Nursing HomeInspections

Elite Nursing and Rehabilitation Care Center

Nursing home in Birmingham, AL

Medicare & Medicaid certified1★ overall (CMS)

Call (205) 870-5666Send a messageMap ↗

Public-record details

Address
300 Royal Tower Drive, Birmingham, AL 35209
Phone
(205) 870-5666
Listed under
For-profit, Part of a retirement community
Medicare CCN
015455
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
143
Average residents per day
121
Ownership
For-profit, limited Liability company
Legal business name
Mount Royal Operations LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 3, 2005
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 015455. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 29, 2024. CMS lists 22 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 8, 2018 to Oct 2, 2024): 10 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Oct 2, 2024Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 13, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
F
Potential for more than minimal harm, widespread
Aug 13, 2024Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · complaint inspection
F
Potential for more than minimal harm, widespread
Mar 29, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Mar 29, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Mar 29, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 29, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 29, 2024Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · complaint inspection
E
Potential for more than minimal harm, pattern
Mar 29, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection
F
Potential for more than minimal harm, widespread
Mar 29, 2024Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
F
Potential for more than minimal harm, widespread
Mar 29, 2024Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control · complaint inspection
F
Potential for more than minimal harm, widespread
Mar 29, 2024Keep all essential equipment working safely.
Environmental · complaint inspection
F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 22. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $6,682 in the last three years.

Aug 13, 2024Fine: $6,682

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.28 hours
Registered nurse (RN) time per resident per day
0.51 hours
Nurse aide time per resident per day
2.49 hours
Total nurse staffing on weekends
2.98 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
58%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.

Other nursing homes in Birmingham

Arlington Rehabilitation & Healthcare Center1020 Tuscaloosa Avenue, Sw · Birmingham, AL 35211 · (205) 788-6330 · For-profit11 health citations in 3 inspection cycles · last standard inspection Apr 1, 2021 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)Diversicare of Riverchase2500 Riverhaven Drive · Birmingham, AL 35244 · (205) 987-0901 · For-profit9 health citations in 3 inspection cycles · last standard inspection Jul 1, 2021 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)East Glen53 Medical Park Drive East · Birmingham, AL 35235 · (205) 833-1777 · For-profit7 health citations in 3 inspection cycles · last standard inspection Mar 16, 2023 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)Fair Haven1424 Montclair Road · Birmingham, AL 35210 · (205) 956-4150 · Nonprofit11 health citations in 3 inspection cycles · last standard inspection Jun 17, 2021 · $28,470 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Greenbriar at the Altamont Skilled Nursing Facilit2831 Highland Avenue South · Birmingham, AL 35205 · (205) 323-2724 · Nonprofit6 health citations in 3 inspection cycles · last standard inspection Apr 8, 2021 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)Kirkwood by the River3605 Ratliff Road · Birmingham, AL 35210 · (205) 956-2184 · Nonprofit8 health citations in 3 inspection cycles · last standard inspection Oct 7, 2021 · no CMS fines in 3 yrsMedicare-certified3★ overall (CMS)Northway Health and Rehabilitation, LLC1424 North 25th Street · Birmingham, AL 35234 · (205) 328-5870 · For-profit11 health citations in 3 inspection cycles · last standard inspection Apr 17, 2024 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)Oak Knoll Health and Rehabilitation, LLC824 Sixth Avenue West · Birmingham, AL 35204 · (205) 787-2619 · For-profit12 health citations in 3 inspection cycles · last standard inspection Mar 18, 2021 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)

All 20 in Birmingham →