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Northway Health And Rehabilitation, Llc

For profit - Corporation  ·  1424 North 25 Th Street, Birmingham, AL 35234  ·  See home’s Medicare page

Inspections Delayed
The most recent standard inspection occurred more than two years ago. Inspections are supposed to occur every 18 months.
Affiliated With Nhs Management
People or companies with an ownership interest in or managerial control of this home, according to CMS data.
3.82
Nurse hours/resident/day
Reported total nurse staffing hours per resident per day.
State Average: 3.9
61.4%
Nurse turnover
The percentage of nursing staff who stopped working at the home over a 12-month period.
State Average: 51.3%
113
Certified beds
Qualifying beds in the certified provider or supplier facility.
110
Average residents/day
Average number of residents based on daily census.
Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.
Direct owners
Northport Holding Operations, Llc (100%)
Indirect owners
James Estes (51%)
James N Estes Jr Family Dynasty Tr No 2 (18%)
Jennifer E Agee Family Dynasty Tr No 2 (18%)
James Norman Estes Jr Tr (6%)
Jennifer Lee Estes Tr 031093 (6%)
Managerial control
Letchernique Holmes since Jan, 2022
Derek Patterson since Jan, 2022
Lynn Rasco since Jul, 2022
Webster Shaw since Nov, 2020
Managing employee(s)
Jordan Kilgore since Jan, 2024

Inspection Reports

14

total deficiencies

1

infection-related deficiency

This home violated federal standards protecting residents from the spread of infections.

Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.
May 13, 2022
Complaint report
1 deficiency
D

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0602
Failure to: Protect each resident from the wrongful use of the resident's belongings or money.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

May 23, 2019
Standard report
1 deficiency
(1 infection)

This report includes a citation for violating federal standards protecting residents from the spread of infections.

D

Infection Control Deficiency — F0880
Failure to: Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Jun 7, 2018
Standard report
3 deficiencies
D

to F
F

Nutrition and Dietary Deficiency — F0809
Failure to: Ensure meals and snacks are served at times in accordance with resident's needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
F

Nutrition and Dietary Deficiency — F0812
Failure to: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
F

Resident Assessment and Care Planning Deficiency — F0641
Failure to: Ensure each resident receives an accurate assessment.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Jun 22, 2017
Standard report
9 deficiencies
D

to F
F

Nutrition and Dietary Deficiency — F0371
Failure to: Store, cook, and serve food in a safe and clean way.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
F

Environmental Deficiency — F0441
Failure to: Have a program that investigates, controls and keeps infection from spreading.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Resident Rights Deficiency — F0176
Failure to: Allow residents to self-administer drugs if determined safe.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Environmental Deficiency — F0253
Failure to: Provide housekeeping and maintenance services.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Resident Assessment and Care Planning Deficiency — F0278
Failure to: Ensure each resident receives an accurate assessment by a qualified health professional.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Environmental Deficiency — F0323
Failure to: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Nutrition and Dietary Deficiency — F0363
Failure to: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Environmental Deficiency — F0372
Failure to: Dispose of garbage and refuse properly.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Pharmacy Service Deficiency — F0425
Failure to: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Penalties

This home has no record of fines or payment suspensions for the past three years.