Highlands Rehabilitation and Wellness Center
Nursing home in Birmingham, AL
Medicare & Medicaid certified2★ overall (CMS)
Public-record details
- Address
- 733 Mary Vann Lane, Birmingham, AL 35215
- Phone
- (205) 854-1361
- Listed under
- For-profit
- Medicare CCN
- 015134
- Overall star rating
- 2 of 5 ★★☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 2 of 5
- Quality measures rating
- 5 of 5
- Certified beds
- 132
- Average residents per day
- 117
- Ownership
- For-profit, limited Liability company
- Legal business name
- Legal Business Name Not Available
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Mar 1, 1976
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: May 13, 2024. CMS lists 14 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 13, 2019 to May 13, 2024): 9 from complaint inspections, 5 at the “actual harm” level or higher, including 5 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| May 13, 2024 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C |
| May 13, 2024 | Allow residents to self-administer drugs if determined clinically appropriate. | D |
| May 13, 2024 | Protect each resident from the wrongful use of the resident's belongings or money. | D |
| May 13, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| May 13, 2024 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance… | J |
| May 13, 2024 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J |
| May 13, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | J |
| May 13, 2024 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | J |
| May 13, 2024 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | L |
| Apr 20, 2021 | Reasonably accommodate the needs and preferences of each resident. | D |
| Apr 20, 2021 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| Mar 13, 2019 | Post nurse staffing information every day. | C |
Fines and payment denials
CMS records 5 fines totalling $24,834 and 1 denial of Medicare payment for new admissions in the last three years.
| May 13, 2024 | Fine: $4,017 |
| May 13, 2024 | Fine: $4,017 |
| May 13, 2024 | Fine: $5,600 |
| May 13, 2024 | Fine: $5,600 |
| May 13, 2024 | Fine: $5,600 |
| May 13, 2024 | Payment denial for 54 days from Jun 12, 2024 |
Staffing
- Total nurse staffing per resident per day
- 2.87 hours
- Registered nurse (RN) time per resident per day
- 0.37 hours
- Nurse aide time per resident per day
- 1.75 hours
- Total nurse staffing on weekends
- 2.28 hours
- Nursing staff turnover (yearly)
- 56%
- RN turnover (yearly)
- 55%
- Administrators who left in the past year
- 2
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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