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.

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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.
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.
May offer a more intimate, personalized care environment.
Lower occupancy suggests more openings may be available.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
47% of new residents, usually for short-term rehab.
53% of new residents, often for short stays.
Kirkwood By the River is administrated by Jeff Burchfield.
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: 2-story
Transportation Services
Fitness and Recreation
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.
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Skilled Nursing
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Respite Care
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
23.6 miles from city center
3605 Ratliff Rd, Birmingham, AL 35210
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Source: CMS Payroll-Based Journal (Q2 2025)
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 10 | 9 | Yes |
| Licensed Practical Nurse | 3 | 10.6 | Yes |
| Certified Nursing Assistant | 46 | 8.3 | Yes |
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 35 | 11 | 46 | 12,854 | 91 | 100% | 8.3 |
| RN Director of Nursing | 14 | 0 | 14 | 5,681 | 91 | 100% | 9.8 |
| Registered Nurse | 4 | 6 | 10 | 1,672 | 91 | 100% | 9 |
| Licensed Practical Nurse | 2 | 1 | 3 | 1,140 | 74 | 81% | 10.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 699 | 78 | 86% | 9 |
| Speech Language Pathologist | 0 | 3 | 3 | 476 | 70 | 77% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Qualified Social Worker | 0 | 7 | 7 | 468 | 43 | 47% | 6.8 |
| Dietitian | 1 | 0 | 1 | 437 | 62 | 68% | 7.1 |
| Physical Therapy Assistant | 0 | 3 | 3 | 384 | 63 | 69% | 6.1 |
| Physical Therapy Aide | 0 | 2 | 2 | 192 | 30 | 33% | 6.4 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 128 | 44 | 48% | 2.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 77 | 19 | 21% | 4.1 |
| Medical Director | 0 | 1 | 1 | 48 | 35 | 38% | 1.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 28 | 3 | 3% | 9.3 |
Source: CMS Health Citations (Mar 2018 – Oct 2021)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Oct 07, 2021 | D | Infection Control | F0880 | Corrected |
| Mar 28, 2019 | D | Infection Control | F0880 | Corrected |
| Mar 28, 2019 | F | Nutrition | F0812 | Corrected |
| Mar 22, 2018 | D | Infection Control | F0880 | Corrected |
| Mar 22, 2018 | D | Quality of Care | F0686 | Corrected |
| Mar 22, 2018 | D | Care Planning | F0658 | Corrected |
| Mar 22, 2018 | D | Care Planning | F0659 | Corrected |
| Mar 22, 2018 | D | Resident Rights | F0550 | Corrected |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Active councils help families stay involved in care decisions and facility operations.
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)
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Composite score based on ADL decline, walking ability decline, and incontinence
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Historical financial and operational data for Kirkwood By the River based on CMS SNF Cost Reports.
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