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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.
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.
Located at 3850 Galleria Woods Drive in Birmingham’s Jefferson County, Galleria Woods operates as a privately owned 24-bed skilled nursing and assisted living community under the management of Lynda Sullivan. The facility blends independent, assisted, and skilled nursing care across a small, intimate setting that fosters close staff-resident interactions.
The facility completed three standard surveys since 2018, accumulating 10 citations; all at the moderate severity level and with zero critical or serious deficiencies.
The most recent inspection in December 2021 identified issues in infection control, nutrition, and care planning, all of which have been corrected.
No federal penalties or fines were assessed in the past three years.
Nursing care runs 5 hours 9 minutes per resident per day, a 17% lift above Alabama norms, with weekend coverage climbing to 22% above state average. The facility maintains 88 staff members overall, including 14 nurses, 13 licensed practical nurses, and 34 certified nursing assistants, creating a staff-to-resident ratio of 3.14:1, approximately double the state average.
Pressure ulcers, falls with injury, and high-risk clinical events all fall substantially below state prevalence, and vaccine uptake for pneumococcal and influenza protection sits at 100%. Yet the facility reports notably elevated incontinence among low-risk residents at 27%, compared to 13.6% statewide, and antipsychotic use at 27.5% exceeds the state average by one-third. Depressive symptoms appear in 5.2% of residents, over four times the state prevalence.
Occupancy at 89% runs above the state average, and the facility’s financial trajectory is decidedly upward; net income reached $1.6 million in 2023, with a profit margin of 39.6%.
The community serves both short-term Medicare rehabilitation patients and private-pay long-term residents, with an average length of stay of 141 days supporting mixed utilization patterns.
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.
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.
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.
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.
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.
This home is ranked 16th out of 130 homes in Alabama for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 54m per day | ▲ 40% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 56m per day | ▲ 19% State avg: 47m per day · National avg: 52m per day |
|
Nurse Aide
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 34m per day | ▲ 3% State avg: 2h 30m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 4h 16m per day | ▲ 29% State avg: 3h 18m per day · National avg: 3h 27m per day |
|
Physical Therapist
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.
| 8m per day | ▲ 253% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
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.
| 49m per day | ▲ 128% State avg: 22m per day · National avg: 29m per day |
Higher than the Alabama average: 80.8%Galleria Woods is administrated by Lynda Sullivan.
Key information about the people who lead and staff this community.
Alabama average 2.9
Last Health inspection on Dec 2021
Alabama average 10.4
Alabama average 3.46
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 10 citations resulted from standard inspections.
100% better than Alabama averageAlabama average: 0.7
100% better than Alabama averageAlabama average: 0.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
101% more staff per resident than Alabama average
0% compared with Alabama average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
14 total: 8 full-time employees and 6 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursAssists with medical care and medications.
13 total: 5 full-time employees and 8 contractors.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursHelps with daily care and mobility.
34 total: 21 full-time employees and 13 contractors.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,968 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 21 | 13 | 34 | 6,047 | 92 | 100% | 9.6 |
| Licensed Practical Nurse | 5 | 8 | 13 | 2,210 | 91 | 99% | 10.3 |
| Registered Nurse | 8 | 6 | 14 | 1,080 | 69 | 75% | 9.8 |
| Nurse Practitioner | 5 | 0 | 5 | 1,060 | 70 | 76% | 7.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 646 | 90 | 98% | 6.9 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 495 | 66 | 72% | 7.5 |
| Physical Therapy Assistant | 0 | 3 | 3 | 424 | 61 | 66% | 6.8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 302 | 60 | 65% | 4.7 |
| Speech Language Pathologist | 0 | 2 | 2 | 252 | 60 | 65% | 4.2 |
| Qualified Social Worker | 0 | 4 | 4 | 242 | 63 | 68% | 3.6 |
| Physical Therapy Aide | 0 | 3 | 3 | 160 | 50 | 54% | 3 |
| Medical Director | 0 | 1 | 1 | 36 | 18 | 20% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.6
48% better than Alabama averageAlabama average: 8.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.4
6% worse than Alabama averageAlabama average: 14.5
Percent of long-stay residents whose need for help with daily activities has increased
7.7%
45% better than Alabama averageAlabama average: 13.9%
Percent of long-stay residents whose ability to move independently worsened
11.4%
29% better than Alabama averageAlabama average: 16.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.0%
98% worse than Alabama averageAlabama average: 13.6%
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
63% better than Alabama averageAlabama average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
0.9%
85% better than Alabama averageAlabama average: 5.9%
Percent of long-stay residents with a urinary tract infection
2.5%
7% better than Alabama averageAlabama average: 2.7%
Percent of long-stay residents who lose too much weight
1.9%
66% better than Alabama averageAlabama average: 5.4%
Percent of long-stay residents who have depressive symptoms
5.2%
324% worse than Alabama averageAlabama average: 1.2%
Percent of long-stay residents who received an antipsychotic medication
27.5%
33% worse than Alabama averageAlabama average: 20.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Alabama averageAlabama average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Alabama averageAlabama average: 94.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.3%
8% better than Alabama averageAlabama average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
69% better than Alabama averageAlabama average: 2.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.2%
9% better than Alabama averageAlabama average: 80.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
43% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
28Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Galleria Woods based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #59 / 129Payroll — State benchmarkedThis home is ranked 59th out of 129 homes in Alabama for payroll. 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: 1 Bed / 2 Bed
Building Type: 3-story
Fitness and Recreation
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
14.8 miles from city center
Estimated distance in miles from Birmingham's city center to Galleria Woods's address, calculated via Google Maps.
— 2.02 miles to nearest hospital (American Family Care Hoover)
Add your location
Galleria Woods is located in Birmingham, Alabama.
Here are the financial assistance programs available to residents in Alabama.
Galleria Woods has a walk score of 28. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Galleria Woods's occupancy is 89%.
Lynda Sullivan is the administrator of Galleria Woods.
Galleria Woods has 24 beds.
Yes — there are 8 photos of Galleria Woods in the photo gallery on this page.
(205) 277-6915 will put you in contact with the team at Galleria Woods.
Galleria Woods is in Jefferson County.
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