Deficiency Index

Pine Hill Rehabilitation and Wellness Center

Birmingham, Alabama · CCN 015091

26 surveys since 2011, 4 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
102
Surveys
26
Harm or worse
4
Immediate jeopardy
1
The record, 2011–2024
’11’15’20’24
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file23/26

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
190
Ownership
For profit - Corporation
Chain
Independent
County
Jefferson
Medicare-certified since
1968

CMS ratings

Overall
1
Health inspection
2
Staffing
1
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=17, floor 20).

Last survey on record

Mar 7, 2024

977 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.193.81
Registered-nurse hours per resident day0.28—
Annual nurse turnover71.9%47.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1168.8%E318.8%F—
No harm, potential for minimalA—B—C212.5%
CMS’s current file: 16 of the 102 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5502×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5531×

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

  • F5771×

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

In the surveyor’s words

From the most serious findings on record at Pine Hill Rehabilitation and Wellness Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Sep 17, 2021

    Based on medical record review, interviews, and review of the manufacturer's information for the Sunbeam Hospitality Hair Dryer, the facility failed to ensure Employee Identifier (EI) #5, a Certified Nursing Assistant (CNA), did not place a hair dryer on Resident Identifier (RI) #14's abdomen causing RI #14 to sustain multiple blisters. On 4/23/2021 during the first shift (7:00 AM to 3:00 PM), RI #14 complained of being cold and asked EI #5, the CNA, to place the hair dryer on him/her. Without regard of the risks and potential hazards, the CNA did so. EI #5 propped the hair dryer up and covered it with a blanket. When another CNA, EI #6, came in during second shift (3:00 PM to 11:00 PM), RI #14 asked EI #6 to remove the hair dryer as he/she was beginning to get hot. […]

  • No harm, potential for more than minimal, patternF880Mar 7, 2024

    Based on observations and interviews, the facility failed to ensure Laundry Staff (LS) #13 handled clean clothing in the laundry department in a manner to prevent cross-contamination on 03/06/2024 when LS #13 was observed folding clean resident clothing. This was observed while LS #13 folded clean laundry from one cart of clothing and repeatedly and systematically held the clean clothing against her body and her scrub top while she folded the clean resident clothing. Findings include: On 03/06/2024 at 05:16 PM during an observation of the laundry department with the Environmental Service Director (ESD) #6, LS #13 picked up a pair of pink sweatpants from the unfolded clean laundry cart, placed her right hand inside one of the pant legs up to her shoulder to turn the pants inside out. […]

  • No harm, potential for more than minimal, patternF550May 19, 2021

    Based on observations and interview, the facility failed to ensure residents that resided on the memory care unit were not served food in disposable, Styrofoam, or plastic ware. This deficient practice all the residents who resided on the memory care unit, one of three units in the facility. Findings include: During the lunch meal observation on the memory care unit on 5/17/2021 beginning at 12:15 PM, 18 residents were observed using disposable cups and service ware. During the breakfast meal observation on 5/18/2021 at 8:35 AM, 21 residents were in the dining room. The staff was observed serving the residents with plastic ware. The residents had Styrofoam cups with juice and thin plastic cups for water. […]

  • No harm, potential for more than minimal, isolatedF553Mar 7, 2024

    Based on interviews, resident record review, and review of a facility policy titled COMPREHENSIVE PERSON CENTERED CARE PLANS the facility failed to ensure Resident Identifier (RI) #109 had the opportunity to attend and participate in care plan meetings at least quarterly since June 2023. This deficient practice affected RI #109, one of 49 residents for whom care plans were reviewed. Findings include: A facility policy titled COMPREHENSIVE PERSON CENTERED CARE PLANS dated 03/2018 revealed the following: . PROCEDURE: . 4. The Interdisciplinary Team along with the resident and/or Resident Representative will identify resident problems, needs, strengths, life history, preferences, and goals . 7. […]

  • No harm, potential for more than minimal, isolatedF580Mar 7, 2024

    Based on interviews, resident record review, and review of a facility policy titled, NOTIFICATION OF A CHANGE IN A RESIDENT'S STATUS, the facility failed to notify Resident Identifier (RI) #217's representative, who was the guardian, and RI #217's physician when RI #217 left the faciity on [DATE] by wheelchair van transportation. This deficient practice affected RI #217, one of three residents sampled for notification of change. Findings include: Review of a facility policy titled, NOTIFICATION OF A CHANGE IN A RESIDENT'S STATUS dated 11/2017, revealed the following: POLICY: The attending physician . […]

Read 23 findings in full →The most serious and the most recent: 23 of 102 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 7, 2024Standard10 findings
  • Sep 9, 2022Complaint3 findings
  • Sep 17, 2021Complaint1 finding · 1 harm
  • Jul 29, 2021Complaint1 finding
  • May 19, 2021Standard2 findings
  • Nov 14, 2019Complaint1 finding
  • Feb 14, 2019Standard and complaint5 findings
  • May 3, 2018Standard4 findings
Show the 18 earlier surveys
  • Mar 9, 2017Standard3 findings
  • Jan 28, 2016Standard4 findings
  • Jul 30, 2015Complaint2 findings · 2 harm
  • Dec 4, 2014Standard8 findings
  • Jul 17, 2014Complaint1 finding
  • Feb 5, 2014—3 findings
  • Dec 6, 2013—2 findings
  • Oct 11, 2013—5 findings · 1 harm
  • Jun 28, 2013—3 findings
  • Apr 14, 2013—3 findings
  • Feb 28, 2013Standard and complaint16 findings
  • Jul 27, 2012—1 finding
  • Jun 21, 2012Complaint3 findings
  • Mar 1, 2012—10 findings
  • Jan 7, 2012—2 findings
  • Oct 28, 2011—5 findings
  • Jul 14, 2011—2 findings
  • Jan 21, 2011—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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