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Civic Center Health and Rehabilitation, LLC
1201 22nd Street North, Birmingham, AL 35234 (opens Google Maps) · Jefferson County · (205) 251-5271· 95 certified beds · avg 87 residents/day · certified since Apr 4, 1969 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: NHS MANAGEMENT (43 facilities, chain avg rating 2.9★)
2/5
Health inspection rating (on-site)
inspected Mar 22, 2024
0
Serious findings on record
$0
Fines, last 3 years
4.65
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
⚠ 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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 10 inspection findings. Open the full record below to read every finding.
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. F-0812
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. F-0880
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 F-0609
View all 10 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 22, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Mar 22, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Mar 22, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Mar 22, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Mar 22, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Mar 22, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0947 |
| Jun 10, 2021 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Mar 1, 2019 | E · Potential for more than minimal harm, pattern | 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. · F-0625 |
| Mar 1, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0623 |
| Mar 1, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0626 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 6).
All citationsSerious citations (G–L)
2019
All citations: 3
Serious citations (G–L): 0
2021
All citations: 1
Serious citations (G–L): 0
2024
All citations: 6
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityAlabama averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.65
Alabama average: 4.43
U.S. average: 3.95
Registered Nurse hours
This facility: 0.83
Alabama average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.71
Alabama average: 3.73
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.56 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Civic Center Health and Rehabilitation, LLC. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 18 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain NHS Management — 43 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Columbiana Health and Rehabilitation, LLC — Columbiana, AL · overall 4/5
- Cordova Health and Rehabilitation, LLC — Cordova, AL · overall 1/5abuse
- Crossville Health and Rehabilitation, LLC — Crossville, AL · overall 5/5
- Florala Health and Rehabilitation LLC — Florala, AL · overall 3/5
- Georgiana Health and Rehabilitation, LLC — Georgiana, AL · overall 4/5
- Glen Haven Health and Rehabilitation, LLC — Northport, AL · overall 1/5
- Gulf Coast Health and Rehabilitation, LLC — Mobile, AL · overall 2/5
- Hunter Creek Health and Rehabilitation, LLC — Northport, AL · overall 3/5
Listed by state, then facility name — not a ranking. Showing 8 of the 42 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 50% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 35 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 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Jefferson, AL — 34 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Diversicare of Bessemer — Bessemer, AL · overall 1/5
- Diversicare of Riverchase — Birmingham, AL · overall 3/5
- East Glen — Birmingham, AL · overall 3/5
- Galleria Woods Skilled Nursing Facility — Birmingham, AL · overall 2/5
- Highlands Rehabilitation and Wellness Center — Birmingham, AL · overall 2/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 015109.
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