Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Elite Nursing And Rehabilitation Care Center during CMS and state inspections, most recent first.
A facility failed to thoroughly investigate an alleged abuse incident involving a resident with severe cognitive impairment. The incident, observed by a floor technician, involved a CNA allegedly pushing the resident. The investigation lacked documentation of the incident's timing, and witness statements were incomplete. The DON assumed the incident occurred at the time it was reported, without verifying the actual time, leading to a deficiency in the facility's response.
The facility did not inform families about elevated temperatures on the first floor due to a malfunctioning air conditioning system, affecting 98 residents. Despite policies requiring notification of changes affecting residents' rights, the facility failed to communicate the situation or the enhanced hydration program to families.
The facility failed to maintain safe and comfortable temperatures in residents' common areas and rooms, with temperatures recorded above 81°F over several days due to an air conditioning system functioning at 60% capacity. Despite some residents denying concerns, the issue had the potential to affect all 98 residents on the first floor, as the facility was unable to provide a homelike environment within the specified temperature range.
A resident's quarterly MDS was inaccurately coded for anticoagulant medication instead of antiplatelet medication. The resident, who was on Plavix for Essential Hypertension, was incorrectly documented, leading to potential inaccuracies in care plans. The MDS Coordinator confirmed the error during an interview.
The facility failed to submit a new Level I PASARR screening for a resident when a new diagnosis of Psychotic Disorder with Delusions was given. The Social Worker acknowledged the oversight and the requirement to update the PASARR screening as per facility policy.
Failure to Conduct Thorough Investigation of Alleged Abuse
Penalty
Summary
The facility failed to conduct a thorough investigation of an alleged physical abuse incident involving a resident with severe cognitive impairment. The incident was reported to have occurred when a floor technician observed a certified nursing assistant (CNA) allegedly pushing the resident in the back of the head. However, the facility's investigation did not determine the exact time of the alleged incident, which is a critical component of a thorough investigation. The facility's investigative file lacked documentation of efforts to confirm the time of the incident, and witness statements did not include the time the incident occurred or when the statements were written. Interviews with staff revealed inconsistencies and assumptions regarding the timing of the incident. The Director of Nursing (DON) assumed the incident occurred at the time it was reported, without verifying the actual time. The DON acknowledged the importance of obtaining accurate times for resident protection and investigation integrity but admitted that the facility did not complete a thorough investigation. The lack of documentation and verification of the incident's timing led to the deficiency in the facility's response to the alleged abuse.
Failure to Notify Families of Elevated Temperatures
Penalty
Summary
The facility failed to notify residents' families about elevated temperatures on the first floor due to a malfunctioning air conditioning system. The chiller was operating at only 60% capacity, leading to temperatures exceeding 81°F in residents' rooms and common areas. This issue began on August 1, 2024, and affected all 98 residents on the first floor. Although the Medical Director was informed on August 2, 2024, the facility did not communicate the situation to the residents' families or representatives, nor did they inform them about the implementation of an enhanced hydration round program. The facility's policies on Notification of Changes and Information and Communication require notifying residents and their families of any changes affecting their rights or requiring treatment alterations. Despite these policies, the facility did not send out written communication to the families, which the Administrator acknowledged should have been done. The failure to notify families about the elevated temperatures and the changes to the residents' environment was identified during the investigation of complaint/report numbers AL00048537 and AL00048538.
Failure to Maintain Safe Temperature Levels
Penalty
Summary
The facility failed to maintain safe and comfortable temperatures in residents' common areas and rooms on the first floor, with temperatures recorded above 81 degrees Fahrenheit over a five-day period. This issue was identified during an investigation of complaints regarding the lack of air conditioning, with reports indicating temperatures as high as 90.3 degrees Fahrenheit. The facility's policy, titled 'Safe and Homelike Environment,' specifies that ambient temperatures should be maintained between 71 and 81 degrees Fahrenheit to ensure residents' comfort and safety. However, the facility's air conditioning system was only functioning at 60 percent capacity, leading to elevated temperatures. Observations and interviews with the Lead Maintenance Tech (LMT) and the Maintenance Tech (MT) confirmed the elevated temperatures, with the highest recorded temperature being 90.3 degrees Fahrenheit. Despite some residents denying concerns about the temperature, the facility's Administrator acknowledged the issue, attributing it to the chiller's reduced efficiency. The deficiency had the potential to affect all 98 residents residing on the first floor, as the facility was unable to provide a homelike environment and maintain temperatures within the specified range.
Inaccurate Coding of Medications in Resident's MDS
Penalty
Summary
The facility failed to ensure that Section N, Medications, of a resident's quarterly Minimum Data Set (MDS) was accurately coded. Specifically, Resident Identifier (RI) #124's MDS was incorrectly coded for anticoagulant medication instead of antiplatelet medication. The resident was admitted with diagnoses including Cerebrovascular Disease, Nontraumatic Subdural Hemorrhage, and Essential Hypertension. A review of the resident's Order Summary Report revealed an order for Plavix (clopidogrel), an antiplatelet medication, which was not accurately reflected in the MDS. Instead, the MDS inaccurately indicated the resident was taking an anticoagulant medication. During an interview, the Minimum Data Set Coordinator (MDSC) confirmed that the MDS for RI #124 was inaccurately coded. The MDSC acknowledged that the resident did not have an order for an anticoagulant but had an order for Plavix, an antiplatelet. The MDSC admitted that the care plans would not be correct when the MDS was coded inaccurately and was unsure why the resident was coded for an anticoagulant instead of an antiplatelet.
Failure to Update PASARR Screening for New Diagnosis
Penalty
Summary
The facility failed to submit a new Level I PASARR screening for a resident (RI #14) when a new diagnosis of Psychotic Disorder with Delusions was given on 07/08/2021. The resident had been admitted to the facility on 05/07/2009 and readmitted later, with the initial PASARR screening dated 03/29/2009. Despite the new diagnosis, the facility did not update the PASARR screening as required by their policy, which mandates a new Level I submission when a resident exhibits a newly evident or possible serious mental disorder. During the review, it was found that the Social Worker (SW) was aware of the new diagnosis but did not submit the required updated Level I PASARR. The SW acknowledged that the process for identifying residents with possible mental disorders or intellectual disabilities involves reviewing the admitting diagnosis and ensuring it matches the Level I screening. The SW admitted that it was an oversight not to submit a new Level I PASARR following the new diagnosis of Psychotic Disorder with Delusions on 07/08/2021, and that social services are responsible for making such referrals to the appropriate state authority.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Birmingham
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brookdale University Park Snf (al) | 1.7 mi | ★★★★★ | 0 | 0 |
| South Health And Rehabilitation, Llc | 2.8 mi | ★★★★★ | 0 | 0 |
| Greenbriar At The Altamont Skilled Nursing Facilit | 2.9 mi | ★★★★★ | 0 | 0 |
| Aspire Physical Recovery Center At Cahaba River | 3.1 mi | ★★★★★ | 0 | 0 |
| Aspire Physical Recovery Center At Hoover, Llc | 4.5 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.