Highlands Rehabilitation and Wellness CenterCMS ratings, inspections and fines
- Address
- 733 Mary Vann Lane, Birmingham, AL 35215
- CCN
- 015134
- Ownership type
- For-profit, limited liability company
- Certified beds
- 132
- Chain
- None in the CMS record
- Residents per day
- 117
- CMS flags
- No standard survey in more than 2 years
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Highlands Rehabilitation and Wellness Center an overall rating of 2 of 5 stars. The last standard survey was on 13 May 2024. The latest survey cycle has 7 health citations. The median for nursing homes in Alabama is 3. CMS lists 5 fines with a total of $24,834 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Jefferson County median | Alabama median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 5 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 34 homes in the county, 224 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Alabama median |
|---|---|---|---|
| Cycle 1 (latest) | 13 May 2024 | 7 | 3 |
| Cycle 2 | 20 Apr 2021 | 2 | 2 |
| Cycle 3 | No date | 5 | 3 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | ||
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | E0 | ||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 May 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 7 Jun 2024 |
| 13 May 2024 | F0578 | 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. | J | Complaint investigation | 7 Jun 2024 |
| 13 May 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 7 Jun 2024 |
| 13 May 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | J | Complaint investigation | 7 Jun 2024 |
| 13 May 2024 | F0726 | 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. | J | Complaint investigation | 7 Jun 2024 |
| 13 May 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Complaint investigation | 7 Jun 2024 |
| 13 May 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | L | Complaint investigation | 7 Jun 2024 |
Survey cycle 2: 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Apr 2021 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 4 Jun 2021 |
| 20 Apr 2021 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 31 Mar 2021 |
Survey cycle 3: 5 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 May 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 5 Aug 2024 |
| 13 May 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 5 Aug 2024 |
| 13 Mar 2019 | F0732 | Post nurse staffing information every day. | C | Standard survey | 17 Apr 2019 |
| 13 Mar 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Apr 2019 |
| 13 Mar 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Apr 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 13 May 2024 | Fine | $5,600 | |
| 13 May 2024 | Fine | $5,600 | |
| 13 May 2024 | Fine | $5,600 | |
| 13 May 2024 | Fine | $4,017 | |
| 13 May 2024 | Fine | $4,017 | |
| 13 May 2024 | Payment denial | 54 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Alabama median | Alabama average (CMS) |
|---|---|---|---|
| All nurse staff | 2.87 | 3.90 | 3.88 |
| Registered nurses (RN) | 0.37 | 0.60 | 0.65 |
| Licensed practical nurses (LPN) | 0.75 | 0.79 | |
| Nurse aides | 1.75 | 2.44 | |
| All nurse staff, weekends | 2.28 | 3.30 | 3.26 |
- Nurse staff turnover in a year
- 55.7%
- Nurse staff turnover, Alabama median
- 46.7%
- RN turnover in a year
- 54.5%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Alabama median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.7% | 11.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.6% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.9% | 1.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.3% | 11.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.5% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.6% | 20.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Legal Business Name Not Available
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Jefferson County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| East Glen | Birmingham | 3 of 5 | 3 | $0 | 16 Mar 2023 | |
| Cavalier Healthcare of Trussville | Trussville | 3 of 5 | 2 | $40,486 | 13 May 2021 | |
| Pine Hill Rehabilitation and Wellness Center | Birmingham | 1 of 5 | 10 | $0 | 7 Mar 2024 | |
| The Healthcare Center of Eastview | Birmingham | 2 of 5 | 4 | $0 | 13 Sep 2023 | |
| Kirkwood by the River | Birmingham | 3 of 5 | 1 | $0 | 7 Oct 2021 | |
| Magnolia RidgeSpecial Focus candidate | Gardendale | 1 of 5 | 18 | $392,125 | 19 Mar 2025 | |
| St Martin's in the Pines | Irondale | 2 of 5 | 2 | $0 | 3 Oct 2019 | |
| Fair Haven | Birmingham | 3 of 5 | 3 | $28,470 | 17 Jun 2021 | |
| Northway Health and Rehabilitation, LLC | Birmingham | 3 of 5 | 6 | $0 | 17 Apr 2024 | |
| Greenbriar at the Altamont Skilled Nursing Facilit | Birmingham | 3 of 5 | 1 | $0 | 8 Apr 2021 | |
| Civic Center Health and Rehabilitation, LLC | Birmingham | 2 of 5 | 6 | $0 | 22 Mar 2024 | |
| South Health and Rehabilitation, LLC | Birmingham | 2 of 5 | 3 | $8,569 | 24 Aug 2023 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Alabama Department of Public Health: filing complaintsThe complaint page of the State Survey Agency for Alabama, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Highlands Rehabilitation and Wellness Center (CCN 015134). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/highlands-rehabilitation-and-wellness-center-birmingham-al-015134/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Highlands Rehabilitation and Wellness Center last inspected?
- The latest inspection with a citation in the CMS record was on 13 May 2024. It was a complaint investigation. It gave 9 citations. The standard survey before the last one was on 20 Apr 2021. CMS marks the last health inspection of this home as more than 2 years old.
- Who operates Highlands Rehabilitation and Wellness Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Highlands Rehabilitation and Wellness Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Alabama as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.