South Health and Rehabilitation, LLC
1220 South 17th Street, Birmingham, AL 35205 · Jefferson County · (205) 933-2180
83 certified beds, about 73 residents a day · For profit - Corporation · Medicare and Medicaid since 1976
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015097 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 24, 2023, inspectors cited 3 health deficiencies (the Alabama average is 4, the national average 9.2).
Of 6 health citations since May 2019, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.19 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
53.4% 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 6 health citations on file.
August 24, 2023Standard inspection · 3 citations
- G Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interviews, record reviews, facility document review, Resident #14's emergency department medical records, and the facility's policy titled Person Centered Care Plans the facility failed to ensure staff implemented the care plan for transfers with a mechanical lift for Resident #14. Specifically, on 04/11/2023 Certified Nursing Assistant (CNA) #1 and CNA #2 failed to implement Resident #14's care planned intervention for transfers with mechanical lift, which resulted in the resident having arm pain while being transferred without the use of the mechanical lift and being lowered to the floor. The incident resulted in a left humerus fracture and numerous rib fractures. This deficient practice affected Resident #14, one of three residents reviewed for falls.
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interviews, record reviews, facility document review, Resident #14's emergency department medical records, the facility's policies titled Lifting Devices and Incidents and Accidents, and a report submitted by the facility to the Alabama Department of Public Health Online Incident Reporting System the facility failed to ensure Resident #14 was transferred from his/her bed to their wheelchair with a mechanical lift in accordance with the resident's plan of care and facility policies which resulted in an accident. Specifically, on 04/11/2023 Certified Nursing Assistant (CNA) #1 and CNA #2 failed to transfer Resident #14 in accordance with the plan of care and the resident's voiced need to be transferred by the mechanical lift, also known as a Hoyer lift. While being transferred, Resident #14 complained of having arm pain and the staff lowered him/her to the floor. [...]
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to ensure that one (Resident #63) of three sampled residents who self-administered medications was assessed as safe and appropriate to self-administer medications.
July 29, 2021Standard inspection · 1 citation
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to ensure three expired mighty shake supplements in the milk cooler were discarded. This deficient practice had the potential to affect up to three residents receiving mighty shake supplements. Findings Include: On [DATE] at 11:15 AM, the surveyor observed three 4-ounce mighty shake supplements in the milk cooler with a use by date of [DATE]. At this time, Employee Identifier (EI) #1, the Acting Dietary Manager, was asked what was the date on the mighty shakes. EI #1 said [DATE]. EI #1 was asked was that the use by date. EI #1 said yes. EI #1 was asked what should have been done with the expired might shake supplements. EI #1 said they should have been discarded. EI #1 was asked what was the potential harm with expired mighty shakes still being in the cooler. EI #1 said the potential harm was that they could be served to a resident.
May 20, 2019Standard inspection · 2 citations
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and review of a facility policy titled, Oxygen Administration, the facility failed to ensure: 1) Resident Identfier (RI) #28's oxygen tubing and humidifier bottles were changed weekly; and 2) RI #s 29, 68, and 71's nasal cannula tubing were dated. This affected four of seven sampled residents requiring the use of oxygen.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews, and review of a facility policy titled, Hand Hygiene, the facility failed to ensure that a licenced staff performed hand hygiene after removing gloves. This affected one of three nurses observed during medication pass.
Fire safety inspections
5 fire safety citations on file: 2 on August 24, 2023, 3 on May 20, 2019.
Every fire safety citation5 citations
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D Provide properly protected cooking facilities.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
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) | 4.19 | 3.88 | 3.86 |
| Registered nurses | 0.59 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.07 | 3.26 | 3.42 |
| Nurse aides | 2.89 | ||
| Licensed practical nurses | 0.72 | ||
| Nursing staff turnover (share who left in a year) | 53.4% | 46.9% | 45.8% |
| Registered nurse turnover | 38.5% | 39.5% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.32 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 4.64 on weekdays and 3.07 on weekends, 34% 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 4.07 in April to June 2025 to 4.19 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 | 4.19 | 0.59 | 4.64 | 3.07 | 0.0% | 0 of 90 | 73 |
| Oct to Dec 2025 | 3.99 | 0.55 | 4.39 | 2.96 | 0.0% | 0 of 92 | 73 |
| Jul to Sep 2025 | 3.94 | 0.62 | 4.37 | 2.87 | 0.0% | 0 of 92 | 73 |
| Apr to Jun 2025 | 4.07 | 0.67 | 4.51 | 2.95 | 0.0% | 0 of 91 | 70 |
| 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 | 12.3 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.8 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.7 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.2 | 21.2 | 15.4 |
Owners and operators
Legal business name: SOUTH 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 | |
| Regions Bank | 5% or greater security interest | Organization | 08/25/2015 | |
| South Health Realty, LLC | 5% or greater security interest | Organization | 06/23/2006 | |
| Lewis, Cynthia | W-2 managing employee | Individual | 01/22/2024 | |
| 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 | |
| Lewis, Cynthia | Operational/managerial control | Individual | 01/22/2024 | |
| Patterson, Derek | Operational/managerial control | Individual | 01/03/2022 | |
| Rasco, Lynn | Operational/managerial control | Individual | 07/01/2022 |
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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on August 24, 2023: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on August 24, 2023: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on August 24, 2023: "Allow residents to self-administer drugs if determined clinically appropriate."
- 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 July 29, 2021: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.07 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
- Greenbriar at the Altamont Skilled Nursing Facilit Birmingham, 1.2 mi · 3 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, 2.6 mi · 3 of 5 stars · 11 citations
- Brookdale University Park SNF (al) Birmingham, 2.7 mi · 1 of 5 stars · 17 citations
- Arlington Rehabilitation & Healthcare Center Birmingham, 2.8 mi · 4 of 5 stars · 11 citations
- Elite Nursing and Rehabilitation Care Center Birmingham, 2.8 mi · 1 of 5 stars · 22 citations
- Oak Knoll Health and Rehabilitation, LLC Birmingham, 3 mi · 3 of 5 stars · 12 citations
- Fair Haven Birmingham, 4.6 mi · 3 of 5 stars · 11 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 South Health and Rehabilitation, LLC's Medicare star rating?
- CMS rates South 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 South Health and Rehabilitation, LLC get at its last inspection?
- 3 health deficiencies at the standard inspection on August 24, 2023. The Alabama average is 4.
- Has South Health and Rehabilitation, LLC been fined?
- CMS lists no fines in the last three years.
- Does South 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 South Health and Rehabilitation, LLC?
- CMS lists 18 owners and managers, and links the home to Nhs Management. Legal business name: SOUTH 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.