Civic Center Health and Rehabilitation, LLC
1201 22nd Street North, Birmingham, AL 35234 · Jefferson County · 95 certified beds · avg 87 residents/day · certified since Apr 4, 1969
Part of chain: NHS MANAGEMENT (43 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 22, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 22, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 22, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Mar 22, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 22, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 22, 2024 | D · Potential for harm, one-off | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Jun 10, 2021 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 1, 2019 | E · Potential for harm, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Mar 1, 2019 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Mar 1, 2019 | D · Potential for harm, one-off | The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | E |
| 2021 | 1 | 0 | D |
| 2024 | 6 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Alabama avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.65 | 4.43 | 3.95 | top 36% in Alabama; top 19% in the U.S. |
| Registered Nurse hours | 0.83 | 0.74 | 0.69 | top 29% in Alabama; top 25% in the U.S. |
| Weekend total nurse staffing | 3.71 | 3.73 | 3.50 | top 49% in Alabama; top 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.36 | 0.48 | bottom 44% in Alabama; bottom 33% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 46.9 | 45.8 | bottom 42% in Alabama; bottom 38% in the U.S. |
| RN turnover (%) | 50.0 | 39.5 | 42.9 | bottom 34% in Alabama; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.56, RN 0.64, weekend 2.84. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Estes, James | Individual | 5% or Greater Indirect Ownership Interest | 89% | 08/20/2002 |
| James Norman Estes Jr Tr | Organization | 5% or Greater Indirect Ownership Interest | 5% | 08/20/2002 |
| Jennifer Lee Estes Tr 031093 | Organization | 5% or Greater Indirect Ownership Interest | 5% | 08/20/2002 |
| NHS Operations LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/20/2002 |
| Berkadia Commercial Mortgage LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/26/2006 |
| Berkadia Commercial Mortgage LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 07/26/2006 |
| Civic Center Health Realty LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 10/01/2002 |
| Estes, James | Individual | Corporate Officer | NOT APPLICABLE | 08/20/2002 |
| Holmes, Letchernique | Individual | Corporate Director | NOT APPLICABLE | 01/03/2022 |
| Holmes, Letchernique | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/03/2022 |
| Long, Phillip | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2019 |
| Patterson, Derek | Individual | Corporate Director | NOT APPLICABLE | 01/03/2022 |
| Patterson, Derek | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/03/2022 |
| Rasco, Lynn | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Rasco, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
| Regions Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 08/27/2012 |
| Webb, Stella | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/26/2018 |
| Webb, Stella | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/26/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Northway Health and Rehabilitation, LLC | 0.4 mi | Birmingham, AL | ★★★☆☆ | 2/5 | |
| South Health and Rehabilitation, LLC | 2.3 mi | Birmingham, AL | ★★☆☆☆ | 2/5 | |
| Greenbriar at the Altamont Skilled Nursing Facilit | 2.3 mi | Birmingham, AL | ★★★☆☆ | 3/5 | |
| Oak Knoll Health and Rehabilitation, LLC | 2.6 mi | Birmingham, AL | ★★★☆☆ | 2/5 | |
| Arlington Rehabilitation & Healthcare Center | 3.1 mi | Birmingham, AL | ★★★★☆ | 4/5 | |
| Birmingham Nursing and Rehabilitation Ctr LLC | 4.4 mi | Birmingham, AL | ★☆☆☆☆ | 1/5 | abuse |
| Fair Haven | 4.8 mi | Birmingham, AL | ★★★☆☆ | 3/5 | |
| Brookdale University Park SNF (al) | 4.9 mi | Birmingham, AL | ★☆☆☆☆ | 1/5 | |
| Elite Nursing and Rehabilitation Care Center | 5.0 mi | Birmingham, AL | ★☆☆☆☆ | 1/5 | |
| St Martin's in the Pines | 5.4 mi | Irondale, AL | ★★☆☆☆ | 2/5 | |
| The Healthcare Center of Eastview | 5.6 mi | Birmingham, AL | ★★☆☆☆ | 2/5 | |
| Cherry Hill Rehabilitation & Healthcare Center | 5.7 mi | Birmingham, AL | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 015109.