Home / Owners / Gefen Al Seven Opco Holdings LLC
Nursing homes owned by Gefen Al Seven Opco Holdings LLC
The CMS ownership file lists Gefen Al Seven Opco Holdings LLC with an ownership interest in 3 certified nursing homes with 411 beds in Alabama (3).
CMS ownership and Care Compare data as of September 1, 2026
What the ownership file says
CMS lists Gefen Al Seven Opco Holdings LLC as a direct owner of 1 home, indirect owner of 3 homes. Its earliest ownership association date on file is November 1, 2025, the latest November 1, 2025.
An indirect owner holds its stake through another company. Owners are listed by the homes themselves when they enroll in Medicare and Medicaid; the file names owners with a 5% or greater stake and the companies with control over operations.
CMS also groups these homes into the chain Legacy Healthcare (3).
The homes' record in brief
3 of the 3 homes have a CMS overall rating, averaging 2.0 stars against a national average of 3. 3 are for profit, 0 nonprofit; 3 are certified for Medicaid.
Across the inspections on file the homes carry 44 health citations; 9 citations were rated actual harm or immediate jeopardy, 9 immediate jeopardy. At their latest standard inspections they averaged 3.3 health deficiencies (national 9.2).
2 homes were fined in the last three years, $93,481 across 6 fines. Average nursing staff turnover was 51.6% (national 45.8%).
Staffing at these homes, January to March 2026
| Hours per resident per day | These homes | United States |
|---|---|---|
| All nursing staff | 3.19 | 3.75 |
| Registered nurses | 0.57 | 0.62 |
| Weekdays | 3.46 | 3.92 |
| Weekends | 2.53 | 3.33 |
| Share of nursing hours by contract staff | 0.0% | 5.3% |
Daily payroll records of 3 homes, summed. Weekends ran 27% below weekdays. Source: CMS Payroll Based Journal Daily Nurse Staffing.
Every home it owns
| Home | City | State | Role in the CMS file | Share | Overall | Citations | Fines |
|---|---|---|---|---|---|---|---|
| Birmingham Nursing and Rehabilitation Ctr LLC | Birmingham | AL | Indirect owner, since November 2025 | 1 | 20 | $68,647 | |
| Highlands Rehabilitation and Wellness Center | Birmingham | AL | Direct owner; Indirect owner, since November 2025 | 2 | 14 | $24,834 | |
| Florence Nursing and Rehabilitation Ctr, LLC | Florence | AL | Indirect owner, since November 2025 | 3 | 10 |
Source: CMS Ownership, data as of September 1, 2026, as the homes reported it. Name spelling follows the file; spellings that differ only in punctuation are combined. Being listed as an owner is a fact of record, not a finding about care. Something wrong? Ask for a correction.
Staff pay reports
Staff pay at homes Gefen Al Seven Opco Holdings LLC owns
No staff pay figure at homes Gefen Al Seven Opco Holdings LLC owns 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, and, for a group, from at least 2 homes.
Official wage estimates, United States
| Job | Median | Middle half | Employed |
|---|---|---|---|
| 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 |
| All employers | |||
| CNAs (nursing assistants) | $20.32 | $17.91 to $22.70 | 1,448,910 |
| LPNs and LVNs | $30.96 | $28.37 to $36.55 | 648,410 |
| Registered nurses | $46.90 | $38.62 to $54.02 | 3,379,720 |
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.