Oak Knoll Health and Rehabilitation, LLC
824 Sixth Avenue West, Birmingham, AL 35204 · Jefferson County · 100 certified beds · avg 99 residents/day · certified since Sep 13, 1972
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 (12)
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 2, 2024 | 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. · from a complaint |
| May 2, 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 18, 2021 | 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 18, 2021 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Mar 18, 2021 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 18, 2021 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Mar 18, 2021 | 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 18, 2021 | 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. |
| Feb 21, 2019 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 12, 2018 | 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. |
| Apr 12, 2018 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 12, 2018 | 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. |
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 | D |
| 2019 | 1 | 0 | D |
| 2021 | 6 | 0 | F |
| 2024 | 2 | 0 | D |
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) | 4.52 | 4.43 | 3.95 | top 44% in Alabama; top 23% in the U.S. |
| Registered Nurse hours | 0.87 | 0.74 | 0.69 | top 22% in Alabama; top 22% in the U.S. |
| Weekend total nurse staffing | 3.55 | 3.73 | 3.50 | bottom 35% in Alabama; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.40 | 0.36 | 0.48 | top 31% in Alabama; top 48% in the U.S. |
| Total nursing staff turnover (%) | 52.5 | 46.9 | 45.8 | bottom 32% in Alabama; bottom 31% in the U.S. |
| RN turnover (%) | 40.0 | 39.5 | 42.9 | bottom 49% in Alabama; top 46% 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 3.71, RN 0.72, weekend 2.92. 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: 5/5 · long-stay residents: 5/5 · 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 |
| Bester, Latoya | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/24/2023 |
| Bester, Latoya | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/24/2023 |
| Cobb, Leigh | Individual | Corporate Director | NOT APPLICABLE | 07/24/2023 |
| Cobb, Leigh | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/24/2023 |
| Estes, James | Individual | Corporate Officer | NOT APPLICABLE | 08/20/2002 |
| Long, Phillip | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2019 |
| Morris, Hilary | Individual | Corporate Director | NOT APPLICABLE | 09/01/2023 |
| Morris, Hilary | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Oak Knoll Health Realty LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 10/01/2002 |
| Rasco, Lynn | Individual | Corporate Director | NOT APPLICABLE | 07/29/2013 |
| Rasco, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/29/2013 |
| Regions Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 08/24/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Arlington Rehabilitation & Healthcare Center | 1.0 mi | Birmingham, AL | ★★★★☆ | 4/5 | |
| Civic Center Health and Rehabilitation, LLC | 2.6 mi | Birmingham, AL | ★★☆☆☆ | 2/5 | |
| Northway Health and Rehabilitation, LLC | 2.8 mi | Birmingham, AL | ★★★☆☆ | 2/5 | |
| South Health and Rehabilitation, LLC | 3.0 mi | Birmingham, AL | ★★☆☆☆ | 2/5 | |
| Birmingham Nursing and Rehabilitation Ctr LLC | 3.2 mi | Birmingham, AL | ★☆☆☆☆ | 1/5 | abuse |
| Redmont Health and Rehabilitation Center | 3.7 mi | Birmingham, AL | ★★★☆☆ | 3/5 | |
| Greenbriar at the Altamont Skilled Nursing Facilit | 3.9 mi | Birmingham, AL | ★★★☆☆ | 3/5 | |
| Brookdale University Park SNF (al) | 4.7 mi | Birmingham, AL | ★☆☆☆☆ | 1/5 | |
| Cherry Hill Rehabilitation & Healthcare Center | 5.0 mi | Birmingham, AL | ★★☆☆☆ | 2/5 | |
| Elite Nursing and Rehabilitation Care Center | 5.6 mi | Birmingham, AL | ★☆☆☆☆ | 1/5 | |
| Caregivers of Pleasant Grove, INC | 6.3 mi | Pleasant Grove, AL | ★☆☆☆☆ | 2/5 | |
| Legacy Health and Rehabilitation of Pleasant Grove | 6.3 mi | Pleasant Grove, AL | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 015117.