Nursing HomeMedicaid

Oak Knoll 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.

824 Sixth Avenue West, Bush Hills · Birmingham, AL 35204|100 beds|Licensed & Active

3/5

Medicare

Inspection

Quality

Staffing

Google rating

3.4/5

based on 24 Google reviews

(205) 787-2619 Directions Website

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What this means for your family

While the facility has shown success in short-term rehabilitation, the recurring reports of poor cleanliness and unprofessional staff behavior are significant red flags. If you are considering this facility, we strongly recommend an unannounced visit to observe the environment and staff interaction firsthand, and to specifically ask about their current protocols for resident hygiene and responsiveness.

Google Reviews

24 reviews on Google

“OAK KNOLL HEALTH AND REHABILITATION, LLC receives highly polarized feedback, with recent reviews highlighting significant concerns regarding facility cleanliness, staff professionalism, and responsiveness. While some families report positive outcomes from short-term rehabilitation therapy, others describe a depressing environment, poor communication, and inadequate care for long-term residents.”

Quality Themes

Tap a score for details

Strengths

Effective short-term rehabilitation therapy
Helpful admissions staff
Assistance with discharge planning

Concerns

Unprofessional and rude staff behavior (mentioned by 3 reviewers)
Poor facility cleanliness and odors (mentioned by 2 reviewers)
Slow response times and lack of communication (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 29 analyzed

How They Respond to Reviews

75%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed that short-term rehabilitation is a core strength here; how do you ensure that same level of focused support for long-term residents who aren't in active therapy?
2We understand that maintaining a clean and fresh environment is challenging in a facility this size; what is your current daily protocol for housekeeping and odor management?
3Some families have expressed concerns about communication delays; what is the best way for us to stay in the loop regarding our loved one's daily status and care updates?
4I see that you actively respond to feedback online; how do you take that resident and family input to improve the quality of daily activities and dining experiences?
5Given the recent staffing ratings, what specific measures are you taking to ensure that staff members remain attentive and professional when responding to resident needs?
6How does your team handle medication management and urgent medical needs to ensure that residents receive timely attention during the overnight hours?

Personalized based on this facility's data

Key Review Excerpts

“My Son Was There For Several Weeks,And We Was So Proud Of His Progress While There With The Therapist's That Worked With Him To Help Him Walk Better After Surgery On His Leg.”

Rehab patient's parent · 2024★★★★★

“The hallway smells like urine there is no where to sit when you visit your family unless they’re in a wheelchair and you have to take them out on the porch.”

Visitor · 2026★☆☆☆☆

“The lady at the front desk was very rude and nasty to me. If she talked to me rude and nasty. I just can't imagine how she treats the elderly.”

Family member · 2024★☆☆☆☆

Source: 24 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.51hrs

67%

Registered nurses for medical care

Total Nursing

3.90hrs

95%

All nurses + aides combined

Staff Turnover

51%

Lower is better (< 30% = good)

RN Turnover

33%

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

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

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility8.5%

Better than Avg

Here

8.5%

19.5%

24.7%

Jefferson

18.1%

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.3%

Better than Avg

Here

0.3%

12.1%

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 Facility96.1%

Better than Avg

Here

96.1%

93.4%

91.7%

Jefferson

84.7%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility13.2%

Better than Avg

Here

13.2%

15.5%

21.4%

Jefferson

20.7%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility11.8%

Better than Avg

Here

11.8%

19.4%

13.3%

Jefferson

16.8%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility9.8%

Better than Avg

Here

9.8%

14.4%

12.7%

Jefferson

12.7%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility92.9%

Better than Avg

Here

92.9%

81.8%

84.8%

Jefferson

73.4%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility83.8%

Better than Avg

Here

83.8%

79.8%

80.3%

Jefferson

72.8%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

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)

2 complaint-triggered

$22,340 in fines

Families have filed complaints that triggered inspections revealing serious concerns about resident protection from abuse and accident hazards, with the most recent complaint in 2024. The facility shows recurring deficiencies in safety supervision, infection control, and care planning across multiple surveys from 2018 to 2024. While all violations have been officially corrected, the pattern of complaint-driven inspections and repeated safety issues in core care areas suggests families should carefully evaluate current conditions during any visit.

May 2, 2024Complaint2 findings

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Mar 18, 2021Routine6 findings

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.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 21, 2019Routine2 findings

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Apr 12, 2018Routine5 findings

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0343Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oak Knoll 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 28 of 43

Ownership & Management

Owners

Nhs Operations LLC

Owner · Organization

100%

James Norman Estes Jr Tr

Owner (parent company) · Organization

Jennifer Lee Estes Tr 031093

Owner (parent company) · Organization

Estes, James

Owner (parent company)

89%

Key personnel

Berkadia Commercial Mortgage LLC5% or Greater Mortgage InterestBerkadia Commercial Mortgage LLC5% or Greater Security InterestOak Knoll Health Realty LLC5% or Greater Security InterestRegions Bank5% or Greater Security InterestBester, LatoyaW-2 Managing Employee

Source: Medicare provider data

Contact

Get in Touch

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

(205) 787-2619

oakknollhealthandrehab.com

824 Sixth Avenue West

Birmingham, AL 35204

Get Directions View on Google Maps

References & Resources

Medicare Care Compare

Official Medicare quality ratings, inspections & staffing data

Google Maps

Photos, directions & neighborhood info

Google Reviews

24 reviews from families & visitors

Official Website

Visit oakknollhealthandrehab.com

Medicare data downloads

Original nursing home datasets

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.

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