivered to a resident . RI # 47 was admitted to the facility with diagnoses to include Alzheimer's disease and dependence on supplemental oxygen. A review of RI #47's June 2021 Physician's orders documented: .2/10/20 .Oxygen @ 2L(liters)/Min Per Nasal Cannula Continuously .11/14/19 .Admit to .Hospice . [...]
March 1, 2019Standard inspection · 3 citations
- E Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on record review and interviews, the facility failed to ensure Resident Identifier (RI) #81 and/or RI #81's representative (sponsor) was provided written notice which specified the duration of the bed hold, reserve bed payment, the facility's policy regarding bed hold and the conditions upon which RI #81 would be able to return to the facility, when RI #1 was discharged from the facility to the hospital on 4/2/2018, 4/20/2018, 1/9/2019 and 1/30/2019. This deficient practice affected RI #81, one of one sampled resident whose closed record was reviewed for discharge to the hospital.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on review of Resident Identifier (RI) #81's medical record, the facility's policy titled VI. THERAPEUTIC LEAVE, TRANSFER, AND DISCHARGE and interviews, the facility failed to issue a notice of discharge to RI #81 and/or RI #81's representative (sponsor) when RI #81 was discharged to a local hospital on 1/30/2019. According to staff interview, the facility did not plan on accepting RI #81 back into their facility when the resident was discharged to the local hospital on 1/30/2019. This deficient practice affected RI #81, one of one sampled residents reviewed for a facility initiated discharge.
- D Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Inspectors wroteBased on review of Resident Identifier (RI) #81's medical record, RI #81's hospital record and interviews, the facility failed to allow RI #81 to return to the facility following transfer (discharge) to the hospital. Despite reports from the acute care facility indicating that RI #81's behaviors were now stable and the resident was safe to return to a nursing home setting, the facility denied the request to allow RI #81 to return to the facility. This deficient practice affected RI #81, one of one sampled residents whose closed record was reviewed for discharge to the hospital.
Fire safety inspections
5 fire safety citations on file: 2 on March 22, 2024, 1 on June 10, 2021, 2 on March 1, 2019.
Every fire safety citation5 citations
- E Inspect, test, and maintain automatic sprinkler systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Alabama | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.56 | 3.88 | 3.86 |
| Registered nurses | 0.64 | 0.65 | 0.69 |
| All nursing staff on weekends | 2.84 | 3.26 | 3.42 |
| Nurse aides | 2.58 | ||
| Licensed practical nurses | 0.34 | ||
| Nursing staff turnover (share who left in a year) | 50.0% | 46.9% | 45.8% |
| Registered nurse turnover | 50.0% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.94 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.86 on weekdays and 2.84 on weekends, 26% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.67 in April to June 2025 to 3.56 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.56 | 0.64 | 3.86 | 2.84 | 0.0% | 0 of 90 | 87 |
| Oct to Dec 2025 | 4.20 | 0.65 | 4.53 | 3.37 | 0.0% | 0 of 92 | 84 |
| Jul to Sep 2025 | 3.58 | 0.42 | 3.84 | 2.93 | 0.0% | 0 of 92 | 91 |
| Apr to Jun 2025 | 3.67 | 0.46 | 3.97 | 2.91 | 0.0% | 0 of 91 | 89 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Alabama, Jan to Mar 2026 | 3.88 | 0.63 | 4.13 | 3.27 | 0.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Alabama
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Alabama, all employers | |||
| CNAs (nursing assistants) | $16.41 | $14.45 to $17.49 | 25,250 |
| LPNs and LVNs | $27.42 | $23.15 to $29.71 | 11,580 |
| Registered nurses | $37.06 | $30.53 to $40.09 | 54,340 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Alabama | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.7 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.4 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.9 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.5 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.8 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.4 | 21.2 | 15.4 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Civic Center Health and Rehabilitation, LLC's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: CIVIC CENTER HEALTH AND REHABILITATION, LLC. CMS links this home to Nhs Management, a group of 43 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nhs Operations LLC | 5% or greater direct ownership interest | Organization | 100% | 08/20/2002 |
| James Norman Estes Jr Tr | 5% or greater indirect ownership interest | Organization | 5% | 08/20/2002 |
| Jennifer Lee Estes Tr 031093 | 5% or greater indirect ownership interest | Organization | 5% | 08/20/2002 |
| Estes, James | 5% or greater indirect ownership interest | Individual | 89% | 08/20/2002 |
| Berkadia Commercial Mortgage LLC | 5% or greater mortgage interest | Organization | 07/26/2006 | |
| Berkadia Commercial Mortgage LLC | 5% or greater security interest | Organization | 07/26/2006 | |
| Civic Center Health Realty LLC | 5% or greater security interest | Organization | 10/01/2002 | |
| Regions Bank | 5% or greater security interest | Organization | 08/27/2012 | |
| Webb, Stella | W-2 managing employee | Individual | 11/26/2018 | |
| Holmes, Letchernique | Corporate director | Individual | 01/03/2022 | |
| Patterson, Derek | Corporate director | Individual | 01/03/2022 | |
| Rasco, Lynn | Corporate director | Individual | 07/01/2022 | |
| Estes, James | Corporate officer | Individual | 08/20/2002 | |
| Long, Phillip | Corporate officer | Individual | 10/01/2019 | |
| Holmes, Letchernique | Operational/managerial control | Individual | 01/03/2022 | |
| Patterson, Derek | Operational/managerial control | Individual | 01/03/2022 | |
| Rasco, Lynn | Operational/managerial control | Individual | 07/01/2022 | |
| Webb, Stella | Operational/managerial control | Individual | 11/26/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on March 1, 2019: "Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 22, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on March 22, 2024: "Provide and implement an infection prevention and control program."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on March 22, 2024: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.84 hours per resident per day, below the Alabama average of 3.26.
Other nursing homes nearby
- Northway Health and Rehabilitation, LLC Birmingham, 0.4 mi · 3 of 5 stars · 11 citations
- South Health and Rehabilitation, LLC Birmingham, 2.3 mi · 2 of 5 stars · 6 citations
- Greenbriar at the Altamont Skilled Nursing Facilit Birmingham, 2.3 mi · 3 of 5 stars · 6 citations
- Oak Knoll Health and Rehabilitation, LLC Birmingham, 2.6 mi · 3 of 5 stars · 12 citations
- Arlington Rehabilitation & Healthcare Center Birmingham, 3.1 mi · 4 of 5 stars · 11 citations
- Birmingham Nursing and Rehabilitation Ctr LLC Birmingham, 4.4 mi · 1 of 5 stars · 20 citations
- Fair Haven Birmingham, 4.9 mi · 3 of 5 stars · 11 citations
- Brookdale University Park SNF (al) Birmingham, 4.9 mi · 1 of 5 stars · 17 citations
Alabama contacts for a concern about a nursing home
These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Alabama Department of Public Health, Bureau of Health Provider Standards, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Alabama Office of the State Long-Term Care Ombudsman Program, 334-242-5753. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Alabama Health Care Facilities Deficiencies, where Alabama publishes its own records on licensed homes.
Common questions
- What is Civic Center Health and Rehabilitation, LLC's Medicare star rating?
- CMS rates Civic Center Health and Rehabilitation, LLC 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Civic Center Health and Rehabilitation, LLC get at its last inspection?
- 6 health deficiencies at the standard inspection on March 22, 2024. The Alabama average is 4.
- Has Civic Center Health and Rehabilitation, LLC been fined?
- CMS lists no fines in the last three years.
- Does Civic Center Health and Rehabilitation, LLC accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Civic Center Health and Rehabilitation, LLC?
- CMS lists 18 owners and managers, and links the home to Nhs Management. Legal business name: CIVIC CENTER HEALTH AND REHABILITATION, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.