NORTH HILL NURSING AND REHABILITATION CTR, LLC Nursing Home


NORTH HILL NURSING AND REHABILITATION CTR, LLC (CCN: 015091) is a For profit - Corporation facility located in BIRMINGHAM, AL (35217). The facility has an overall rating of 1/5, health inspection rating of 2/5, and a staffing rating of 1/5. It offers 190 certified beds and maintains an average of 169. residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.06356 total hours per resident per day. It has been certified since July 1, 1968 and the last listed health inspection was on May 19, 2021, The facility is located in Jefferson county and provides senior and nursing home care.

NORTH HILL NURSING AND REHABILITATION CTR, LLC Summary


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Provider Name: NORTH HILL NURSING AND REHABILITATION CTR, LLC

Address: 200 NORTH PINE HILL ROAD, BIRMINGHAM, AL 35217

Phone: (205) 849-2352

County: Jefferson (360)

Ownership Type: For profit - Corporation

Certified Beds: 190

Average Residents Per Day: 169. ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: NORTH HILL NURSING AND REHABILITATION CENTER, LLC

First Approved Date: July 1, 1968

Affiliated Entity: D&N, LLC (177)

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 1 ()

Health Inspection Rating: 2 ()

QM Rating: 4 ()

Long Stay QM Rating: 4 ()

Short Stay QM Rating: 3 ()

Staffing Rating: 1 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.01407, LPN Staff Hours Per Day: 0.8093, RN Staff Hours Per Day: 0.2401, Licensed Staff Hours Per Day: 1.0494

Total Nurse Staff Hours Per Day, per resident: 3.06356

Weekend Nurse Staff Hours: 2.64975, Weekend RN Staff Hours: 0.2026

PT Staff Hours Per Day, per resident: 0.0788

Nurse Staff Turnover: 77.8, Nurse Turnover Note:

RN Turnover: 73.7, RN Turnover Note:

Admin Left Number: 1, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 1.9777, Case Mix LPN Hours Per Day: 0.6698, Case Mix RN Hours Per Day: 0.2937

Adjusted Nurse Aide Hours Per Day, per resident: 2.07467, Adjusted LPN Hours Per Day: 0.8917, Adjusted RN Hours Per Day: 0.3080

Total Adjusted Nurse Hours Per Day, per resident: 3.28310

Adjusted Weekend Nurse Hours Per Day, per resident: 2.83964

Health Survey Dates and Scores: Cycle 1: 2021-05-19 (Score: 12), Cycle 2: 2019-02-14 (Score: 28), Cycle 3: 2018-05-03 (Score: 103)

Total Weighted Health Score: 32.500

Reported Incidents: 0, Substantiated Complaints: 2

Infection Control Citations: 0

Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 13669.50, Payment Denials Number: 0, Total Penalties Number: 1

Location and GPS: 200 NORTH PINE HILL ROAD,BIRMINGHAM,AL,35217 (33.6088, -86.770)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2021-05-19

Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-06-20

Citation on 2021-05-19

Type: Health, Deficiency: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-06-20

Citation on 2022-09-09

Type: Health, Deficiency: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-10-07

Citation on 2022-09-09

Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-10-07

Citation on 2022-09-09

Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-10-07

Citation on 2019-02-14

Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-03-18

Citation on 2019-02-14

Type: Health, Deficiency: Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-03-18

Citation on 2019-02-14

Type: Health, Deficiency: Protect each resident from the wrongful use of the resident's belongings or money.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-03-18

Citation on 2019-02-14

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-03-18

Citation on 2021-09-17

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-09-20

Citation on 2021-07-29

Type: Health, Deficiency: Provide timely, quality laboratory services/tests to meet the needs of residents.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-08-31

Citation on 2018-05-03

Type: Health, Deficiency: Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-06-05

Citation on 2018-05-03

Type: Health, Deficiency: Assess the resident when there is a significant change in condition

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-06-05

Citation on 2018-05-03

Type: Health, Deficiency: Dispose of garbage and refuse properly.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-06-05

Citation on 2018-05-03

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-06-05


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2019-02-20

Type: Fire Safety, Tag: 0026, Version: New

Description: Establish roles under a Waiver declared by secretary.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-03-17

Citation on 2019-02-20

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-03-17

Citation on 2019-02-20

Type: Fire Safety, Tag: 0711, Version: New

Description: Provide a written emergency evacuation plan.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-03-17

Citation on 2019-02-20

Type: Fire Safety, Tag: 0712, Version: New

Description: Have simulated fire drills held at unexpected times.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-03-17

Citation on 2019-02-20

Type: Fire Safety, Tag: 0920, Version: New

Description: Ensure proper usage of power strips and extension cords.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-03-17

Citation on 2018-05-09

Type: Fire Safety, Tag: 0039, Version: New

Description: Conduct testing and exercise requirements.

Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-06-08

Citation on 2018-05-09

Type: Fire Safety, Tag: 0345, Version: New

Description: Have approved installation, maintenance and testing program for fire alarm systems.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-07-01

Citation on 2018-05-09

Type: Fire Safety, Tag: 0374, Version: New

Description: Install smoke barrier doors that can resist smoke for at least 20 minutes.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-06-05

Citation on 2018-05-09

Type: Fire Safety, Tag: 0741, Version: New

Description: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-06-05