Kirkwood By the River

Kirkwood By the River is an Assisted Living Home in Alabama

Kirkwood By the River is an Assisted Living Home in Alabama

Kirkwood By the River

3605 Ratliff Rd, Birmingham, AL 35210 View Map

Kirkwood By the River is an Assisted Living Home in Alabama

Kirkwood By the River is an Assisted Living Home in Alabama

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Overview of Kirkwood By the River

Resting on 120 acres of serene lands on Ratliff Road, Birmingham, AL, Kirkwood by the River is a charming senior living community that offers assisted living, independent living, memory care, and skilled nursing. Experience unparalleled comfort and convenience with cozy and elegant residences in variations of studio, one-bedroom, and two-bedroom floor plans. With a compassionate and highly skilled team providing top-tier care and assistance around the clock, seniors let go of their worries and make the most of their best years.

Have a balance of independence and utmost support in your retirement with Kirkwood by the River. Mingle with friends and learn new things through enjoyable activities and engaging programs. Moreover, delicious and healthy meals are available to meet residents’ dietary needs and tastes. Kirkwood by the River strives to enhance seniors’ quality of life with care plans that best match seniors’ needs and preferences.

+1 205-956-2184

Managed by Chad Carter

President and CEO

Chad Carter has served Kirkwood by the River since 2014, bringing nearly two decades of senior care industry experience. A licensed Nursing Home Administrator for 18 years, Chad is dedicated to leading with care, kindness, and respect, honoring the senior population through his leadership in nonprofit, multi-family life plan communities.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 5.10/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
3/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
4/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
1/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 46

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Alabama average
Occupancy rate 66%
Residents per day (avg) 48
Occupancy rate
66%
Residents per day (avg)
48

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

47% of new residents, usually for short-term rehab.

Typical stay 20 days

Private pay

53% of new residents, often for short stays.

Typical stay 4 - 5 months

Finances and operations

Voluntary non-profit home
Other
Home revenue
$15.9M
Surplus of revenue
$30.8K
Voluntary non-profit home Other
Home revenue
$15,948,068.00
Surplus of revenue
$30,836.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.2M
39.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$9.7M
Total costs $15.9M
Bed community size
46-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 0 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
BBB Rating: A+ (Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

License Status
Regular
Facility Type
Assisted Living Facility

Additional licensing details

Business type: Nonprofit Corporation
CMS Certification Number: 15457
County: Jefferson

Ownership & operating entity

Kirkwood By the River is administrated by Jeff Burchfield.

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Studio / 1 Bed / 2 Bed

Building type icon
Building type icon

Building Type: 2-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Kirkwood By the River

Independent Living Assisted Living Memory Care Respite Care Skilled Nursing
Contact Kirkwood By the River

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.

Comparison Chart

The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.
Compare Assisted Living around Jefferson County
Kirkwood By the River
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Birmingham
61
No
A+
0
WIDMAN, WILLIAM
66.0%
$14,828,089.00
$6,235,799.00
42.1%
48.40
3/5
5.0952
4/5
4/5
1/5
Studio / 1 Bed / 2 Bed
Legacy Ridge Trussville
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Trussville
55
No
A+
3
-
-
-
-
-
-
-
-
-
-
-
Studio / 1 Bed / 2 Bed
Galleria Woods
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

SN

Skilled Nursing

Birmingham
54
No
A+
28
CCRC OPCO VENTURES LLC
88.5%
$4,091,374.00
$4,576,097.00
111.8%
27.10
3/5
5.1499
2/5
4/5
5/5
Studio / 1 Bed / 2 Bed
Regency Retirement Village of Birmingham
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

RC

Respite Care

Birmingham
48
No
-
19
-
-
-
-
-
-
-
-
-
-
-
Studio / 1 Bed / 2 Bed
Volante Senior Living of Peachtree
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

Trussville
32
Yes
-
32
-
-
-
-
-
-
-
-
-
-
-
Studio / 1 Bed / 2 Bed

Places of interest near Kirkwood By the River

Address 23.6 miles from city center

Address 3605 Ratliff Rd, Birmingham, AL 35210

Calculate Travel Distance to Kirkwood By the River

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

100
Total Staff
58
Employees
42
Contractors
24,755
Total Hours (Quarter)
33
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse109 Yes
Licensed Practical Nurse310.6 Yes
Certified Nursing Assistant468.3 Yes
Staff by Category
Administration
1 staff
1.4hs shift avg
Nursing Staff
73 staff
8.8hs shift avg
Physicians & Practitioners
2 staff
8.5hs shift avg
Therapy Services
16 staff
5.6hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
7 staff
6.8hs shift avg
Dietary Services
1 staff
7.1hs shift avg
Other Services
0 staff
0hs shift avg
Contractor Analysis
8.6%
of total hours from contractors
2,132 contractor hours this quarter
Registered Nurse: 6 Certified Nursing Assistant: 11 Physical Therapy Aide: 2 Physical Therapy Assistant: 3 Respiratory Therapy Technician: 6 Licensed Practical Nurse: 1 Speech Language Pathologist: 3 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1 Qualified Social Worker: 7
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant35114612,85491100%8.3
RN Director of Nursing140145,68191100%9.8
Registered Nurse46101,67291100%9
Licensed Practical Nurse2131,1407481%10.6
Clinical Nurse Specialist1016997886%9
Speech Language Pathologist0334767077%6.8
Nurse Practitioner1014725965%8
Qualified Social Worker0774684347%6.8
Dietitian1014376268%7.1
Physical Therapy Assistant0333846369%6.1
Physical Therapy Aide0221923033%6.4
Respiratory Therapy Technician0661284448%2.9
Occupational Therapy Aide011771921%4.1
Medical Director011483538%1.4
Occupational Therapy Assistant0112833%9.3

Health Inspection History

Source: CMS Health Citations (Mar 2018 – Oct 2021)

3
Inspections
8
Total Citations
0
Critical (J-L)
0
Serious (G-I)
2.67
Citations/Inspection
Oct 2021
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
8
Serious (G-I)
0
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Infection Control
3
38% of total
Resident Rights
1
13% of total
Quality of Life & Care
1
13% of total
Citation Sources
Standard Inspections 8
Complaint Investigations 0
State Comparison (AL)
Citations
8
Alabama average: 10.4
Critical Citations
0
Alabama average: 0.7
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Oct 07, 2021 D Infection ControlF0880 Corrected
Mar 28, 2019 D Infection ControlF0880 Corrected
Mar 28, 2019 F NutritionF0812 Corrected
Mar 22, 2018 D Infection ControlF0880 Corrected
Mar 22, 2018 D Quality of CareF0686 Corrected
Mar 22, 2018 D Care PlanningF0658 Corrected
Mar 22, 2018 D Care PlanningF0659 Corrected
Mar 22, 2018 D Resident RightsF0550 Corrected

Facility Characteristics

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

Ownership: Non-Profit Corporation
Resident Census by Payment Source
41 Total Residents
Medicare 4 (9.8%)
Private Pay/Other 37 (90.2%)
Programs & Services
Residents' Group
CCRC
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
15.2 Score
71% worse than avg Alabama avg: 8.9

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
27.3 Score
88% worse than avg Alabama avg: 14.5

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
37.0%
Lost Too Much Weight
7.4%
Urinary Tract Infection
2.9%
Depressive Symptoms
0.0%
Falls with Major Injury
5.7%
Pneumococcal Vaccine
100.0%
Antipsychotic Use
33.9%
Influenza Vaccine
98.0%
High Risk Residents with Pressure Ulcers
10.8%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
17.5%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
100.0% 19% better than avg Alabama: 83.7%
Short-Stay Residents Who Received a New Antipsychotic Medication
2.9% 37% worse than avg Alabama: 2.1%
Influenza Vaccine
98.4% 23% better than avg Alabama: 80.3%

Guides for Better Senior Living

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Claim What’s Yours: Financial Aid for Alabama Seniors

Program
State Program Name
Eligibility
Benefits
Elderly and Disabled Waiver
Alabama Medicaid E&D Waiver
Official government program page
  • General: Age 65+ or disabled, 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 Specifics: Must be assessed by a nurse for nursing home-level care need.
  • Services: 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)
Official government program page
  • General: Caregiver of someone 60+ (or with dementia), Alabama resident.
  • Income Limits: No strict limit; prioritizes low-income.
  • Asset Limits: Not applicable.
  • AL Specifics: Focus on rural caregivers; limited funding.
  • Services: In-home respite (4-6 hours/day), adult day care (~$50/day), short-term facility care (up to 5 days).
SenioRx Prescription Assistance Program
  • General: Age 55+, 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 Specifics: High ROI; saved $43.5M for 6,825 participants in FY 2022.
  • Services: Prescription cost reduction (avg. $6,300/year savings per participant), medication management support.
Weatherization Assistance Program (WAP)
  • General: Age 60+ priority, 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 Specifics: Prioritizes seniors and disabled; limited annual funding.
  • Services: Insulation, weather stripping, HVAC repairs (avg. $500-$1,000 in annual energy savings).
Section 202 Supportive Housing for the Elderly
AL Section 202
  • General: Age 62+, 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 Specifics: High demand in urban areas like Birmingham; limited units statewide.
  • Services: Subsidized rent (30% of income, e.g., $300-$500/month), on-site services (housekeeping, transportation, ~$200/month value).
Alabama CARES Program
  • 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 Specifics: Prioritizes caregivers with greatest economic/social need; complements respite programs like AL Lifespan Respite.
  • Services: Respite care (up to 10 days/year), counseling (4-6 sessions/year), training (2-3 workshops/year), supplemental supplies (e.g., $200/year avg.).

Claim What’s Yours Financial Aid for Alabama Seniors

Alabama Medicaid E&D Waiver

Elderly and Disabled Waiver

Requirements:
  • General:
    Age 65+ or disabled, 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 Specifics:
    Must be assessed by a nurse for nursing home-level care need.
Benefits without Contact:
  • Services: 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 (via NFCSP)

Alabama Respite for Caregivers Program

Requirements:
  • General:
    Caregiver of someone 60+ (or with dementia), Alabama resident.
  • Income Limits:
    No strict limit; prioritizes low-income.
  • Asset Limits:
    Not applicable.
  • AL Specifics:
    Focus on rural caregivers; limited funding.
Benefits without Contact:
  • Services: In-home respite (4-6 hours/day), adult day care (~$50/day), short-term facility care (up to 5 days).
AL SenioRx

SenioRx Prescription Assistance Program

Requirements:
  • General:
    Age 55+, 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 Specifics:
    High ROI; saved $43.5M for 6,825 participants in FY 2022.
Benefits without Contact:
  • Services: Prescription cost reduction (avg. $6,300/year savings per participant), medication management support.
AL WAP

Weatherization Assistance Program (WAP)

Requirements:
  • General:
    Age 60+ priority, 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 Specifics:
    Prioritizes seniors and disabled; limited annual funding.
Benefits without Contact:
  • Services: Insulation, weather stripping, HVAC repairs (avg. $500-$1,000 in annual energy savings).
AL Section 202

Section 202 Supportive Housing for the Elderly

Requirements:
  • General:
    Age 62+, 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 Specifics:
    High demand in urban areas like Birmingham; limited units statewide.
Benefits without Contact:
  • Services: Subsidized rent (30% of income, e.g., $300-$500/month), on-site services (housekeeping, transportation, ~$200/month value).
AL CARES

Alabama CARES Program

Requirements:
  • 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 Specifics:
    Prioritizes caregivers with greatest economic/social need; complements respite programs like AL Lifespan Respite.
Benefits without Contact:
  • Services: Respite care (up to 10 days/year), counseling (4-6 sessions/year), training (2-3 workshops/year), supplemental supplies (e.g., $200/year avg.).
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