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SOUTH HAVEN HEALTH AND REHABILITATION, LLC

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SOUTH HAVEN HEALTH AND REHABILITATION, LLC is a for profit - individual facility in BIRMINGHAM, AL with 101 certified beds and a 3-star overall CMS rating. The facility has 12 deficiency records on file.

3141 OLD COLUMBIANA ROAD, BIRMINGHAM, AL 35226

Phone: 2058221580

Overall Rating

3/5

Health Inspection

3/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
015321
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
Beds
101
Residents
94
In Hospital
No
County
Jefferson
Last Inspection
Jul 14, 2022

Staffing Data

RN Hours
0.70 (nat'l avg: 0.68)
LPN Hours
0.61
CNA Hours
2.47
Total Nursing Hours
3.79 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
60.6%
RN Turnover
36.4%

What the CMS Record Reveals About SOUTH HAVEN HEALTH AND REHABILITATION, LLC

SOUTH HAVEN HEALTH AND REHABILITATION, LLC operates 101 certified beds in BIRMINGHAM, AL with approximately 94 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (4★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 12 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.79 total nursing hours per resident day (national average 3.89), with RN coverage at 0.70 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Individual" ownership and operating as a "Medicare and Medicaid" provider, SOUTH HAVEN HEALTH AND REHABILITATION, LLC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 60.6%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (12 most recent)

D — Isolated - Minimal harm Apr 16, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 21, 2024

D — Isolated - Minimal harm Apr 16, 2024 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: May 21, 2024

D — Isolated - Minimal harm Apr 16, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: May 21, 2024

D — Isolated - Minimal harm Apr 16, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 21, 2024

D — Isolated - Minimal harm Apr 16, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 21, 2024

D — Isolated - Minimal harm Apr 16, 2024 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: May 21, 2024

E — Pattern - Minimal harm Jul 14, 2022 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 18, 2022

D — Isolated - Minimal harm Jun 20, 2019 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 25, 2019

F — Widespread - Minimal harm Jun 20, 2019 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 25, 2019

F — Widespread - Minimal harm Jun 20, 2019 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 25, 2019

D — Isolated - Minimal harm Jul 3, 2018 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 7, 2018

F — Widespread - Minimal harm Jul 3, 2018 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 7, 2018

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 21.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.9% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.2% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 30.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 24.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 18.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 38.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 68.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 16.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 9.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 36.4% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for SOUTH HAVEN HEALTH AND REHABILITATION, LLC?
SOUTH HAVEN HEALTH AND REHABILITATION, LLC has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (2★).
What are the staffing levels at SOUTH HAVEN HEALTH AND REHABILITATION, LLC?
SOUTH HAVEN HEALTH AND REHABILITATION, LLC reports 3.79 total nursing hours per resident day (national average: 3.89). RN hours are 0.70 per resident day (national average: 0.68). Nursing staff turnover is 60.6%.
How many beds does SOUTH HAVEN HEALTH AND REHABILITATION, LLC have?
SOUTH HAVEN HEALTH AND REHABILITATION, LLC has 101 certified beds with approximately 94 residents. The facility is located at 3141 OLD COLUMBIANA ROAD, BIRMINGHAM, AL 35226.
Does SOUTH HAVEN HEALTH AND REHABILITATION, LLC have any deficiencies on record?
Yes, SOUTH HAVEN HEALTH AND REHABILITATION, LLC has 12 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has SOUTH HAVEN HEALTH AND REHABILITATION, LLC received any fines or penalties?
No, SOUTH HAVEN HEALTH AND REHABILITATION, LLC has no fines or penalties on record.
Who owns SOUTH HAVEN HEALTH AND REHABILITATION, LLC?
SOUTH HAVEN HEALTH AND REHABILITATION, LLC is classified as "For profit - Individual" ownership. The facility type is "Medicare and Medicaid".
When was SOUTH HAVEN HEALTH AND REHABILITATION, LLC last inspected?
The most recent health inspection for SOUTH HAVEN HEALTH AND REHABILITATION, LLC was on Jul 14, 2022. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for SOUTH HAVEN HEALTH AND REHABILITATION, LLC?
SOUTH HAVEN HEALTH AND REHABILITATION, LLC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial