Birmingham Nursing and Rehabilitation Ctr
1000 Dugan Avenue, Birmingham, AL 35214


Birmingham Nursing and Rehabilitation Ctr is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 015217. The address is 1000 Dugan Avenue, Birmingham, AL 35214. The zip code is 35214. The phone number is 2057988780.


Birmingham Nursing and Rehabilitation Ctr · 1000 Dugan Avenue, Birmingham, AL 35214

Federal Provider Number 015217
Provider Name BIRMINGHAM NURSING AND REHABILITATION CTR
Address 1000 DUGAN AVENUE
BIRMINGHAM, AL 35214
Phone Number 2057988780
SSA County Code 360
County Name Jefferson
Ownership Type For profit - Partnership
Certified Beds 132
Certified Beds Residents 114
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name BIRMINGHAM NURSING AND REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare Medicaid Services 01/01/1978
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.16711
Reported LPN Staffing Hours per Resident per Day 0.67982
Reported RN Staffing Hours per Resident per Day 0.65175
Reported Licensed Staffing Hours per Resident per Day 1.33158
Reported Total Nurse Staffing Hours per Resident per Day 3.49868
Reported Physical Therapist Staffing Hours per Resident Per Day 0.08816
Expected CNA Staffing Hours per Resident per Day 2.52976
Expected LPN Staffing Hours per Resident per Day 0.59881
Expected RN Staffing Hours per Resident per Day 0.93698
Expected Total Nurse Staffing Hours per Resident per Day 4.06555
Adjusted CNA Staffing Hours per Resident per Day 2.10195
Adjusted LPN Staffing Hours per Resident per Day 0.94229
Adjusted RN Staffing Hours per Resident per Day 0.51974
Adjusted Total Nurse Staffing Hours per Resident per Day 3.46886
Cycle 1 Total Number of Health Deficiencies 11
Cycle 1 Number of Standard Health Deficiencies 11
Cycle 1 Number of Complaint Health Deficiencies 3
Cycle 1 Health Deficiency Score 48
Cycle 1 Standard Survey Health Date 04/20/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 48
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Health Deficiency Score 20
Cycle 2 Standard Health Survey Date 04/21/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 20
Cycle 3 Total Number of Health Deficiencies 6
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 36
Cycle 3 Standard Health Survey Date 04/02/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 36
Total Weighted Health Survey Score 36.667
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Birmingham Nursing and Rehabilitation Ctr

Owner Name Role Association Date
BANKS, MATTIE (Individual) MANAGING EMPLOYEE since 10/11/2011
BENNETT, NORBERT (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/30/2003
D&N, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 06/30/2003
DENZ, DONALD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/30/2003
DONAD T DENZ IRRV TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/23/2008
DTD HC, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 06/30/2003
NORBERT A BENNETT IRRV TR FBO CHILDREN (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/23/2008
NORBERT A BENNETT IRRV TR FBO GRANDCHILDREN (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/23/2008

street_number: 1000
route: Dugan Avenue (Dugan Ave)
neighborhood, political: North Pratt
locality, political: Birmingham
admin_level_2, political: Jefferson County
admin_level_1, political: Alabama (AL)
country, political: United States (US)
postal_code: 35214
postal_code_suffix: 4326
types : premise
latitude: 33.5467894
longitude: -86.8822718
latlng: (33.5467894, -86.8822718)


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