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Nursing HomeMedicaid Investigative

Northway Health and Rehabilitation, LLC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1424 North 25th Street, Druid Hills · Birmingham, AL 35234113 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 40 Google reviews

5
4
3
2
1
Northway Health and Rehabilitation, LLC Nursing Home in Birmingham, AL — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (6 vs median 3.0)

Below average in AL · Critically understaffed (RN) · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

While the therapy department is highly regarded, the facility has a concerning history of reports regarding neglect and unprofessional staff behavior. We strongly recommend visiting in person during off-hours to observe staff responsiveness and facility cleanliness for yourself before making a decision.

Google Reviews

Google Reviews

40 reviews on Google
Northway Health and Rehabilitation receives highly polarized feedback, with a significant cluster of positive reviews contrasting sharply with serious allegations of neglect and unprofessionalism. While many families praise the therapy department and specific staff members for their compassion, others report alarming issues including verbal abuse, ignored call lights, and poor facility conditions. Families should be aware of the stark inconsistency in care quality described by different reviewers.

Quality Themes

Tap a score for details
Food5.0Staff5.0Clean2.0ActivitiesN/AMeds1.0Memory2.0Comms6.0ValueN/A

Strengths

  • Exceptional therapy department
  • Compassionate and attentive individual staff members
  • Responsive administrative leadership
  • Strong support for short-term rehabilitation

Concerns

  • Neglect and failure to respond to call lights (mentioned by 2 reviewers)
  • Verbal abuse and unprofessional behavior by nursing staff (mentioned by 2 reviewers)
  • Poor facility cleanliness and maintenance issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'19(2)'21(2)'23(25)'25(4)'26(5)

Distribution · 46 analyzed

5
28
4
3
3
0
2
1
1
14
18 reviews posted between Jan 24, 2023Jan 28, 2023 · 18 were 5-star

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your therapy department receives a lot of praise; how do you integrate that strong rehabilitation focus into the daily routine for long-term residents?
  • 2With the facility having a 2/5 rating for health inspections, what specific steps are you currently taking to improve cleanliness and overall building maintenance?
  • 3I see that your leadership team is very active in responding to feedback online; how does that responsiveness translate into resolving concerns or complaints once a resident is living here?
  • 4Some families have expressed concerns regarding the responsiveness of staff to call lights; what is your protocol for ensuring residents receive timely assistance when they need it?
  • 5Given the low scores in medication management, could you walk me through your process for ensuring accuracy and safety when administering medications to residents?
  • 6How do you foster a professional and supportive environment among your nursing staff to ensure that every interaction with a resident remains respectful and compassionate?

Personalized based on this facility's data


Key Review Excerpts

The nursing staff treats their patients like family, and this makes the decision to leave a loved one here much easier.

Family member · 2023☆☆☆☆

She notes that the staff is very rude, and verbally abusive to the patients. Her roommate was very afraid to speak up, in fear she would receive mistreatment.

Family friend · 2022☆☆☆☆

They ignore call light. Let you run out of meds and leave you for hours on end with no help. Roaches in the room at night.

Family member · 2021☆☆☆☆
Source: 40 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.32hrs
42%
Registered nurses for medical care
Total Nursing
3.89hrs
95%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
56%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility28.6%
Worse than Avg
Here
28.6%
US
93.4%
AL
91.7%
Jefferson
85.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility36.6%
Worse than Avg
Here
36.6%
US
15.5%
AL
21.4%
Jefferson
20.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
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 whose bladder or bowel control got worse

↓ Lower is better
This Facility7.6%
Better than Avg
Here
7.6%
US
19.4%
AL
13.3%
Jefferson
16.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility22.9%
Mixed vs Avgs
Here
22.9%
US
19.5%
AL
24.7%
Jefferson
17.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility16.2%
Worse than Avg
Here
16.2%
US
14.4%
AL
12.7%
Jefferson
12.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility31.4%
Worse than Avg
Here
31.4%
US
81.8%
AL
84.8%
Jefferson
74.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility76.0%
Mixed vs Avgs
Here
76.0%
US
79.8%
AL
80.3%
Jefferson
73.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
AL
2.0%
Jefferson
2.1%
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)
7 complaint-triggered

Recent family complaints in 2024 triggered findings about resident rights, financial protection, and infection control at this facility. The most recurring issues involve fire safety systems, resident assessments, and building safety requirements. While all 30 deficiencies across three surveys have correction dates, the pattern of complaints suggests families have raised concerns about basic care standards and resident protection.

Apr 17, 2024Complaint
7
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0567Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0576Minimal · WidespreadCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

Apr 17, 2024Routine
7
0133Potential for harm · IsolatedCorrected

Construction Deficiencies

Install a two-hour-resistant firewall separation.

0225Potential for harm · IsolatedCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0311Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

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

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

May 23, 2019Routine
10
0232Potential for harm · PatternCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

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

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Jun 7, 2018Routine
6
0809Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

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.

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.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Northway 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 33 of 43

Ownership & Management

Owners

Northport Holding Operations, LLC

Owner · Organization

100%

James N Estes Jr Family Dynasty Tr no 2

Owner (parent company) · Organization

18%

James Norman Estes Jr Tr

Owner (parent company) · Organization

6%

Jennifer E Agee Family Dynasty Tr no 2

Owner (parent company) · Organization

18%

Jennifer Lee Estes Tr 031093

Owner (parent company) · Organization

6%

Estes, James

Owner (parent company)

51%

Key personnel

Capital Funding LLC5% or Greater Mortgage InterestCapital Funding LLC5% or Greater Security InterestHolding Facilities Group LLC5% or Greater Security InterestNorthway Health Realty LLC5% or Greater Security InterestServisfirst Bank5% or Greater Security Interest
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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