Cycle 1
Health 2021-06-17 · Fire 2021-06-17
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Birmingham, AL
Fair Haven
3-star overall rating with 3-star inspections with $31,615 in total fines with 3 recent health deficiencies
1424 Montclair Road, Birmingham, AL
(205) 956-4150
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
259
Certified beds
Average residents
233
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-03-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.51
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.83
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.73
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.07
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.72
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
4.98
CMS adjusted total nurse staffing hours
Case-mix index
1.12
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
54%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,500
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.48
Composite VBP score used to determine payment impact.
Payment multiplier
0.9832
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.48% · Performance 21.36% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
4.44
Baseline 6.71% · Performance 6.51% · Measure score 4.44 · Achievement 4.44 · Improvement 0.67
Total nurse turnover
0
Baseline 63.90% · Performance 64.64% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
4.95
Baseline 4.44 hours · Performance 4.49 hours · Measure score 4.95 · Achievement 4.95 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.96% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 226 · Observed rate 12.83% · Lower 95% interval 8.82% |
| Discharge to community | 43.53% |
50.57%
7 pts worse
|
Worse than the National Rate · Eligible stays 206 · Observed rate 36.89% · Lower 95% interval 36.67% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 95.93% |
95.27%
0.7 pts better
|
Numerator 118 · Denominator 123 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 123 |
| Discharge self-care score | 51.16% |
53.69%
2.5 pts worse
|
Numerator 44 · Denominator 86 |
| Discharge mobility score | 55.81% |
50.94%
4.9 pts better
|
Numerator 48 · Denominator 86 |
| Pressure ulcers or injuries, new or worsened | 14.63% |
2.29%
12.3 pts worse
|
Numerator 18 · Denominator 123 · Adjusted rate 13.61% |
| Healthcare-associated infections requiring hospitalization | 6.51% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 141 · Observed rate 5.67% · Lower 95% interval 4.2% |
| Staff COVID-19 vaccination coverage | 0.32% |
8.2%
7.9 pts worse
|
Numerator 1 · Denominator 309 |
| Staff flu vaccination coverage | 17.75% |
42%
24.2 pts worse
|
Numerator 68 · Denominator 383 |
| Discharge function score | 54.65% |
56.45%
1.8 pts worse
|
Numerator 47 · Denominator 86 |
| Transfer of health information to provider | 98.75% |
95.95%
2.8 pts better
|
Numerator 79 · Denominator 80 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 21.43% |
25.2%
3.8 pts worse
|
Numerator 12 · Denominator 56 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.0
0.3 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.8 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.8
0.6 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.3 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.5% |
91.3%
9.8 pts worse
|
93.4%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 98.5% · Q3 68.4% · Q4 60.1% · 4Q avg 81.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.3% |
94.8%
5.5 pts worse
|
95.5%
6.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% |
3.4%
1.1 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.4% · Q3 3.9% · Q4 3.4% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.1% |
1.3%
1.2 pts better
|
11.4%
11.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% |
| Percentage of long-stay residents who lose too much weight | 6.1% |
5.3%
0.8 pts worse
|
5.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 3.5% · Q3 7.8% · Q4 8.8% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.9% |
24.9%
2 pts better
|
19.6%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 23.3% · Q3 22.2% · Q4 19.7% · 4Q avg 22.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.7% |
22.8%
6.1 pts better
|
16.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 18.8% · Q3 13.7% · Q4 15.1% · 4Q avg 16.7% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 19.2% |
14.8%
4.4 pts worse
|
16.3%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 10.5% · Q3 26.4% · Q4 20.9% · 4Q avg 19.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.7% |
13.4%
1.3 pts worse
|
14.9%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 9.7% · Q3 17.8% · Q4 19.1% · 4Q avg 14.7% · Used in QM five-star |
| 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 · Q1 0.3% · Q2 0.0% · Q3 0.8% · Q4 0.4% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
2.6%
0.4 pts better
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 4.5% · Q3 1.0% · Q4 0.5% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.2% |
13.5%
5.7 pts worse
|
19.8%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 13.6% · Q3 23.3% · Q4 19.1% · 4Q avg 19.2% |
| Percentage of long-stay residents with pressure ulcers | 7.4% |
5.7%
1.7 pts worse
|
5.1%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 6.9% · Q3 6.0% · Q4 8.2% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.7% |
84.3%
4.4 pts better
|
81.7%
7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 78.4% · Q2 89.2% · Q3 96.1% · Q4 91.1% · 4Q avg 88.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.6% |
11.5%
4.9 pts better
|
12.0%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.6% · Observed 6.7% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
2.1%
1.3 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 1.6% · Q4 0.7% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.0% |
80.3%
7.7 pts better
|
79.7%
8.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.3% |
24.5%
7.8 pts worse
|
23.9%
8.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.3% · Observed 27.9% · Expected 20.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-01-30 · Fire 2020-01-30
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
12 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Cycle 3
Health 2019-03-07 · Fire 2019-03-07
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2020-01-30
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2020-03-11
E · Potential for more than minimal harm
2020-01-30
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-03-11
E · Potential for more than minimal harm
2020-01-30
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2020-03-11
E · Potential for more than minimal harm
2020-01-30
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-03-11
D · Potential for more than minimal harm
2020-01-30
K226 · Egress Deficiencies
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2020-03-11
D · Potential for more than minimal harm
2020-01-30
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2020-03-11
D · Potential for more than minimal harm
2020-01-30
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2020-03-11
D · Potential for more than minimal harm
2020-01-30
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2020-03-11
D · Potential for more than minimal harm
2020-01-30
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-03-11
D · Potential for more than minimal harm
2020-01-30
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2020-03-11
D · Potential for more than minimal harm
2020-01-30
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-03-11
D · Potential for more than minimal harm
2020-01-30
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-03-16
E · Potential for more than minimal harm
2019-03-07
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-04-15
D · Potential for more than minimal harm
2019-03-07
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2019-04-15
D · Potential for more than minimal harm
2019-03-07
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-04-01
Inspection history
Recent health citations
E · Potential for more than minimal harm
2021-06-17
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2021-07-16
D · Potential for more than minimal harm
2021-06-17
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-07-16
D · Potential for more than minimal harm
2021-06-17
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-07-16
D · Potential for more than minimal harm
2020-01-30
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2020-03-05
D · Potential for more than minimal harm
2020-01-30
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2020-03-05
D · Potential for more than minimal harm
2020-01-30
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2020-03-05
D · Potential for more than minimal harm
2020-01-30
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2020-03-05
D · Potential for more than minimal harm
2020-01-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-05
E · Potential for more than minimal harm
2019-03-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-04-11
D · Potential for more than minimal harm
2019-03-07
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-04-11
D · Potential for more than minimal harm
2019-03-07
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-04-11
Penalties and ownership
What sits behind the stars
$4,587
2023-10-30
Fine
Fine · fine $4,587
Fine
$4,235
2023-10-23
Fine
Fine · fine $4,235
Fine
$3,882
2023-10-17
Fine
Fine · fine $3,882
Fine
$3,529
2023-10-10
Fine
Fine · fine $3,529
Fine
$3,147
2023-10-02
Fine
Fine · fine $3,147
Fine
$2,797
2023-09-25
Fine
Fine · fine $2,797
Fine
$2,447
2023-09-18
Fine
Fine · fine $2,447
Fine
$2,098
2023-09-11
Fine
Fine · fine $2,098
Fine
$1,748
2023-09-05
Fine
Fine · fine $1,748
Fine
$3,145
2023-08-14
Fine
Fine · fine $3,145
Fine
Ownership
Methodist Home For The Aging
5% Or Greater Direct Ownership Interest · Organization
Allison, William
Corporate Director · Individual
Baxter, John
Corporate Director · Individual
Carden, Nathan
Corporate Director · Individual
Chapman, Lynn
Corporate Director · Individual
Clark, Marsha
Corporate Director · Individual
Davies, Patrick
Operational/Managerial Control · Individual
Faulkner, Michael
Operational/Managerial Control · Individual
Faulkner, Michael
Corporate Officer · Individual
Floore, Malcolm
Corporate Director · Individual
Giles, Michael
Operational/Managerial Control · Individual
Giles, Michael
Corporate Officer · Individual
Holloway, Maudine
Corporate Director · Individual
Huber, Elizabeth
Corporate Director · Individual
Jackson, Vicki
Operational/Managerial Control · Individual
Lyles, Steven
Corporate Director · Individual
Mathison, John
Corporate Director · Individual
Mckee, Robert
Corporate Director · Individual
Methodist Home For The Aging
Operational/Managerial Control · Organization
Mount, John
Corporate Director · Individual
Peacock, Tommy
Corporate Director · Individual
Piver, Jennifer
Corporate Director · Individual
Pridgeon, Jeremy
Corporate Director · Individual
Prosch, Elizabeth
Operational/Managerial Control · Individual
Roberts, Henry
Corporate Director · Individual
Sanders, James
Corporate Director · Individual
Sanderson, Stephanie
Operational/Managerial Control · Individual
Scales, Robert
Corporate Director · Individual
Steele, James
Corporate Director · Individual
Sumner, Samuel
Corporate Director · Individual
Takacs, Terrye
Corporate Director · Individual
Tomlin, Christopher
Operational/Managerial Control · Individual
Tomlin, Christopher
Corporate Officer · Individual
Waters, Thomas
Corporate Director · Individual
Williamson, Samual
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
St Martin's In The Pines
Irondale, AL
1-star overall rating with 1-star inspections with 5 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
#2
Eastview Rehabilitation & Healthcare Center
Birmingham, AL
3-star overall rating with 2-star inspections with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Greenbriar At The Altamont Skilled Nursing Facilit
Birmingham, AL
3-star overall rating with 3-star inspections with 1 recent health deficiencies
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