01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-03-29 | 9 | 2024-03-29 | 3 |
| Cycle 2 | 2019-11-20 | 6 | 2019-11-20 | 4 |
| Cycle 3 | 2018-11-08 | 7 | 2018-11-08 | 5 |
CMS CCN 0154552026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Elite Nursing And Rehabilitation Care Center
300 Royal Tower Drive · Birmingham, AL 35209 · Jefferson County
Certified beds143CMS provider file
Recent citation rows34current CMS citation release
Penalty rows1current 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
34 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.
2024-10-02 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2024-10-23 · complaint2024-08-13 · HEALTHF0580Severity F · widespread; 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: Deficient, Provider has date of correction · 2024-09-03 · complaint2024-08-13 · HEALTHF0584Severity F · widespread; potential for more than minimal harm
Resident Rights Deficiencies
Honor 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.
Correction field: Deficient, Provider has date of correction · 2024-09-03 · complaint2024-03-29 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor 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.
Correction field: Deficient, Provider has date of correction · 2024-05-02 · complaint2024-03-29 · 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 · 2024-05-022024-03-29 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2024-05-022024-03-29 · 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 · 2024-05-02 · complaint2024-03-29 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-05-02 · complaint2024-03-29 · 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 · 2024-05-02 · complaint2024-03-29 · 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 · 2024-05-02 · complaint2024-03-29 · HEALTHF0882Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2024-05-02 · complaint2024-03-29 · HEALTHF0908Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2024-05-02 · complaint2024-03-29 · FIREK0354Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Correction field: Deficient, Provider has date of correction · 2024-05-062024-03-29 · FIREK0362Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Correction field: Deficient, Provider has date of correction · 2024-05-062024-03-29 · FIREK0372Severity E · pattern; 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 · 2024-05-062019-11-20 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2019-12-242019-11-20 · 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 · 2019-12-242019-11-20 · HEALTHF0880Severity D · isolated; 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 · 2019-12-242019-11-20 · 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 · 2019-12-092019-11-20 · 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 · 2019-12-092019-11-20 · FIREK0914Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2019-12-102019-11-20 · FIREK0918Severity E · pattern; 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 · 2019-12-312018-11-08 · HEALTHF0637Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2018-12-122018-11-08 · HEALTHF0640Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2018-12-1203 / 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 |
|---|---|---|---|
| 2024-08-13 | Fine | $6,682 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- KAPLAN, YISROELIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2023
- ASCHENDORF, JONATHANIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/01/2023
- ASCHENDORF, JONATHANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2023
- BELL, TISHAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/19/2021
- KAPLAN, YISROELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/19/2021
- PAISLEY, PEYTONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/03/2023
- ASCHENDORF, JONATHANIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/01/2023
- BELL, TISHAIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/19/2021
- PAISLEY, PEYTONIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/03/2023
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 hours3.28per resident day
RN hours0.51per resident day
Weekend nurse hours2.98per resident day
Staff turnover52.4%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 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 rowsEast Glen108 beds · CMS overall 3/520 citation rowsFair Haven259 beds · CMS overall 3/526 citation rows