01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-06-27 | 8 | 2024-06-27 | 5 |
| Cycle 2 | 2019-12-05 | 3 | 2019-12-05 | 4 |
| Cycle 3 | 2018-11-20 | 6 | 2018-11-20 | 7 |
CMS CCN 0154232026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Brookdale University Park Snf (Al)
501 University Park Drive · Birmingham, AL 35209 · Jefferson County
Certified beds66CMS provider file
Recent citation rows33current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
33 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-06-27 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Past Non-Compliance · 2024-04-08 · complaint2024-06-27 · HEALTHF0602Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Correction field: Deficient, Provider has date of correction · 2024-07-25 · complaint2024-06-27 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Past Non-Compliance · 2024-04-08 · complaint2024-06-27 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Past Non-Compliance · 2024-06-12 · complaint2024-06-27 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Past Non-Compliance · 2024-06-12 · complaint2024-06-27 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Past Non-Compliance · 2024-06-12 · complaint2024-06-27 · HEALTHF0814Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2024-07-232024-06-27 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-07-232024-06-27 · FIREK0222Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2024-07-262024-06-27 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-07-262024-06-27 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-07-262024-06-27 · FIREK0521Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2024-07-262024-06-27 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-07-262019-12-05 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2020-01-082019-12-05 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2020-01-082019-12-05 · HEALTHF0842Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2020-01-082019-12-05 · FIREK0222Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2020-01-102019-12-05 · FIREK0232Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Correction field: Deficient, Provider has date of correction · 2020-01-102019-12-05 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2020-01-102019-12-05 · FIREK0372Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2020-01-102018-11-20 · FIREE0007Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Correction field: Deficient, Provider has date of correction · 2019-01-032018-11-20 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2019-01-032018-11-20 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2018-12-242018-11-20 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2018-12-2403 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AMERICAN RETIREMENT CORPORATIONOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/23/2012
- KAESTNER, HENRYIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/30/2025
- KUSSOW, DAWNIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/30/2025
- WHITE, CHADWICKIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/27/2025
- CAPITAL ONE NAOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 10/13/2022
- CAPITAL ONE NAOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 10/13/2022
- BAIER, LUCINDAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/09/2018
- BOWMAN, KEVINIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2021
- KAESTNER, HENRYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/21/2022
- STENGLE, NIKOLASIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/08/2025
- WHITE, CHADWICKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/09/2018
- STENGLE, NIKOLASIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/08/2025
- AL BALAS, ALIANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/08/2020
- BORNSTEIN, BRANDONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/22/2025
- GANN, PATSYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/08/2025
- KAESTNER, HENRYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2022
- KUSSOW, DAWNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/23/2024
- LA MARRE, KEVINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/22/2017
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.90per resident day
RN hours0.74per resident day
Weekend nurse hours3.61per resident day
Staff turnover44.6%CMS reported field
06 / LOCAL RECORDS
Open the Birmingham ledger →Other published facilities nearby
Arlington Rehabilitation & Healthcare Center117 beds · CMS overall 4/512 citation rowsBirmingham Nursing And Rehabilitation Ctr Llc132 beds · CMS overall 1/525 citation rowsCherry Hill Rehabilitation & Healthcare Center117 beds · CMS overall 2/518 citation rowsCivic Center Health And Rehabilitation, Llc95 beds · CMS overall 2/515 citation rowsDiversicare Of Riverchase132 beds · CMS overall 3/524 citation rowsEast Glen108 beds · CMS overall 3/520 citation rowsElite Nursing And Rehabilitation Care Center143 beds · CMS overall 1/534 citation rowsFair Haven259 beds · CMS overall 3/526 citation rows