Highlands Rehabilitation and Wellness Center
733 Mary Vann Lane, Birmingham, AL 35215 · Jefferson County · 132 certified beds · avg 117 residents/day · certified since Mar 1, 1976
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, facility-wide · May 13, 2024 · F-0867 · triggered by a complaint
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Why it matters: Without a working quality program, the same care problems tend to repeat instead of getting fixed.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Jun 7, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · May 13, 2024 · F-0578 · triggered by a complaint
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Why it matters: Ignoring these rights means residents may receive treatments they refused, or miss having their end-of-life wishes respected.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 7, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · May 13, 2024 · F-0678 · triggered by a complaint
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 7, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · May 13, 2024 · F-0725 · triggered by a complaint
The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Why it matters: Understaffing means longer waits for help, missed care, and higher risk of falls and other harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 7, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · May 13, 2024 · F-0726 · triggered by a complaint
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 7, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (14)
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 |
|---|---|---|
| May 13, 2024 | ▲ L · Immediate jeopardy, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| May 13, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint |
| May 13, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint |
| May 13, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| May 13, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| May 13, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint |
| May 13, 2024 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| May 13, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| May 13, 2024 | C · Minimal risk, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · from a complaint |
| Apr 20, 2021 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Apr 20, 2021 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Mar 13, 2019 | 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 13, 2019 | D · Potential for harm, one-off | 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 13, 2019 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | F |
| 2021 | 2 | 0 | D |
| 2024 | 9 | 5 | L ▲ |
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)
5 fines totaling $24,834, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| May 13, 2024 | Fine | $4,017 |
| May 13, 2024 | Fine | $4,017 |
| May 13, 2024 | Fine | $5,600 |
| May 13, 2024 | Fine | $5,600 |
| May 13, 2024 | Fine | $5,600 |
| May 13, 2024 | Payment Denial | 54 days from Jun 12, 2024 |
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) | 3.55 | 4.43 | 3.95 | bottom 10% in Alabama; bottom 39% in the U.S. |
| Registered Nurse hours | 0.45 | 0.74 | 0.69 | bottom 7% in Alabama; bottom 31% in the U.S. |
| Weekend total nurse staffing | 2.83 | 3.73 | 3.50 | bottom 4% in Alabama; bottom 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.36 | 0.48 | bottom 16% in Alabama; bottom 14% in the U.S. |
| Total nursing staff turnover (%) | 55.7 | 46.9 | 45.8 | bottom 24% in Alabama; bottom 24% in the U.S. |
| RN turnover (%) | 54.5 | 39.5 | 42.9 | bottom 21% in Alabama; bottom 29% 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 2.87, RN 0.37, weekend 2.28. Staffing rating: 2/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ownership Data Not Available |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "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 |
|---|---|---|---|---|---|
| East Glen | 3.0 mi | Birmingham, AL | ★★★☆☆ | 3/5 | |
| Cavalier Healthcare of Trussville | 3.5 mi | Trussville, AL | ★★★☆☆ | 4/5 | |
| Pine Hill Rehabilitation and Wellness Center | 6.1 mi | Birmingham, AL | ★☆☆☆☆ | 2/5 | |
| The Healthcare Center of Eastview | 6.1 mi | Birmingham, AL | ★★☆☆☆ | 2/5 | |
| Kirkwood by the River | 6.7 mi | Birmingham, AL | ★★★☆☆ | 4/5 | |
| Magnolia Ridge | 7.7 mi | Gardendale, AL | ★☆☆☆☆ | 1/5 | abuseSFF |
| St Martin's in the Pines | 8.1 mi | Irondale, AL | ★★☆☆☆ | 2/5 | |
| Fair Haven | 8.5 mi | Birmingham, AL | ★★★☆☆ | 3/5 | |
| Northway Health and Rehabilitation, LLC | 10.8 mi | Birmingham, AL | ★★★☆☆ | 2/5 | |
| Greenbriar at the Altamont Skilled Nursing Facilit | 11.2 mi | Birmingham, AL | ★★★☆☆ | 3/5 | |
| Civic Center Health and Rehabilitation, LLC | 11.2 mi | Birmingham, AL | ★★☆☆☆ | 2/5 | |
| South Health and Rehabilitation, LLC | 12.3 mi | Birmingham, AL | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 015134.