Greenbriar at the Altamont Skilled Nursing Facilit
2831 Highland Avenue South, Birmingham, AL 35205 · Jefferson County · (205) 323-2724
95 certified beds, about 88 residents a day · Non profit - Corporation · Medicare and Medicaid since 2002
Last standard inspection more than 2 years ago Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015446 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 8, 2021, inspectors cited 1 health deficiency (the Alabama average is 4, the national average 9.2).
None of its 6 health citations since December 2018 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 3.87 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.
43.7% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Noland Health, an affiliated group of 10 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.
312/18
202/20
104/21
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 6 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
1E
2F
Potential for minimal harm
0A
0B
1C
April 8, 2021Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interviews, the facility's policy for Cleaning of Miscellaneous Equipment and Utensils, and the 2017 Food Code, the facility failed to ensure the kitchen floor was smooth and easily cleanable to reduce the potential for foodborne illness. This deficient practice had the potential to affect 78 of 78 residents receiving meals from the kitchen.
February 6, 2020Standard inspection · 2 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, and a facility policy titled Food Receipt and Storage, the facility failed to ensure a bag of six ham pieces and five crab cakes wrapped in plastic were labeled and dated prior to storage in the walk-in freezer. This had the potenital to affect 82 of 82 residents receiving meals from the kitchen. Findings Include: A facility policy titled Food Receipt and Storage with an effective date on 6/2018 revealed . PROCESS: 2. Storage: . n. frozen items removed from original packaging should be labeled . and dated. On 2/04/20 at 8:07 AM, an observation was made in the walk-in freezer of a food item wrapped in clear plastic. An immediate interview was conducted with Employee Identifier (EI) #6, Dining Services Manager. EI #6 was asked, what was in the the clear plastic wrap. EI #6 replied, it was five crab cakes. EI #6 was asked, where was the label. [...]
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interviews the facility failed to ensure all alleged allegations of abuse were reported to the State Agency no later than two hours after the allegation was made. This affected Resident Identifier (RI) # 44, 24, and 68, three of three residents sampled for abuse allegation reporting. Findings Include: 1.) Resident Identifier (RI) #44 was re-admitted to the facility on [DATE]. The facility submitted an allegation of Physical Abuse involving RI #44 via Online Incident Reporting System on 9/2/2019 at 11:25 AM. The report identified the incident occurred on 9/2/2019 at 4:00 AM. On 2/05/2020 at 5:10 PM, an interview was conducted with Employee Identifier (EI) #3, Registered Nurse (RN) Unit Manager. EI #3 was asked, if she had knowledge of the incident involving RI #44. EI #3 replied, yes she did. EI #3 was asked, when she was made aware of the incident. [...]
December 12, 2018Standard inspection · 3 citations
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review, interview, and review of a facility policy titled, Disposal of Medications Non-Controlled Medication Destruction, the facility failed to ensure the required signatures were on two of 11 Non-Controlled Record of Medication Destruction Sheets for the month of April, 2018. This affected one of 10 months of Non-Controlled Medication Destruction Records reviewed. Findings Include: Review of a facility policy titled, Disposal of Medications Non-Controlled Medication Destruction, dated 3/2011, revealed: . 3. The registered nurse and/or pharmacist witnessing the destruction .ensures that the following information is entered on the Record of Medication Destruction form . J. Signature of witnesses, two witnesses required for non-controlled substances . in the designated areas on the destruction form . [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews, and review of a facility policy titled, Medication Administration-General Guidelines, the facility failed to ensure a Licensed Practical Nurse (LPN) washed her hands prior to and after administering a topical medication ointment to Resident Identifier (RI) #74. This deficient practice affected one of five residents observed during medication administration with one of four nurses. Findings Include: A review of a facility policy titled, Medication Administration-General Guidelines, dated 03/2011, revealed: . Procedures . 6. Cleanse hands with soap and water before handling medication and before and after direct contact with resident. (Other examples where this would be necessary are when administering topical .medications.) . RI #74 was admitted to the facility on [DATE]. [...]
- C Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observation, resident group interview and staff interviews, the facility failed to ensure the results of the facility's most recent survey was readily accessible to residents, visitors and other individuals. This had a potential to affect all the residents, visitors and other individuals in the facility. Findings Include: On 12/10/18 1:28 at p.m., during the initial tour of the facility, the surveyor observed a letter written in small font, typed print, to notify visitors, families and residents on the location of survey results. This letter was posted outside the elevator on the third floor not easily visible to read by residents sitting in wheelchairs. Approximately eight residents were noted around this area sitting in wheelchairs. To read the posting, the surveyor was eye level, at approximately five feet tall, and approximately one foot distance from the posting. [...]
Fire safety inspections
6 fire safety citations on file: 4 on February 6, 2020, 2 on December 12, 2018.
Every fire safety citation6 citations
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Install an approved automatic sprinkler system.
- D Install corridor and hallway doors that block smoke.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E 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) | 3.87 | 3.88 | 3.86 |
| Registered nurses | 0.58 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.12 | 3.26 | 3.42 |
| Nurse aides | 2.52 | ||
| Licensed practical nurses | 0.77 | ||
| Nursing staff turnover (share who left in a year) | 43.7% | 46.9% | 45.8% |
| Registered nurse turnover | 8.3% | 39.5% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.43 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 4.17 on weekdays and 3.12 on weekends, 25% 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 3.77 in April to June 2025 to 3.87 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 | 3.87 | 0.58 | 4.17 | 3.12 | 0.0% | 1 of 90 | 88 |
| Oct to Dec 2025 | 3.87 | 0.62 | 4.21 | 3.01 | 0.0% | 0 of 92 | 90 |
| Jul to Sep 2025 | 3.69 | 0.72 | 3.96 | 2.98 | 0.0% | 0 of 92 | 89 |
| Apr to Jun 2025 | 3.77 | 0.77 | 4.08 | 2.99 | 0.0% | 0 of 91 | 88 |
| 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.
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 | 5.3 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.2 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.7 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.3 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.4 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.7 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.2 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.2 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.8 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.7 | 1.8 |
Owners and operators
Legal business name: GREENBRIAR AT THE ALTAMONT, LLC. CMS links this home to Noland Health, a group of 10 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Adamson, Michele | Managing control - governing body | Individual | 05/10/2017 | |
| Britton, Isaac | Managing control - governing body | Individual | 02/14/2007 | |
| Estep, Barbara | Managing control - governing body | Individual | 04/01/2024 | |
| Goff, Robert | Managing control - governing body | Individual | 10/10/2005 | |
| Nelson, Debra | Managing control - governing body | Individual | 05/11/2017 | |
| Renda, Nicholas | Managing control - governing body | Individual | 10/26/2020 | |
| Smith, George | Managing control - governing body | Individual | 08/25/2009 | |
| Waggoner, James | Managing control - governing body | Individual | 05/10/2017 | |
| Adamson, Michele | Corporate director | Individual | 05/10/2017 | |
| Britton, Isaac | Corporate director | Individual | 02/14/2007 | |
| Estep, Barbara | Corporate director | Individual | 04/01/2024 | |
| Goff, Robert | Corporate director | Individual | 10/10/2005 | |
| Nelson, Debra | Corporate director | Individual | 05/11/2017 | |
| Renda, Nicholas | Corporate director | Individual | 10/26/2020 | |
| Smith, George | Corporate director | Individual | 08/25/2009 | |
| Waggoner, James | Corporate director | Individual | 05/10/2017 | |
| Noland Health Services, Inc | Operational/managerial control | Organization | 10/31/2001 | |
| Blackwell, Crystal | Operational/managerial control | Individual | 03/09/2025 | |
| Bryant-Dunn, Pam | Operational/managerial control | Individual | 05/02/2021 | |
| Estep, Barbara | Operational/managerial control | Individual | 04/01/2024 | |
| Hall, Matthew | Operational/managerial control | Individual | 01/31/2022 | |
| Kenwright, Karen | Operational/managerial control | Individual | 11/27/2017 | |
| Renda, Nicholas | Operational/managerial control | Individual | 10/26/2020 | |
| Shunnara, Jennifer | Operational/managerial control | Individual | 12/03/2008 | |
| Smothers, Kathy | Operational/managerial control | Individual | 04/12/2021 | |
| Urban, Kelley | Operational/managerial control | Individual | 03/03/2019 | |
| Noland Health Services, Inc | Adp of the SNF | Organization | 10/31/2001 | |
| Noland Pharmacy LLC | Adp of the SNF | Organization | 07/01/2023 | |
| Warren Averett LLC | Adp of the SNF | Organization | 06/01/2022 | |
| Blackwell, Crystal | Adp of the SNF | Individual | 03/09/2025 | |
| Bryant-Dunn, Pam | Adp of the SNF | Individual | 05/02/2021 | |
| Estep, Barbara | Adp of the SNF | Individual | 04/01/2024 | |
| Hall, Matthew | Adp of the SNF | Individual | 01/31/2022 | |
| Kenwright, Karen | Adp of the SNF | Individual | 11/27/2017 | |
| Renda, Nicholas | Adp of the SNF | Individual | 10/26/2020 | |
| Shunnara, Jennifer | Adp of the SNF | Individual | 12/03/2008 | |
| Smothers, Kathy | Adp of the SNF | Individual | 04/12/2021 | |
| Thomas, Adeeb | Adp of the SNF | Individual | 06/01/2014 | |
| Urban, Kelley | Adp of the SNF | Individual | 03/03/2019 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 8, 2021: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 February 6, 2020: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on December 12, 2018: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- 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 December 12, 2018: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.12 hours per resident per day, below the Alabama average of 3.26.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- South Health and Rehabilitation, LLC Birmingham, 1.2 mi · 2 of 5 stars · 6 citations
- Civic Center Health and Rehabilitation, LLC Birmingham, 2.3 mi · 2 of 5 stars · 10 citations
- Northway Health and Rehabilitation, LLC Birmingham, 2.5 mi · 3 of 5 stars · 11 citations
- Elite Nursing and Rehabilitation Care Center Birmingham, 2.9 mi · 1 of 5 stars · 22 citations
- Fair Haven Birmingham, 3.4 mi · 3 of 5 stars · 11 citations
- Brookdale University Park SNF (al) Birmingham, 3.4 mi · 1 of 5 stars · 17 citations
- Arlington Rehabilitation & Healthcare Center Birmingham, 3.9 mi · 4 of 5 stars · 11 citations
- Oak Knoll Health and Rehabilitation, LLC Birmingham, 3.9 mi · 3 of 5 stars · 12 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 Greenbriar at the Altamont Skilled Nursing Facilit's Medicare star rating?
- CMS rates Greenbriar at the Altamont Skilled Nursing Facilit 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Greenbriar at the Altamont Skilled Nursing Facilit get at its last inspection?
- 1 health deficiency at the standard inspection on April 8, 2021. The Alabama average is 4.
- Has Greenbriar at the Altamont Skilled Nursing Facilit been fined?
- CMS lists no fines in the last three years.
- Does Greenbriar at the Altamont Skilled Nursing Facilit 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 Greenbriar at the Altamont Skilled Nursing Facilit?
- CMS lists 39 owners and managers, and links the home to Noland Health. Legal business name: GREENBRIAR AT THE ALTAMONT, 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.