Northway Health and Rehabilitation, LLC
1424 North 25th Street, Birmingham, AL 35234 · Jefferson County · 113 certified beds · avg 108 residents/day · certified since Nov 1, 1976
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: 3/5
⚠ 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 (11)
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 |
|---|---|---|
| Apr 17, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 17, 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. · from a complaint |
| Apr 17, 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 |
| Apr 17, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · from a complaint |
| Apr 17, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Apr 17, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to manage their own money and financial affairs. · from a complaint |
| Apr 17, 2024 | C · Minimal risk, facility-wide | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. · from a complaint |
| May 23, 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. |
| Jun 7, 2018 | F · Potential for harm, facility-wide | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Jun 7, 2018 | 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. |
| Jun 7, 2018 | 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. |
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 |
|---|---|---|---|
| 2018 | 3 | 0 | F |
| 2019 | 1 | 0 | D |
| 2024 | 7 | 0 | E |
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) | 4.78 | 4.43 | 3.95 | top 29% in Alabama; top 17% in the U.S. |
| Registered Nurse hours | 0.47 | 0.74 | 0.69 | bottom 10% in Alabama; bottom 34% in the U.S. |
| Weekend total nurse staffing | 3.83 | 3.73 | 3.50 | top 39% in Alabama; top 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.13 | 0.36 | 0.48 | bottom 4% in Alabama; bottom 3% in the U.S. |
| Total nursing staff turnover (%) | 51.8 | 46.9 | 45.8 | bottom 36% in Alabama; bottom 32% in the U.S. |
| RN turnover (%) | 44.4 | 39.5 | 42.9 | bottom 42% in Alabama; bottom 45% 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 3.57, RN 0.35, weekend 2.86. Staffing rating: 3/5.
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
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Estes, James | Individual | 5% or Greater Indirect Ownership Interest | 51% | 01/01/2003 |
| James N Estes Jr Family Dynasty Tr No 2 | Organization | 5% or Greater Indirect Ownership Interest | 18% | 12/27/2012 |
| James Norman Estes Jr Tr | Organization | 5% or Greater Indirect Ownership Interest | 6% | 06/30/2013 |
| Jennifer E Agee Family Dynasty Tr No 2 | Organization | 5% or Greater Indirect Ownership Interest | 18% | 12/27/2012 |
| Jennifer Lee Estes Tr 031093 | Organization | 5% or Greater Indirect Ownership Interest | 6% | 06/30/2013 |
| Northport Holding Operations, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2003 |
| Capital Funding LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2012 |
| Capital Funding LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 06/01/2012 |
| Estes, James | Individual | Corporate Officer | NOT APPLICABLE | 09/07/2000 |
| Holding Facilities Group LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 06/01/2012 |
| Holmes, Letchernique | Individual | Corporate Director | NOT APPLICABLE | 01/03/2022 |
| Holmes, Letchernique | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/03/2022 |
| Kilgore, Jordan | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/15/2024 |
| Kilgore, Jordan | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/15/2024 |
| Long, Phillip | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2019 |
| Northway Health Realty LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 06/01/2012 |
| 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 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How are residents' personal funds handled here, and what records can families review?"
- "How can my family member make private phone or video calls, and can we see where?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "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 |
|---|---|---|---|---|---|
| Civic Center Health and Rehabilitation, LLC | 0.4 mi | Birmingham, AL | ★★☆☆☆ | 2/5 | |
| Greenbriar at the Altamont Skilled Nursing Facilit | 2.5 mi | Birmingham, AL | ★★★☆☆ | 3/5 | |
| South Health and Rehabilitation, LLC | 2.6 mi | Birmingham, AL | ★★☆☆☆ | 2/5 | |
| Oak Knoll Health and Rehabilitation, LLC | 2.8 mi | Birmingham, AL | ★★★☆☆ | 2/5 | |
| Arlington Rehabilitation & Healthcare Center | 3.5 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) | 5.2 mi | Birmingham, AL | ★☆☆☆☆ | 1/5 | |
| Elite Nursing and Rehabilitation Care Center | 5.3 mi | Birmingham, AL | ★☆☆☆☆ | 1/5 | |
| St Martin's in the Pines | 5.3 mi | Irondale, AL | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 015047.