C

SOUTH HAVEN HEALTH AND REHABILITATION, LLC

3141 OLD COLUMBIANA ROAD, BIRMINGHAM, AL 35226
Score: 61 / 100

South Haven Health And Rehabilitation, Llc is an average performer in CMS ratings, earning a C grade with a score of 61/100. Located in Birmingham, Alabama, the facility meets baseline standards across most quality metrics.

Staffing at South Haven Health And Rehabilitation, Llc is near the national average, with 3.79 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 12 deficiencies at South Haven Health And Rehabilitation, Llc. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.79 3.8 Average
Registered Nurses (RN) 0.70 0.7 Average
Licensed Practical Nurses (LPN) 0.61 0.7 Below Average
Certified Nursing Assistants (CNA) 2.47 2.4 Average
Weekend Total Nursing 3.02 3.8 Below Average
Weekend RN Hours 0.39 0.7 Below Average

🔍 Inspection & Deficiency History

12
Total Deficiencies
Apr 15, 2024
Most Recent Inspection
🟠 12 Moderate
View recent deficiencies (5 shown)
  • Tag 0552 Severity D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    Apr 15, 2024 · Resident Rights Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Apr 15, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Apr 15, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Apr 15, 2024 · Quality of Life and Care Deficiencies
  • Tag 0688 Severity D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medic
    Apr 15, 2024 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.3% 4.5% Average
Falls with major injury 2.2% 3.0% Better
On antipsychotic medication 36.4% 14.5% Worse
Urinary tract infections 1.9% 2.5% Better
ADL decline (daily activities) 21.3% 14.0% Worse
Excessive weight loss 3.6% 7.5% Better
New/worsened incontinence 9.1% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 61 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Individual
Certified Beds
101
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 13, 2022
Deficiencies (Cycle 1)
1