Birmingham Green
Nursing Home, Assisted Living, Memory Care & Nursing Care · Manassas, VA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Birmingham Green

Nursing Home, Assisted Living, Memory Care & Nursing Care · Manassas, VA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Birmingham Green accepts Medicaid, Medicare, and private pay.

Overview of Birmingham Green

Birmingham Green, an award-winning senior living community located in serene Manassas, VA., has been providing superb senior care for over 90 years, Recognized by Newsweek as one of Virginia’s Top 5 Nursing Homes for 2024, Birmingham Green offers a wide variety of living options including assisted living, skilled care, memory care, and long-term care.

Well-known for its ability to cater to a wide range of senior care needs, at Birmingham Green each resident is cared for based on a personalized care plan, ensuring tailored attention and individual support. The community takes pride in its in-house physical therapy and rehabilitation services which provide residents with convenient access to comprehensive healthcare right within their living environment.

Birmingham Green features two distinct assisted living communities, Willow Oaks and District Home, designed to offer a holistic approach to care. Residents benefit from a compassionate team dedicated to their well-being, ensuring that comfort, dignity, and quality of life are always prioritized.

The community boasts a vibrant atmosphere complete with an extensive list of engaging activities curated to promote physical, mental, and emotional well-being. From friendly contests and social gatherings to guest speakers, holiday celebrations, and community outings, Birmingham Green ensures there is always something enjoyable and stimulating for every resident.

Whether seeking assistance with daily activities, specialized memory care, or rehabilitation services, Birmingham Green remains committed to delivering exceptional care and creating a fulfilling senior living experience. Families trust Birmingham Green for its longstanding dedication to senior care excellence and its nurturing environment that promotes independence and happiness among residents.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 39m per day ▼ 6% State avg: 41m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 58m per day ▼ 3% State avg: 1h 0m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 13m per day ▲ 4% State avg: 2h 7m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 17m per day ■ Avg State avg: 3h 19m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 2m per day ▼ 67% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 23m per day ▼ 17% State avg: 28m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
893 days
Bed community size
64-bed community Rank #266 / 371Bed count — State benchmarkedThis home is ranked 266th out of 371 homes in Virginia. Shows this facility's certified or reported bed count compared to other Virginia facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 50 / 100 Rank #176 / 449Walk Score — State benchmarkedThis home is ranked 176th out of 449 homes in Virginia. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Virginia facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
79%
Rank #129 / 314Occupancy rate — State benchmarkedThis home is ranked 129th out of 314 homes in Virginia. Shows this facility's occupancy rate versus the Virginia average, with its Statewide rank out of 314. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Virginia average: 85.7%
Occupied beds
50 / 64
Average occupied beds in Virginia homes 98 beds

License Details

Facility TypeAssisted Living Facility
StatusActive
ExpirationOctober 20, 2025 Expired
CMS Certification Number495390
QualificationThree Year | Ambulatory Only | Residential and Assisted Living Care

Ownership & Operating Entity

Birmingham Green is administered by Carmen Louise.

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Additional Policies & Features

Pets Allowed
HousekeepingYes
Linen ServiceYes

Amenities & Lifestyle

Non-Smoking In All Buildings
On-Site Daily Housekeeping
On-Site Laundry Services
Pets-Friendly
Regularly Scheduled Religious Services
Use Of Manicured Grounds
Access To Resident Fund Accounts
Engagement With Therapy Animals
Access To A Wheelchair Van
Wellness-Centered Outings
Therapeutic Recreation Services
Activities
Specific ProgramsHealth Care
Religious Services

Contact Birmingham Green

Inspection History

In Virginia, the Department of Social Services (for assisted living facilities) and the Department of Health (for nursing homes) perform the inspections required to maintain state and federal licensing.

Since 2021 · 5 years of data 5 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2021 vs. Virginia state average
Overall vs. VA average 0 Worse No metrics in this bucket. 3 Better Metrics better than Virginia average:
• Total inspections (64% below)
• Inspections with violations (89% below)
• Inspection violation rate (69% below)

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityVA Averagevs. VA Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 514 This facility has 64% fewer total inspections than a typical Virginia assisted living residence (5 vs. VA avg 14).↓ 64% better
Inspections with violations Info Inspections that uncovered at least one regulatory violation. 19 This facility has 89% fewer inspections with violations than a typical Virginia assisted living residence (1 vs. VA avg 9).↓ 89% better
Inspection violation rate Info Percentage of inspections that resulted in at least one violation. 20%64% This facility has 44 percentage points lower inspection violation rate than a typical Virginia assisted living residence (20% vs. VA avg 64%).↓ 44% better

Health Inspection History

Inspections since 2018
Total health inspections 2

State average N/A


Last Health inspection on Jan 2020

Total health citations
15 Rank #22 / 90Health citations — State benchmarkedThis home is ranked 22nd out of 90 homes in Virginia. Shows this facility's total health deficiency citations benchmarked to the Virginia State average, with a ranking across all 90 VA facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
7.5 Rank #43 / 90Citations per inspection — State benchmarkedThis home is ranked 43rd out of 90 homes in Virginia. Shows average deficiency citations per CMS inspection for this facility versus the Virginia mean across 90 facilities with citation data. Lower is better.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 15 citations resulted from standard inspections.

Breakdown of citation severity (last 8 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
1
In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

14 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 8 years)
Abuse/Neglect serious citation Jan 31, 2020
Corrected

Pharmacy moderate citation Jan 31, 2020
Corrected

Pharmacy moderate citation Jan 31, 2020
Corrected

Quality of Care moderate citation Jan 31, 2020
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 183
Employees 166
Contractors 17
Staff to resident ratio 1.17 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 86
Average shift 8.1 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 64,386

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 12 RN Staff are full-time employees. No contractors work on this role. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 31 LPN Staff are full-time employees. No contractors work on this role. 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 97 CNA Staff are full-time employees. No contractors work on this role. 97
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

3.5%

2,253 contractor hours this quarter

Speech Language Pathologist: 5 Respiratory Therapy Technician: 4 Physical Therapy Aide: 2 Qualified Social Worker: 1 Administrator: 1 Medical Director: 1 Occupational Therapy Aide: 1 Physical Therapy Assistant: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant9709733,37892100%7.9
Licensed Practical Nurse3103114,61592100%9.1
Clinical Nurse Specialist160166,21392100%8.6
Registered Nurse120123,48992100%8.4
Mental Health Service Worker3031,3996773%7.9
Dietitian2029447177%7.9
Administrator2138086470%8
Speech Language Pathologist0556587177%5.5
Medical Director1125336166%7.2
Other Social Services Staff1015046368%8
Physical Therapy Assistant0114486368%7.1
Occupational Therapy Aide1124485661%7.8
Respiratory Therapy Technician0444186166%6.4
Physical Therapy Aide0223875560%6.9
Qualified Social Worker011833841%2.2
Occupational Therapy Assistant011621617%3.9
97 Certified Nursing Assistant
% of Days 100%
31 Licensed Practical Nurse
% of Days 100%
16 Clinical Nurse Specialist
% of Days 100%
12 Registered Nurse
% of Days 100%
3 Mental Health Service Worker
% of Days 73%
2 Dietitian
% of Days 77%
3 Administrator
% of Days 70%
5 Speech Language Pathologist
% of Days 77%
2 Medical Director
% of Days 66%
1 Other Social Services Staff
% of Days 68%
1 Physical Therapy Assistant
% of Days 68%
2 Occupational Therapy Aide
% of Days 61%
4 Respiratory Therapy Technician
% of Days 66%
2 Physical Therapy Aide
% of Days 60%
1 Qualified Social Worker
% of Days 41%
1 Occupational Therapy Assistant
% of Days 17%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 13.6
34% worse than State average

State average: 10.1

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 28.2
43% worse than State average

State average: 19.7

Long-stay resident measures
Average State avg: 3.9 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 33.2%
97% worse than State average

State average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 29.4%
49% worse than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.0%
In line with State average

State average: 22.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.7%
53% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.5%
71% better than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.9%
40% better than State average

State average: 1.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.4%
59% better than State average

State average: 5.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 14.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 21.9%
70% worse than State average

State average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 92.6%
In line with State average

State average: 91.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.4%
In line with State average

State average: 94.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.46
In line with State average

State average: 1.46

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.12
21% better than State average

State average: 1.41

Short-stay resident measures
Above average State avg: 3.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 64.6%
14% worse than State average

State average: 74.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.4%
101% worse than State average

State average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 74.3%
In line with State average

State average: 73.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 26.4%
20% worse than State average

State average: 22.0%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 0.0%
100% better than State average

State average: 11.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 4.2%
442% worse than State average

State average: 0.8%

Breakdown by payment type

Medicare

17% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

15% of new residents, often for short stays.

Typical stay 17 - 18 years

Medicaid

69% of new residents, often for long-term daily care.

Typical stay 4 - 5 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 156
Medicare
1
0.6% of residents
Medicaid
155
99.4% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Government
City/County
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$26.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$5.1M
Government City/County
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$26.9M Rank #21 / 89Revenue — State benchmarkedThis home is ranked 21st out of 89 homes in Virginia. Shows this facility's annual revenue compared to the Virginia average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$5.1M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$8.2M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #6 / 89Payroll — State benchmarkedThis home is ranked 6th out of 89 homes in Virginia. Shows total annual staff payroll benchmarked to the Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$22.8M 84.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #3 / 89Payroll % — State benchmarkedThis home is ranked 3rd out of 89 homes in Virginia. Shows payroll as a percentage of revenue versus the Virginia average. Well-run Virginia facilities typically land around 51–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$9.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$32.0M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (69% of admissions), and a typical Medicaid stay runs around 4 - 5 years.

Admissions
48 total

Coverage residents most often arrive under.

Medicare 17%
Private pay 15%
Medicaid 69%
Discharges
84 total

Coverage residents most often leave under.

Medicare 6%
Private pay 12%
Medicaid 82%

Managed by Ishmael Koroma

The District Home Administrator

Places of interest near Birmingham Green

Address 1.8 miles from city center Info Estimated distance in miles from Manassas's city center to Birmingham Green's address, calculated via Google Maps. — 9.14 miles to nearest hospital (Inova Fair Oaks Hospital Emergency Room)

Calculate Travel Distance to Birmingham Green

Add your location

Address

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Frequently Asked Questions about Birmingham Green

Is Birmingham Green in a walkable area?

Birmingham Green has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

When does Birmingham Green's license expire?

According to VA state health department records, Birmingham Green's license expires on October 20, 2025.

What is the occupancy rate at Birmingham Green?

Birmingham Green's occupancy is 79%.

Is Birmingham Green a government-operated facility?

Birmingham Green is a government-operated nursing facility in VA.

Who is the administrator of Birmingham Green?

Carmen Louise is the administrator of Birmingham Green.

How many beds does Birmingham Green have?

Birmingham Green has 64 beds.

Has Birmingham Green had any recent deficiencies?

Birmingham Green has had 5 recently reported deficiencies.

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