CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 0153882026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

East Glen

53 Medical Park Drive East · Birmingham, AL 35235 · Jefferson County

CMS OVERALL RATING★★★☆☆3/5CMS field—not our score or recommendation
Certified beds108CMS provider file
Recent citation rows20current 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.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12023-03-1632023-03-166
Cycle 22019-11-0842019-11-086
Cycle 32018-11-0102018-11-011
02 / CITATION DETAIL

20 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2023-03-16 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2023-04-20
2023-03-16 · 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: Deficient, Provider has date of correction · 2023-04-20
2023-03-16 · HEALTHF0919Severity D · isolated; potential for more than minimal harm

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Correction field: Deficient, Provider has date of correction · 2023-04-20
2023-03-16 · FIREK0324Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2023-04-26
2023-03-16 · 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 · 2023-04-26
2023-03-16 · FIREK0363Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2023-04-26
2023-03-16 · FIREK0372Severity F · widespread; 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 · 2023-04-26
2023-03-16 · FIREK0521Severity F · widespread; 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 · 2023-04-26
2023-03-16 · FIREK0918Severity F · widespread; 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 · 2023-04-26
2019-11-08 · 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 · 2019-12-13
2019-11-08 · 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 · 2019-12-13
2019-11-08 · HEALTHF0836Severity F · widespread; potential for more than minimal harm

Administration Deficiencies

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Correction field: Deficient, Provider has date of correction · 2019-12-13
2019-11-08 · HEALTHF0842Severity D · isolated; 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 · 2019-12-13
2019-11-08 · 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 · 2019-12-06
2019-11-08 · FIREK0293Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Correction field: Deficient, Provider has date of correction · 2019-12-06
2019-11-08 · 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 · 2019-12-06
2019-11-08 · 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 · 2019-12-06
2019-11-08 · FIREK0751Severity E · pattern; potential for more than minimal harm

Miscellaneous Deficiencies

Have restrictions on the use of flammable curtains.

Correction field: Deficient, Provider has date of correction · 2019-12-06
2019-11-08 · FIREK0923Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2019-12-06
2018-11-01 · FIREK0363Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2018-11-30
03 / 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.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • ASCENSION HEALTH ALLIANCEOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 03/31/2005
  • ADAMSON, MICHELEIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 05/10/2017
  • BRITTON, ISAACIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 02/14/2007
  • ESTEP, BARBARAIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 04/01/2024
  • GOFF, ROBERTIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 07/01/2006
  • NELSON, DEBRAIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 05/11/2017
  • RENDA, NICHOLASIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 10/26/2020
  • SMITH, GEORGEIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 08/25/2009
  • WAGGONER, JAMESIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 05/10/2017
  • ADAMSON, MICHELEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 05/10/2017
  • BRITTON, ISAACIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 02/14/2007
  • ESTEP, BARBARAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 04/01/2024
  • GOFF, ROBERTIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 07/01/2006
  • NELSON, DEBRAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 05/11/2017
  • RENDA, NICHOLASIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 10/26/2020
  • SMITH, GEORGEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 08/25/2009
  • WAGGONER, JAMESIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 05/10/2017
  • NOLAND HEALTH SERVICES, INCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2006

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 hours3.66per resident day
RN hours0.55per resident day
Weekend nurse hours3.01per resident day
Staff turnover56.9%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Birmingham ledger →
Arlington Rehabilitation & Healthcare Center117 beds · CMS overall 4/512 citation rowsBirmingham Nursing And Rehabilitation Ctr Llc132 beds · CMS overall 1/525 citation rowsBrookdale University Park Snf (Al)66 beds · CMS overall 1/533 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 rowsElite Nursing And Rehabilitation Care Center143 beds · CMS overall 1/534 citation rowsFair Haven259 beds · CMS overall 3/526 citation rows
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.