NORTHWAY HEALTH AND REHABILITATION, LLC

The information listed below provides an in-depth look into the type and quality of care offered at Northway Health and Rehabilitation, LLC. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

NORTHWAY HEALTH AND REHABILITATION, LLC
1424 NORTH 25TH STREET
BIRMINGHAM, AL 35234
(205) 328-5870

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

86%

Number of Residents and Certified Beds

  • Residents: 97
  • Certified Beds: 113

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Northway Health and Rehabilitation, LLC. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1610.4%
ADL Index Range: 6-1011.4%
ADL Index Range: 0-555.1%
Total Percent:76.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.7%
ADL Index Range: 6-107.4%
ADL Index Range: 0-59.9%
Total Percent:21.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.8%
Total Percent:0.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.4%
Total Percent:0.4%
 

Rating Details For Northway Health and Rehabilitation, LLC

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours23 Minutes54 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 15 Minutes34 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 59 Minutes2 Hours and 11 Minutes
Total Licensed Nurse Hours1 Hour and 38 Minutes1 Hour and 28 Minutes
Total Nurse Hours4 Hours and 37 Minutes3 Hours and 39 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Alabama are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityAlabama Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination81%90%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season84%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse7%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious2%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder38%48%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%2%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-3%
Percent of Long-Stay Residents Who Lose Too Much Weight15%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%7%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder1%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection-8%
Percent of Long-Stay Residents Who Were Physically Restrained-4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season52%82%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination43%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores1%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain2%14%
Percent of Short-Stay Residents Who Have Delirium-2%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 06/30/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Resident Assessment

Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
  • Inspection Date: 07/23/2009
  • Correction Date: 08/27/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/15/2010

Resident Rights

Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 07/23/2009
  • Correction Date: 08/27/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Northway Health and Rehabilitation, LLC, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 07/25/2008
  • Correction Date: 08/29/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 12/16/2009
  • Correction Date: 01/20/2010
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 09/10/2010
  • Correction Date: 09/13/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 06/30/2011
  • Correction Date: 07/21/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 12/16/2009
  • Correction Date: 01/20/2010
Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 12/16/2009
  • Correction Date: 01/20/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 07/25/2008
  • Correction Date: 08/29/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 07/25/2008
  • Correction Date: 08/29/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 07/25/2008
  • Correction Date: 08/29/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 12/16/2009
  • Correction Date: 01/20/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 07/25/2008
  • Correction Date: 08/29/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 07/25/2008
  • Correction Date: 08/29/2008
Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed.
  • Complaint Filed: 06/30/2011
  • Correction Date: 07/18/2011

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 12/16/2009
  • Correction Date: 01/20/2010
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Complaint Filed: 09/10/2010
  • Correction Date: 10/15/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Complaint Filed: 06/30/2011
  • Correction Date: 07/22/2011
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 06/30/2011
  • Correction Date: 07/01/2011
Have a Private Telephone Available for Use.
  • Complaint Filed: 06/30/2011
  • Correction Date: 07/18/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Northway Health and Rehabilitation, LLC had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 07/07/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 07/27/2009
  • Correction Date: 08/10/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/16/2010
  • Correction Date: 10/15/2010
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 07/07/2011
  • Correction Date: 07/14/2011

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 07/27/2009
  • Correction Date: 07/28/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 09/16/2010
  • Correction Date: 10/04/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/07/2011
  • Correction Date: 07/08/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 07/07/2011
  • Correction Date: 07/08/2011

Exits and Egress

Rooms That Can Be Unlocked from Inside Without a Key.
  • Inspection Date: 07/07/2011
  • Correction Date: 07/08/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 07/27/2009
  • Correction Date: 07/29/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/07/2011
  • Correction Date: 07/08/2011

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 07/27/2009
  • Correction Date: 07/28/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 07/07/2011
  • Correction Date: 07/08/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/07/2011
  • Correction Date: 07/08/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 07/27/2009
  • Correction Date: 08/04/2009
Source: Medicare Nursing Home Compare; Alabama Department of Public Health - Retrieved 2011