Birmingham Rehabilitation and Wellness Center
Nursing Home · Birmingham, AL
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.

Birmingham Rehabilitation and Wellness Center

Nursing Home · Birmingham, AL
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
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Birmingham Rehabilitation and Wellness Center accepts Medicare, Medicaid, and private pay.

Inspection History

In Alabama, the Department of Public Health, Bureau of Health Provider Standards conducts unannounced surveys to ensure facilities meet state licensing and federal certification safety standards.

Since 2023 · 3 years of data 47 deficiencies

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

Since 2023 vs. Alabama state average
Overall vs. AL average 2 Worse Metrics worse than Alabama average:
• Total deficiencies (176% above)
• Deficiencies per year (175% above)
0 Better No metrics in this bucket.
Latest Inspection December 4, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityAL Averagevs. AL Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 4717 This facility has 176% more total deficiencies than a typical Alabama nursing home (47 vs. AL avg 17).↑ 176% worse
Deficiencies per year Info Average deficiencies per year since 2023. 15.75.7 This facility has 175% more deficiencies per year than a typical Alabama nursing home (15.7 vs. AL avg 5.7).↑ 175% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

This facility’s record is problematic due to repeated substantiated abuse findings and failures to protect residents, including physical abuse by a staff member and by a resident with behavioral issues, documented on October 29 and December 4, 2025. Inspectors cited a total of 9 deficiencies in those two most recent investigations, highlighting failures in supervision, abuse prevention, and behavioral health care, with immediate jeopardy initially cited and later removed after corrective actions. Earlier inspections from 2023 and 2024 also found deficiencies in infection control, resident care, and misappropriation of funds, showing ongoing compliance challenges.

Read the full inspection reports for this facility, including detailed findings and corrective actions.

Show Inspection Reports

Health Inspection History

Inspections since 2023
Total health inspections 7

Alabama average 2.9


Last Health inspection on Oct 2025

Total health citations
20 Rank #119 / 130Health citations — State benchmarkedThis home is ranked 119th out of 130 homes in Alabama. Shows this facility's total health deficiency citations benchmarked to the Alabama State average, with a ranking across all 130 AL SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Alabama average 10.4

Citations per inspection
2.86 Rank #48 / 130Citations per inspection — State benchmarkedThis home is ranked 48th out of 130 homes in Alabama. Shows average deficiency citations per CMS inspection for this facility versus the Alabama mean across 130 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Alabama average 3.46


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

9 of 20 citations resulted from standard inspections; and 11 of 20 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations
5
614% worse than Alabama average

Alabama average: 0.7


Serious Health citations
0
100% better than Alabama average

Alabama average: 0.2

5 critical citations Alabama average: 0.7

0 serious citations Alabama average: 0.2

15 moderate citations Alabama average: 9.1

0 minor citations Alabama average: 0.4
Citations history (last 3 years)
Abuse/Neglect critical citation Oct 29, 2025
Corrected

Abuse/Neglect critical citation Oct 29, 2025
Corrected

Abuse/Neglect critical citation Oct 29, 2025
Corrected

Administration critical citation Oct 29, 2025
Corrected

Staffing Data

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

Total staff 163
Employees 159
Contractors 4
Staff to resident ratio 1.50:1
0% compared with Alabama average
Alabama average ratio: 1.56:1 Alabama average ratio: 1.56:1See full Alabama ranking
Avg staff/day 55
Average shift 7.5 hours
5% worse than Alabama average
Alabama average: 7.9 hours Alabama average shift: 7.9 hoursSee full Alabama ranking
Total staff hours (quarter) 38,151

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 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff 82
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours

No contractors work on this role.

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

0.3%

105 contractor hours this quarter

Medical Director: 2 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 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 Assistant8208216,95292100%7
Licensed Practical Nurse290299,86692100%8.6
Registered Nurse110112,49192100%8.7
RN Director of Nursing4041,3537177%8
Clinical Nurse Specialist3031,1206571%8.2
Physical Therapy Assistant5058776975%7.1
Respiratory Therapy Technician5058676874%7.3
Mental Health Service Worker2028006470%8
Speech Language Pathologist3037567278%5.6
Other Dietary Services Staff2027166672%7.7
Nurse Practitioner1015046368%8
Administrator1014645863%8
Qualified Social Worker6064307177%5.7
Dietitian1013795358%7.2
Physical Therapy Aide2022084145%5
Dental Services Staff1011872325%8.1
Therapeutic Recreation Specialist101771314%5.9
Occupational Therapy Aide011771213%6.4
Medical Director0222844%7
Occupational Therapy Assistant011111%0.5
82 Certified Nursing Assistant
% of Days 100%
29 Licensed Practical Nurse
% of Days 100%
11 Registered Nurse
% of Days 100%
4 RN Director of Nursing
% of Days 77%
3 Clinical Nurse Specialist
% of Days 71%
5 Physical Therapy Assistant
% of Days 75%
5 Respiratory Therapy Technician
% of Days 74%
2 Mental Health Service Worker
% of Days 70%
3 Speech Language Pathologist
% of Days 78%
2 Other Dietary Services Staff
% of Days 72%
1 Nurse Practitioner
% of Days 68%
1 Administrator
% of Days 63%
6 Qualified Social Worker
% of Days 77%
1 Dietitian
% of Days 58%
2 Physical Therapy Aide
% of Days 45%
1 Dental Services Staff
% of Days 25%
1 Therapeutic Recreation Specialist
% of Days 14%
1 Occupational Therapy Aide
% of Days 13%
2 Medical Director
% of Days 4%
1 Occupational Therapy Assistant
% of Days 1%

Penalties and fines

Includes penalties issued in 2023

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 (Data as of Jan 2026)

Total fines amount $6K Rank #100 / 131Federal fines — State benchmarkedThis home is ranked 100th out of 131 homes in Alabama. Shows this facility's cumulative CMS federal fine dollars versus the Alabama average among facilities with fines, and where it ranks among 131 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
90% lower than Alabama average

Alabama average: $65K

Number of fines 1
58% fewer fines than Alabama average

Alabama average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Alabama average

Alabama average: 0.3

Fines amount comparison
Fines amount comparison
This facility $6K
Alabama average $65K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Aug 16, 2023 · $6K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 16, 2023
$6K

Last updated: Jan 2026

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. 5.5
38% better than Alabama average

Alabama average: 8.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 6.5
55% better than Alabama average

Alabama average: 14.5

Long-stay resident measures
Significantly above average Alabama avg: 3.3 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 4.7%
66% better than Alabama average

Alabama average: 13.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 8.6%
46% better than Alabama average

Alabama average: 16.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 6.1%
55% better than Alabama average

Alabama average: 13.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.9%
75% better than Alabama average

Alabama average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.2%
In line with Alabama average

Alabama average: 5.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.1%
21% better than Alabama average

Alabama average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.3%
34% worse than Alabama average

Alabama average: 5.4%

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

Alabama average: 1.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.9%
8% better than Alabama average

Alabama average: 20.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.8%
9% better than Alabama average

Alabama average: 91.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.2%
5% better than Alabama average

Alabama average: 94.8%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.79
11% better than Alabama average

Alabama average: 2.00

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.95
47% better than Alabama average

Alabama average: 1.79

Short-stay resident measures
Below average Alabama avg: 2.1 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 96.3%
15% better than Alabama average

Alabama average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.9%
36% worse than Alabama average

Alabama average: 2.1%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 88.9%
11% better than Alabama average

Alabama average: 80.3%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 38.7%
58% worse than Alabama average

Alabama average: 24.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 7.0%
39% better than Alabama average

Alabama average: 11.5%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Alabama average

Alabama average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 52.0%
In line with Alabama average

Alabama average: 53.7%

Breakdown by payment type

Medicare

19% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

49% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

32% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

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

Total residents 109
Medicare
3
2.8% of residents
Medicaid
88
80.7% of residents
Private pay or other
18
16.5% of residents
Programs & Services
Residents Group

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

Active Resident Council

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

Finances and operations

Privately-owned community
Home revenue
$11.1M
Profit
$668.0K
Privately-owned community
Home revenue
$11.1M Rank #60 / 129Revenue — State benchmarkedThis home is ranked 60th out of 129 homes in Alabama. Shows this facility's annual revenue compared to the Alabama SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$668.0K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #40 / 129Payroll — State benchmarkedThis home is ranked 40th out of 129 homes in Alabama. Shows total annual staff payroll benchmarked to the Alabama average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$6.6M
59.4% of revenue Rank #23 / 127Payroll % — State benchmarkedThis home is ranked 23rd out of 127 homes in Alabama. Shows payroll as a percentage of revenue versus the Alabama average. Well-run Alabama SNFs typically land around 54–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.8M
Total costs $10.4M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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

Places of interest near Birmingham Rehabilitation and Wellness Center

Address 5.8 miles from city center Info Estimated distance in miles from Birmingham's city center to Birmingham Rehabilitation and Wellness Center's address, calculated via Google Maps.

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Financial Assistance for
Nursing Home in Alabama

Birmingham Rehabilitation and Wellness Center is located in Birmingham, Alabama.
Here are the financial assistance programs available to residents in Alabama.

Get Financial aid guidance

Elderly and Disabled Waiver

Alabama Medicaid E&D Waiver

Age 65+ or disabled
General Alabama resident, Medicaid-eligible, requires nursing home-level care but can live in community with support.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple) (excludes home, car).
AL

Must be assessed by a nurse for nursing home-level care need.

Benefits
In-home personal care (4-6 hours/day, e.g., bathing, dressing) Respite care (up to 240 hours/year) Adult day care (~$50/day avg.) Home-delivered meals Case management

Alabama Respite for Caregivers Program

Alabama Respite (via NFCSP)

Age Caregiver of someone 60+ (or with dementia)
General Alabama resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
AL

Focus on rural caregivers; limited funding.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$50/day) Short-term facility care (up to 5 days)

SenioRx Prescription Assistance Program

AL SenioRx

Age 55+
General Alabama resident, chronic illness requiring daily medication, not fully covered by other drug plans.
Income Limits ~$3,000/month individual, varies by AAA
Asset Limits Not strictly enforced; income-focused.
AL

High ROI; saved $43.5M for 6,825 participants in FY 2022.

Benefits
Prescription cost reduction (avg. $6,300/year savings per participant) Medication management support

Weatherization Assistance Program (WAP)

AL WAP

Age 60+ priority
General Alabama resident, own or rent home, low-income status.
Income Limits (2025) ~$2,510/month 200% of poverty level, individual
Asset Limits Not applicable; income-driven.
AL

Prioritizes seniors and disabled; limited annual funding.

Benefits
Insulation Weather stripping HVAC repairs (avg. $500-$1,000 in annual energy savings)

Section 202 Supportive Housing for the Elderly

AL Section 202

Age 62+
General Alabama resident, very low income, able to live independently with support.
Income Limits (2025) ~$1,500/month 50% of area median income, individual, varies by county
Asset Limits $10,000 individual, excludes home if owned
AL

High demand in urban areas like Birmingham; limited units statewide.

Benefits
Subsidized rent (30% of income, e.g., $300-$500/month) On-site services (housekeeping, transportation, ~$200/month value)

Alabama CARES Program

AL CARES

Age
General Caregivers of Alabama residents aged 60+ needing assistance with 3+ daily activities; no age limit for caregivers.
Income Limits No strict limit; cost-sharing based on recipient’s income e.g., ~$2,500/month threshold
Asset Limits Not applicable; focus on need.
AL

Prioritizes caregivers with greatest economic/social need; complements respite programs like AL Lifespan Respite.

Benefits
Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplemental supplies (e.g., $200/year avg.)

Compare Nursing Home around Birmingham

The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.

5 facilities compared · CMS & AL Dept. of Health data

Filter by care type
Columbiana Health and Rehabilitation, LLC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Columbiana63 95.2% +18%4.33 -24%-1%$8.0k41.3160- 1 Columbiana Health Realty, LLC$6.3M$3.3M51.3%15453
Galleria Woods
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Birmingham24 88.5% +10%5.15 +56%+18%$0103.3-27A+ 28 Ccrc Opco Ventures LLC$15.1M$5.4M35.7%15459
Birmingham Rehabilitation and Wellness Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Birmingham132 91.5% +13%3.93 -34%-10%$6.2k202.95119- 44 Delilah Griffith$11.1M$6.6M59.4%15217
Brookdale University Park
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Birmingham (South Denver)60 89.0% +10%4.22 +157%-3%$0175.7-56A+ 84 American Retirement Corporation$9.9M$4.4M44.3%15423
St. Martin’s in the Pines
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Birmingham (Eastwood)71 39.3% -51%4.00 -19%-9%$0133.31102A+ 39 Trina Vines$15.5M$8.3M53.3%15433

Frequently Asked Questions about Birmingham Rehabilitation and Wellness Center

Is Birmingham Rehabilitation and Wellness Center in a walkable area?

Birmingham Rehabilitation and Wellness Center has a walk score of 44. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

Who is the administrator of Birmingham Rehabilitation and Wellness Center?

Delilah Lee Griffith is the administrator of Birmingham Rehabilitation and Wellness Center.

How many beds does Birmingham Rehabilitation and Wellness Center have?

Birmingham Rehabilitation and Wellness Center has 132 beds.

What is the address of Birmingham Rehabilitation and Wellness Center?

Birmingham Rehabilitation and Wellness Center is located at 1000 Dugan Avenue.

What is the phone number of Birmingham Rehabilitation and Wellness Center?

(205) 798-8780 will put you in contact with the team at Birmingham Rehabilitation and Wellness Center.

What county is Birmingham Rehabilitation and Wellness Center located in?

Birmingham Rehabilitation and Wellness Center is in Jefferson County.

Is Birmingham Rehabilitation and Wellness Center Medicare or Medicaid certified?

Yes — Birmingham Rehabilitation and Wellness Center is a CMS-certified provider of Medicare and Medicaid.

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