South Health and Rehabilitation, LLC
1220 South 17th Street, Birmingham, AL 35205 · Jefferson County · 83 certified beds · avg 73 residents/day · certified since Oct 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: 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)
▲ Actual harm, one-off · Aug 24, 2023 · F-0656 · triggered by a complaint
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.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 14, 2023 (Past Non-Compliance)
▲ Actual harm, one-off · Aug 24, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 14, 2023 (Past Non-Compliance)
All citations in the current public record (6)
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 |
|---|---|---|
| Aug 24, 2023 | ▲ G · Actual 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. · from a complaint |
| Aug 24, 2023 | ▲ G · Actual 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 |
| Aug 24, 2023 | 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. |
| Jul 29, 2021 | D · Potential for harm, one-off | 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. |
| May 20, 2019 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| May 20, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | D |
| 2021 | 1 | 0 | D |
| 2023 | 3 | 2 | G ▲ |
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)
2 fines totaling $8,569, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Aug 24, 2023 | Fine | $4,245 |
| Aug 24, 2023 | Fine | $4,324 |
| Aug 24, 2023 | Payment Denial | 8 days from Sep 23, 2023 |
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) | 4.84 | 4.43 | 3.95 | top 25% in Alabama; top 16% in the U.S. |
| Registered Nurse hours | 0.68 | 0.74 | 0.69 | bottom 41% in Alabama; top 38% in the U.S. |
| Weekend total nurse staffing | 3.55 | 3.73 | 3.50 | bottom 34% in Alabama; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.36 | 0.48 | bottom 41% in Alabama; bottom 31% in the U.S. |
| Total nursing staff turnover (%) | 53.4 | 46.9 | 45.8 | bottom 28% in Alabama; bottom 28% in the U.S. |
| RN turnover (%) | 38.5 | 39.5 | 42.9 | bottom 49% in Alabama; top 44% 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 4.19, RN 0.59, weekend 3.07. 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 |
| 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 |
| Lewis, Cynthia | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/22/2024 |
| Lewis, Cynthia | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/22/2024 |
| 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 | 08/25/2015 |
| South Health Realty, LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 06/23/2006 |
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 you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| Greenbriar at the Altamont Skilled Nursing Facilit | 1.2 mi | Birmingham, AL | ★★★☆☆ | 3/5 | |
| Civic Center Health and Rehabilitation, LLC | 2.3 mi | Birmingham, AL | ★★☆☆☆ | 2/5 | |
| Northway Health and Rehabilitation, LLC | 2.6 mi | Birmingham, AL | ★★★☆☆ | 2/5 | |
| Brookdale University Park SNF (al) | 2.7 mi | Birmingham, AL | ★☆☆☆☆ | 1/5 | |
| Arlington Rehabilitation & Healthcare Center | 2.8 mi | Birmingham, AL | ★★★★☆ | 4/5 | |
| Elite Nursing and Rehabilitation Care Center | 2.8 mi | Birmingham, AL | ★☆☆☆☆ | 1/5 | |
| Oak Knoll Health and Rehabilitation, LLC | 3.0 mi | Birmingham, AL | ★★★☆☆ | 2/5 | |
| Fair Haven | 4.6 mi | Birmingham, AL | ★★★☆☆ | 3/5 | |
| St Martin's in the Pines | 5.2 mi | Irondale, AL | ★★☆☆☆ | 2/5 | |
| Redmont Health and Rehabilitation Center | 5.9 mi | Birmingham, AL | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 015097.