General Information: BIRMINGHAM NURSING AND REHABILITATION CENTER
Nursing home name BIRMINGHAM NURSING AND REHABILITATION CENTER
Address1000 DUGAN AVENUE
BIRMINGHAM, AL 35214
Phone number (205) 798-8780
Located within a hospital No
Type of ownership For profit - Partnership
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils RESIDENT
Certified number of beds 132
Total number of residents 117
Perc of occupied beds 89
Sprinkler status fully sprinklered
Last health survey date 03/05/2009
Fire survey date: 03/11/2009
Ratings Summary: BIRMINGHAM NURSING AND REHABILITATION CENTER
Overall rating 3 out of 5 stars
3 out of 5 stars
Nursing Home Staffing 3 out of 5 stars
3 out of 5 stars
Registered Nurses only 2 out of 5 stars
2 out of 5 stars
Health Inspections 3 out of 5 stars
3 out of 5 stars
Quality Measures 2 out of 5 stars
2 out of 5 stars
Nursing Home Staffing Info: BIRMINGHAM NURSING AND REHABILITATION CENTER
National AverageBIRMINGHAM NURSING AND REHABILITATION CENTER
Overall staff rating Not Available. 3 out of 5 stars
3 out of 5 stars
Registered Nurses only rating Not Available 2 out of 5 stars
2 out of 5 stars
Total Number of Residents 94.2 117
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.4 hours 1.68 hours
Registered Nurses Hours per Residents per Day 0.6 hours 0.46 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.8 hours 1.22 hours
Certified Nursing Assistants Hours per Residents per Day 0.6 hours 0.46 hours
Health Inpections: BIRMINGHAM NURSING AND REHABILITATION CENTER
Inspection Results: 03/05/2009
CorrectedCategoryDeficiencySeverity
04/07/2009Resident Assessment Deficiencies Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. D
Inspection Results: 02/23/2008
CorrectedCategoryDeficiencySeverity
03/29/2008Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. D
03/29/2008Quality Care Deficiencies Provide activities to meet the needs of each resident. D
03/29/2008Resident Rights Deficiencies Provide care in a way that keeps or builds each resident's dignity and self respect. D
Inspection Results: 07/27/2006
CorrectedCategoryDeficiencySeverity
08/18/2006Administration Deficiencies post nurse staffing information. C
08/18/2006Nutrition and Dietary Deficiencies Store, cook, and give out food in a safe and clean way. C
08/18/2006Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. D
08/18/2006Quality Care Deficiencies Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. D
08/18/2006Quality Care Deficiencies Give professional services that follow each resident's written care plan. D
08/18/2006Resident Assessment Deficiencies 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. D
08/18/2006Resident Rights Deficiencies Quickly give a resident's personal money to the heads of his or her estate after the resident's death. D
08/18/2006Resident Rights Deficiencies Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States. D

Fire Safety Inpections: BIRMINGHAM NURSING AND REHABILITATION CENTER
Inspection Results: 03/11/2009
CorrectedCategoryDeficiencySeverity
04/10/2009Electrical Deficiencies properly installed electrical wiring and equipment. D
04/10/2009Building Service Equipment Deficiencies properly protected cooking facilities. E
04/23/2009Automatic Sprinkler Systems Deficiencies an approved automatic sprinkler system connected to the fire alarm system. F
04/10/2009Illumination and Emergency Power Deficiencies proper backup exit lighting. E
04/10/2009Hazardous Area Deficiencies construction that can resist fire for one hour or an approved fire extinguishing system. E
04/10/2009Corridor Walls and Doors Deficiencies corridor and hallway doors that block smoke. E
Inspection Results: 03/06/2008
CorrectedCategoryDeficiencySeverity
04/05/2008Fire Alarm Systems Deficiencies an approved installation, maintenance and testing program for fire alarm systems. E
04/05/2008Electrical Deficiencies weekly inspections and monthly testing of generators. D
04/05/2008Building Service Equipment Deficiencies properly protected cooking facilities. D
04/05/2008Automatic Sprinkler Systems Deficiencies portable fire extinguishers. E
04/05/2008Automatic Sprinkler Systems Deficiencies an approved automatic sprinkler system connected to the fire alarm system. D
04/05/2008Electrical Deficiencies properly installed electrical wiring and equipment. D
04/05/2008Emergency Plans and Fire Drills Deficiencies record of quarterly fire drills for each shift under varying conditions. D
04/05/2008Exits and Egress Deficiencies exits that are accessible at all times. E
04/05/2008Smoke Compartmentation and Control Deficiencies walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. E
04/05/2008Hazardous Area Deficiencies construction that can resist fire for one hour or an approved fire extinguishing system. D
Inspection Results: 08/02/2006
CorrectedCategoryDeficiencySeverity
08/25/2006Electrical Deficiencies properly installed electrical wiring and equipment. D
08/25/2006Furnishings and Decorations Deficiencies exits that are free from obstructions and can be used at all times. D
08/25/2006Building Service Equipment Deficiencies an externally vented heating system. D
08/25/2006Automatic Sprinkler Systems Deficiencies automatic sprinkler systems that have been maintained in working order. D
10/16/2006Fire Alarm Systems Deficiencies an approved installation, maintenance and testing program for fire alarm systems. F
08/25/2006Smoke Compartmentation and Control Deficiencies smoke barrier doors that can resist smoke for at least 20 minutes. D
08/25/2006Smoke Compartmentation and Control Deficiencies walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. D

Resident Complaints: BIRMINGHAM NURSING AND REHABILITATION CENTER
Date Complaint Substantiated: 10/29/2009
CorrectedCategoryDeficiencySeverity
12/03/2009Environmental Deficiencies Have a program to keep infection from spreading. E
12/03/2009Resident Rights Deficiencies Try to resolve each resident's complaints quickly. D
12/03/2009Quality Care Deficiencies Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. E
12/03/2009Resident Rights Deficiencies Provide care in a way that keeps or builds each resident's dignity and self respect. C
Date Complaint Substantiated: 01/16/2009
CorrectedCategoryDeficiencySeverity
02/23/2009Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
02/23/2009Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. D
Date Complaint Substantiated: 06/12/2008
CorrectedCategoryDeficiencySeverity
07/17/2008Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. D
07/17/2008Quality Care Deficiencies Give professional services that meet a professional standard of quality. E

Quality Measures: BIRMINGHAM NURSING AND REHABILITATION CENTER
Quality MeasuresNational AverageBIRMINGHAM NURSING AND REHABILITATION CENTER
Overall quality rating Not Available 2 out of 5 stars
2 out of 5 stars
Long-Stay Residents
Percent of long-stay residents who are more depressed or anxious 14% 22%
Percent of low-risk long-stay residents who lose control of their bowels or bladder 50% 72%
Percent of long-stay residents whose need for help with daily activities has increased 14% 15%
Percent of long-stay residents who lose too much weight 8% 6%
Percent of long-stay residents whose ability to move about in and around their room got worse 11% 5%
Percent of high-risk long-stay residents who have pressure sores 11% 16%
Percent of long-stay residents who had a urinary tract infection 9% 9%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder 5% 6%
Percent of long-stay residents who were physically restrained 3% 2%
Percent of long-stay residents who were assessed and given pneumococcal vaccination 89% 90+%
Percent of low-risk long-stay residents who have pressure sores 2% 2%
Percent of long-stay residents who have moderate to severe pain 3% 3%
Percent of long-stay residents who spend most of their time in bed or in a chair 4% 19%
Percent of long-stay residents given influenza vaccination during the flu season 91% 60%
Short-Stay Residents
Percent of short-stay residents who have pressure sores 13% 21%
Percent of short-stay residents given influenza vaccination during the flu season 83% 39%
Percent of short-stay residents who have delirium 2% 1%
Percent of short-stay residents who were assessed and given pneumococcal vaccination 83% 80%
Percent of short-stay residents who had moderate to severe pain 19% 32%
Severity Codes Explanation. Note: The higher the letter, the higher the severity.
AIsolated /Potential for minimal harm
BPattern /Potential for minimal harm
CWidespread /Potential for minimal harm
DIsolated /Minimal harm or potential for actual harm
EPattern /Minimal harm or potential for actual harm
FWidespread /Minimal harm or potential for actual harm
GIsolated /Actual harm
HPattern /Actual harm
IWidespread /Actual harm
JIsolated /Immediate jeopardy to resident health or safety
KPattern /Immediate jeopardy to resident health or safety
LWidespread /Immediate jeopardy to resident health or safety
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