The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited May 2024 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: L
Nursing home report
Highlands Rehabilitation and Wellness
Registered name: BIRMINGHAM NURSING AND REHABILITATION CENTER EAST
BIRMINGHAM, AL · Medicare-certified · 132 beds
In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Highlands Rehabilitation and Wellness has a 2-star overall rating, with a 1-star health inspection rating and 2-star staffing rating, though its quality measures are 5 stars. Reported nurse staffing is 2.87 hours per resident per day, below the federal benchmark of 4.1, and it has had no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.8653 hrs/resident/day
Quality measures
Last inspection: May 13, 2024Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8653.
Staffing detail
- Registered nurses
- 0.37
- Licensed practical nurses
- 0.75
- Nurse aides
- 1.75
- Weekend nursing
- 2.28
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 55%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16.4%3.1%Improving
Residents with a fall causing major injury
5.5%4.7%Improving
Residents with pressure ulcers (bedsores)
5.9%6.5%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.9%2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6%5.2%Improving
Residents whose ability to walk got worse
10.9%0%Improving
Long-stay residents on antianxiety or sleep medication
31.7%35.6%Worsening
Short-stay residents newly given an antipsychotic
0%2.8%Worsening
Residents with a long-term catheter
0%0.6%Worsening
Residents with new or worsening incontinence
6.2%12.2%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—98.6%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: J
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: J
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: J
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $5,600 was recorded.
- PENALTY
A federal fine of $4,017 was recorded.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 5 fines · $24,834 in total fines · 1 payment denial.
- 54 days
Medicare/Medicaid payment denial
May 13, 2024
- $5,600
Federal fine
May 13, 2024
- $4,017
Federal fine
May 13, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of NORBERT BENNETT & DONALD DENZ · 25 homes · 1.6 stars avg
- Occupancy
- 116.7 residents on an average day (88% of 132 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 50 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.