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Nursing HomeMedicaid Investigative

South Health and Rehabilitation, LLC

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

1220 South 17th Street, Five Points South · Birmingham, AL 3520583 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 34 Google reviews

5
4
3
2
1
South 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 (1/5 stars)
  • High staff turnover (59%)

Bottom 25% in AL · Below recommended RN staffing · Above average staffing · Worst in NHS MANAGEMENT chain · $8,569 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

While recent reviews suggest a positive shift in care, the facility has a documented history of serious hygiene and staffing concerns. When touring, pay close attention to the cleanliness of common areas and ask specifically how they handle call light response times during night and weekend shifts.

Google Reviews

Google Reviews

34 reviews on Google
South Health and Rehabilitation, LLC presents a deeply polarized experience for families. While recent reviews from 2026 praise the facility for being welcoming and attentive, a significant number of reports from 2022-2024 describe severe issues including chronic facility odors, neglect of basic hygiene, and unresponsive staff. Families considering this facility should be aware of the stark contrast between recent positive testimonials and recurring complaints regarding cleanliness and communication.

Quality Themes

Tap a score for details
Food2.0Staff5.0Clean1.0ActivitiesN/AMeds2.0Memory8.0Comms3.0ValueN/A

Strengths

  • Warm, welcoming staff interactions
  • Effective rehabilitation therapy programs
  • Supportive environment for long-term residents
  • Small facility size allowing for personalized attention

Concerns

  • Persistent odor of urine and waste throughout the facility (mentioned by 3 reviewers)
  • Unresponsive staff and long wait times for call lights (mentioned by 4 reviewers)
  • Poor communication and difficulty reaching administration (mentioned by 3 reviewers)
  • Inadequate hygiene and lack of timely assistance with personal care (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'19(1)'21(4)'23(5)'25(5)'26(10)

Distribution · 35 analyzed

5
16
4
1
3
0
2
2
1
16

How They Respond to Reviews

93%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve daily operations and communication?
  • 2Given the facility's smaller size, what specific steps are taken to ensure residents receive timely assistance when they use their call lights?
  • 3What is your current protocol for maintaining consistent cleanliness and addressing environmental odors throughout the day?
  • 4How does your nursing team coordinate with families to ensure that medication management and personal hygiene needs are consistently met?
  • 5What does the daily activity schedule look like to ensure residents remain engaged and active within the community?
  • 6How do you handle urgent medical changes or emergencies, and what is your process for keeping family members informed during those times?

Personalized based on this facility's data


Key Review Excerpts

The call light was on over an hour no one answered, my sister came in and my love one was on the floor no one came in and she was hollering when my sister got there.

Family member · 2022☆☆☆☆

When you first walk into the door you always smell urine. When I mentioned my concerns my family members first night the nurse response was unconcerned.

Family member · 2023☆☆☆☆

This is a very disgusting facility, it always smells of urine and waste my loved ones room is always nasty. I always bring Clorox wipes and spray with me to clean her area.

Family member · 2023☆☆☆☆
Source: 34 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.55hrs
74%
Registered nurses for medical care
Total Nursing
3.99hrs
97%
All nurses + aides combined
Staff Turnover
60%
Lower is better (< 30% = good)
RN Turnover
55%
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
2/ 5
Better Than Avg

10

measures

Worse Than Avg

7

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
93.4%
AL
91.7%
Jefferson
84.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
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 Facility10.3%
Better than Avg
Here
10.3%
US
19.4%
AL
13.3%
Jefferson
16.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.9%
Better than Avg
Here
16.9%
US
19.5%
AL
24.7%
Jefferson
18.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility13.9%
Better than Avg
Here
13.9%
US
15.5%
AL
21.4%
Jefferson
20.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility16.8%
Worse than Avg
Here
16.8%
US
14.4%
AL
12.7%
Jefferson
12.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility60.0%
Worse than Avg
Here
60.0%
US
79.8%
AL
80.3%
Jefferson
73.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility86.0%
Better than Avg
Here
86.0%
US
81.8%
AL
84.8%
Jefferson
73.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.4%
Worse than Avg
Here
3.4%
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

3deficiencies
3penalties
Near state avg (3.9)
2 complaint-triggered
$8,569 in fines

Families filed complaints that led to deficiencies in 2023 involving incomplete care planning and safety hazards, both of which were corrected. The facility shows recurring issues with safety systems (electrical, fire safety) and building infrastructure across multiple surveys from 2019 to 2023, though all violations have been addressed with correction dates. While the pattern of safety-related deficiencies across different years suggests ongoing maintenance challenges, the facility's track record of correcting identified problems may provide some reassurance.

Aug 24, 2023Routine
3
0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

Aug 24, 2023Complaint
2
0656Actual harm · IsolatedResolved (past non-compliance)

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.

0689Actual 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.

Jul 29, 2021Routine
1
0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

May 20, 2019Routine
5
0232Potential for harm · PatternCorrected

Egress Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

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.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

Federal Penalties

Fine

Aug 24, 2023

$4,245

Fine

Aug 24, 2023

$4,324

Payment Denial

Aug 24, 2023

8-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

South 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 42 of 43 (Worst)

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 InterestRegions Bank5% or Greater Security InterestSouth Health Realty, LLC5% or Greater Security InterestLewis, CynthiaW-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.

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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