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Nursing HomeMedicaid

Civic Center Health and Rehabilitation, LLC

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1201 22nd Street North, Druid Hills · Birmingham, AL 3523495 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
1.8/5

based on 17 Google reviews

5
4
3
2
1
Civic Center Health and Rehabilitation, LLC Nursing Home in Birmingham, AL — Street View
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What this means for your family

Given the consistent reports of staff unresponsiveness and difficulty accessing the building, we strongly advise visiting at unannounced times to observe the facility's culture firsthand. Please be aware of serious concerns regarding the security of personal belongings and ensure you have a clear plan for monitoring your loved one's care.

Google Reviews

Google Reviews

17 reviews on Google
Civic Center Health and Rehabilitation faces severe criticism regarding staff responsiveness, professionalism, and the security of patient belongings. While one recent reviewer noted satisfaction with cleanliness and care, the overwhelming majority of feedback describes a neglectful environment where staff are perceived as lazy, uncaring, and difficult to reach.

Quality Themes

Tap a score for details
FoodN/AStaff1.0Clean4.0ActivitiesN/AMeds2.0MemoryN/AComms1.0ValueN/A

Strengths

  • Occasional reports of satisfactory cleanliness
  • Some positive feedback on general care

Concerns

  • Staff unresponsiveness and difficulty entering the building (mentioned by 3 reviewers)
  • Unprofessional or uncaring staff behavior (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

2341.7'17(3)5.03.0'19(2)1.01.8'23(4)1.01.0'25(1)1.0'26(2)

Distribution · 17 analyzed

5
2
4
1
3
1
2
0
1
13

How They Respond to Reviews

71%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed you are very active in responding to feedback from the community; how does the administration use that feedback to improve the daily care of residents?
  • 2What specific steps is the team taking to ensure that medication management and clinical oversight are as precise and reliable as possible?
  • 3How do you ensure that staff members are able to respond quickly and attentively to call lights or resident needs, especially during busy shifts?
  • 4Can you tell me about the protocols in place for handling medical emergencies or changes in a resident's condition during the night?
  • 5What is the process for keeping the resident living areas and common spaces consistently clean and well-maintained?
  • 6What kind of daily activities or social programs are available to help residents stay engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

I literally stood at the door on purpose one day and called back to back and was constantly ringing the bell at the same time. I was hearing the phone in the building ringing and literally nobody answered the door or phone within those 30 minutes.

Visitor · 2025☆☆☆☆

They are very irresponsible when handling patient belongings! I've be very patient waiting on them to replace my fathers belongings! The only thing I can say is they have a staff that steals from the patients!

Long-term resident's family · 2019☆☆☆☆

Brother been here for 2 months . Overall cleanliness , and care is good.

Long-term resident's family · 2023★★★★
Source: 17 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.65hrs
86%
Registered nurses for medical care
Total Nursing
4.20hrs
OK
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
57%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

6

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
19.4%
AL
13.3%
Jefferson
16.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility29.2%
Worse than Avg
Here
29.2%
US
15.5%
AL
21.4%
Jefferson
20.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
AL
1.4%
Jefferson
2.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility83.1%
Worse than Avg
Here
83.1%
US
93.4%
AL
91.7%
Jefferson
85.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.3%
Better than Avg
Here
8.3%
US
15.3%
AL
13.3%
Jefferson
13.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility19.0%
Mixed vs Avgs
Here
19.0%
US
19.5%
AL
24.7%
Jefferson
17.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility28.0%
Worse than Avg
Here
28.0%
US
79.8%
AL
80.3%
Jefferson
73.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility40.8%
Worse than Avg
Here
40.8%
US
81.8%
AL
84.8%
Jefferson
74.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility6.1%
Worse than Avg
Here
6.1%
US
1.6%
AL
2.0%
Jefferson
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Well above state avg (3.9)
2 complaint-triggered

This facility has a concerning pattern with 15 deficiencies across three surveys, including two complaint-triggered incidents where families reported problems involving abuse reporting failures and safety hazards. The most recurring issues involve safety violations (blocked emergency exits appearing in multiple surveys), resident rights problems, and electrical system deficiencies. While most deficiencies show correction dates, the repeated safety violations and family complaints suggest ongoing operational challenges that warrant careful consideration during any visit.

Mar 22, 2024Routine
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0947Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Mar 22, 2024Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jun 10, 2021Routine
2
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Mar 1, 2019Routine
5
0625Potential for harm · PatternCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0626Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Civic Center Health and Rehabilitation, LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Nhs Management

Chain Size

43 facilities nationwide

Chain avg rating: 2.8/5 · Rank 21 of 43

Ownership & Management

Owners

Nhs Operations LLC

Owner · Organization

100%

James Norman Estes Jr Tr

Owner (parent company) · Organization

5%

Jennifer Lee Estes Tr 031093

Owner (parent company) · Organization

5%

Estes, James

Owner (parent company)

89%

Key personnel

Berkadia Commercial Mortgage LLC5% or Greater Mortgage InterestBerkadia Commercial Mortgage LLC5% or Greater Security InterestCivic Center Health Realty LLC5% or Greater Security InterestRegions Bank5% or Greater Security InterestWebb, StellaW-2 Managing Employee
Source: Medicare provider data

Contact

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References & Resources

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