Birmingham, AL

Birmingham Nursing And Rehabilitation Center East

2-star overall rating with 1-star inspections with $24,834 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

733 Mary Vann Lane, Birmingham, AL

(205) 854-1361

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

132

Certified beds

Average residents

116

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Norbert Bennett & Donald Denz

Operator or chain grouping

Approved since

1976-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.32

Registered nurse staffing

LPN hours / resident day

0.59

Licensed practical nurse staffing

Aide hours / resident day

1.58

Nurse aide staffing

Weekend hours

2.24

Weekend nurse staffing

RN turnover

73%

Annual RN turnover

Total nurse turnover

72%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.7	2.0 0.7 pts worse	1.9 0.8 pts worse	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	1.8 1.1 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	91.3% 8.7 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.8% 5.2 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	5.8%	3.4% 2.4 pts worse	3.3% 2.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	0.0%	1.3% 1.3 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	4.0%	5.3% 1.3 pts better	5.4% 1.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.3%	24.9% 5.4 pts worse	19.6% 10.7 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	15.2%	22.8% 7.6 pts better	16.7% 1.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	0.0%	0.6% 0.6 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened	9.4%	14.8% 5.4 pts better	16.3% 6.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	6.3%	13.4% 7.1 pts better	14.9% 8.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	1.3% 0.9 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	0.0%	2.6% 2.6 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	5.8%	13.5% 7.7 pts better	19.8% 14 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	6.7%	5.7% 1 pts worse	5.1% 1.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	84.3% 15.7 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	2.1% 0.9 pts better	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.6%	80.3% 18.3 pts better	79.7% 18.9 pts better	Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-13 · Fire 2024-05-13

7 health deficiencies

Top issue: Administration (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2021-04-20 · Fire 2021-04-20

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-03-13 · Fire 2019-03-13

3 health deficiencies

Top issue: Infection Control (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-05-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-06-20

F · Potential for more than minimal harm 2019-03-13

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2019-04-23

E · Potential for more than minimal harm 2019-03-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-04-23

E · Potential for more than minimal harm 2019-03-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-04-23

D · Potential for more than minimal harm 2019-03-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-04-23

D · Potential for more than minimal harm 2019-03-13

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2019-04-23

Inspection history

Recent health citations

L · Immediate jeopardy 2024-05-13

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-06-07

J · Immediate jeopardy 2024-05-13

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-06-07

J · Immediate jeopardy 2024-05-13

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-06-07

J · Immediate jeopardy 2024-05-13

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-06-07

J · Immediate jeopardy 2024-05-13

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-13

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-13

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-08-05

D · Potential for more than minimal harm 2024-05-13

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-08-05

C · Minimal harm 2024-05-13

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-06-07

D · Potential for more than minimal harm 2021-04-20

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2021-06-04

D · Potential for more than minimal harm 2021-04-20

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2021-03-31

F · Potential for more than minimal harm 2019-03-13

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2019-04-17

D · Potential for more than minimal harm 2019-03-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-04-17

C · Minimal harm 2019-03-13

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2019-04-17

Penalties and ownership

What sits behind the stars

$4,017 2024-05-13

Fine

Fine · fine $4,017

Fine

$4,017 2024-05-13

Fine

Fine · fine $4,017

Fine

$5,600 2024-05-13

Fine

Fine · fine $5,600

Fine

$5,600 2024-05-13

Fine

Fine · fine $5,600

Fine

$5,600 2024-05-13

Fine

Fine · fine $5,600

Fine

$0 2024-05-13

Payment Denial

Payment Denial · denial start 2024-06-12 · 54 days

54 day denial

Ownership

D&N, LLC

5% Or Greater Direct Ownership Interest · Organization

50% 26 facilities 2003-06-30

Dtd Hc, LLC

5% Or Greater Direct Ownership Interest · Organization

50% 32 facilities 2003-06-30

Bennett, Norbert

5% Or Greater Indirect Ownership Interest · Individual

0% 33 facilities 2003-06-30

Burch, Melody

W-2 Managing Employee · Individual

0% 1 facilities 2021-06-09

Denz, Donald

5% Or Greater Indirect Ownership Interest · Individual

0% 33 facilities 2003-06-30

Donad T Denz Irrv Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 15 facilities 2008-05-23

Norbert A Bennett Irrv Tr Fbo Children

5% Or Greater Indirect Ownership Interest · Organization

0% 33 facilities 2008-05-23

Norbert A Bennett Irrv Tr Fbo Grandchildren

5% Or Greater Indirect Ownership Interest · Organization

0% 33 facilities 2008-05-23

Nearby options

Other facilities in reach

#1

East Glen

Birmingham, AL

2-star overall rating with 2-star inspections with $14,521 in total fines with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall: 2 / 5
Health: 2 / 5
Staffing: 3 / 5
Fines: $14,521

#2