01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-04-17 | 6 | 2024-04-17 | 7 |
| Cycle 2 | 2019-05-23 | 1 | 2019-05-23 | 9 |
| Cycle 3 | 2018-06-07 | 4 | 2018-06-07 | 3 |
CMS CCN 0150472026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Northway Health And Rehabilitation, Llc
1424 North 25Th Street · Birmingham, AL 35234 · Jefferson County
Certified beds113CMS provider file
Recent citation rows30current 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
30 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-04-17 · HEALTHF0567Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Correction field: Deficient, Provider has date of correction · 2024-05-22 · complaint2024-04-17 · HEALTHF0576Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Correction field: Deficient, Provider has date of correction · 2024-05-22 · complaint2024-04-17 · 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 · 2024-05-22 · complaint2024-04-17 · 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 · 2024-05-22 · complaint2024-04-17 · 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 · 2024-05-22 · complaint2024-04-17 · 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 · 2024-05-22 · complaint2024-04-17 · HEALTHF0880Severity E · pattern; 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 · 2024-05-22 · complaint2024-04-17 · FIREK0133Severity D · isolated; potential for more than minimal harm
Construction Deficiencies
Install a two-hour-resistant firewall separation.
Correction field: Deficient, Provider has date of correction · 2024-05-292024-04-17 · FIREK0225Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Correction field: Deficient, Provider has date of correction · 2024-05-292024-04-17 · FIREK0311Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2024-05-292024-04-17 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-05-292024-04-17 · FIREK0325Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Correction field: Deficient, Provider has date of correction · 2024-05-292024-04-17 · FIREK0741Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2024-05-292024-04-17 · 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 · 2024-05-292019-05-23 · 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 · 2019-06-242019-05-23 · FIREK0232Severity E · pattern; 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 · 2019-06-282019-05-23 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2019-06-282019-05-23 · FIREK0345Severity E · pattern; 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 · 2019-06-282019-05-23 · 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 · 2019-06-282019-05-23 · FIREK0355Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2019-06-282019-05-23 · 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 · 2019-06-282019-05-23 · 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 · 2019-06-282019-05-23 · 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 · 2019-06-282019-05-23 · 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 · 2019-06-2803 / 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
- NORTHPORT HOLDING OPERATIONS, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/2003
- JAMES N ESTES JR FAMILY DYNASTY TR NO 2Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST18% · since 12/27/2012
- JAMES NORMAN ESTES JR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 06/30/2013
- JENNIFER E AGEE FAMILY DYNASTY TR NO 2Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST18% · since 12/27/2012
- JENNIFER LEE ESTES TR 031093Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 06/30/2013
- ESTES, JAMESIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST51% · since 01/01/2003
- CAPITAL FUNDING LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 06/01/2012
- CAPITAL FUNDING LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 06/01/2012
- HOLDING FACILITIES GROUP LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 06/01/2012
- NORTHWAY HEALTH REALTY LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 06/01/2012
- SERVISFIRST BANKOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 08/29/2018
- KILGORE, JORDANIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/15/2024
- HOLMES, LETCHERNIQUEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/03/2022
- PATTERSON, DEREKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/03/2022
- RASCO, LYNNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2022
- ESTES, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/07/2000
- LONG, PHILLIPIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2019
- HOLMES, LETCHERNIQUEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/03/2022
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 hours3.57per resident day
RN hours0.35per resident day
Weekend nurse hours2.86per resident day
Staff turnover51.8%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 rowsElite Nursing And Rehabilitation Care Center143 beds · CMS overall 1/534 citation rows