Explore Open Rooms

1 Contact details
2 What type of senior care service are you looking for?
3 What budget do you have in mind for senior care?
4 How soon do you need to find care?
5 Additional details

Thank you for your interest!

Our team will be in touch shortly to help with next steps.

Assisted Living in Jefferson County

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.

Kirkwood By the River

Assisted Living in Jefferson County

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.

Kirkwood By the River

3605 Ratliff Rd, Birmingham, AL 35210 View map
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.

(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)

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.
3/5
Alabama average: 2.9/5
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.
4/5
Alabama average: 2.9/5
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.
4/5
Alabama average: 3.6/5
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.
1/5
Alabama average: 3.0/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
5h 6m per day

This home provides 16% more nursing time per resident than the Alabama average.

Alabama average: 4h 23m per day

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 community
Home revenue
$15.9M
Surplus of revenue
$30.8K
Voluntary non-profit community
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

Occupancy

Occupancy rate
66%
In line with Alabama average
Occupied beds
30 / 46
Average residents 97 per day

License details

Facility type
Assisted Living Facility
Status Regular
County: Jefferson

Additional licensing details

Business type: Nonprofit Corporation
CMS Certification Number: 15457

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

Health Inspection History

Inspections
Total health inspections 3

Alabama average 2.9


Last Health inspection on Oct 2021

Total health citations 8

Alabama average 10.4

Citations per inspection
2.67

Alabama average 3.46


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

All 8 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Alabama average

Alabama average: 0.7


Serious Health citations More info 0
100% better than Alabama average

Alabama average: 0.2

0 critical citations More info Alabama average: 0.7

0 serious citations More info Alabama average: 0.2

8 moderate citations More info Alabama average: 9.1

0 minor citations More info Alabama average: 0.4
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Oct 07, 2021
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Mar 28, 2019
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Mar 28, 2019
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Mar 22, 2018
Corrected

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

Filter by care type
Kirkwood By the River
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.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

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).

Birmingham (Overton)
61
No
0
Studio / 1 Bed / 2 Bed
A+
Jeff Burchfield
Legacy Ridge Trussville
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.

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.

Trussville
55
No
3
Studio / 1 Bed / 2 Bed
A+
Caleb Brink
Galleria Woods
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.

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).

Birmingham
54
No
28
Studio / 1 Bed / 2 Bed
A+
Lynda Sullivan
Regency Retirement Village of Birmingham
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.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Birmingham (Sand Ridge)
48
No
19
Studio / 1 Bed / 2 Bed
-
Chip Cook
Volante Senior Living of Peachtree
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.

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

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

Add your location

Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 100
Employees 58
Contractors 42
Staff to resident ratio 2.44:1
55% better than Alabama average

Alabama average ratio: 1.57:1

Avg staff/day 33
Average shift 8.2 hours
0% compared with Alabama average

Alabama average: 7.9 hours

Total staff hours (quarter) 24,755
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.6 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 46
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

8.6%

2,132 contractor hours this quarter

Certified Nursing Assistant: 11 Qualified Social Worker: 7 Registered Nurse: 6 Respiratory Therapy Technician: 6 Physical Therapy Assistant: 3 Speech Language Pathologist: 3 Physical Therapy Aide: 2 Licensed Practical Nurse: 1 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1
Staff by category
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
46 Certified Nursing Assistant
% of Days 100%
14 RN Director of Nursing
% of Days 100%
10 Registered Nurse
% of Days 100%
3 Licensed Practical Nurse
% of Days 81%
1 Clinical Nurse Specialist
% of Days 86%
3 Speech Language Pathologist
% of Days 77%
1 Nurse Practitioner
% of Days 65%
7 Qualified Social Worker
% of Days 47%
1 Dietitian
% of Days 68%
3 Physical Therapy Assistant
% of Days 69%
2 Physical Therapy Aide
% of Days 33%
6 Respiratory Therapy Technician
% of Days 48%
1 Occupational Therapy Aide
% of Days 21%
1 Medical Director
% of Days 38%
1 Occupational Therapy Assistant
% of Days 3%

Facility Characteristics

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

Total census
41 residents
Residents by payment source
Medicare
4 residents (9.8%)
Private pay or other
37 residents (90.2%)
Programs & Services
Residents' Group

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

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

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

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. 15.2
71% worse 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. 27.3
88% worse than Alabama average

Alabama average: 14.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 37.0%
167% worse than Alabama average

Alabama average: 13.9%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 17.5%
28% worse 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 5.7%
69% worse than Alabama average

Alabama average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 10.8%
82% worse than Alabama average

Alabama average: 5.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.9%
7% worse than Alabama average

Alabama average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.4%
37% 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 33.9%
64% worse than Alabama average

Alabama average: 20.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
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 98.0%
In line with Alabama average

Alabama average: 94.8%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
19% 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%
37% worse than Alabama average

Alabama average: 2.1%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 98.4%
23% better than Alabama average

Alabama average: 80.3%

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Alabama Seniors

Get financial aid guidance

Elderly and Disabled Waiver

Alabama Medicaid E&D Waiver

Age 65+ or disabled, Alabama resident, Medicaid-eligible, requires nursing home-level care but can live in community with support.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple) (excludes home, car).

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

Alabama Respite for Caregivers Program

Alabama Respite (via NFCSP)

Caregiver of someone 60+ (or with dementia), Alabama resident.

No strict limit; prioritizes low-income.

Not applicable.

Focus on rural caregivers; limited funding.

SenioRx Prescription Assistance Program

AL SenioRx

Age 55+, Alabama resident, chronic illness requiring daily medication, not fully covered by other drug plans.

~$3,000/month (individual, varies by AAA).

Not strictly enforced; income-focused.

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

Weatherization Assistance Program (WAP)

AL WAP

Age 60+ priority, Alabama resident, own or rent home, low-income status.

~$2,510/month (200% of poverty level, individual).

Not applicable; income-driven.

Prioritizes seniors and disabled; limited annual funding.

Section 202 Supportive Housing for the Elderly

AL Section 202

Age 62+, Alabama resident, very low income, able to live independently with support.

~$1,500/month (50% of area median income, individual, varies by county).

$10,000 (individual, excludes home if owned).

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

Alabama CARES Program

AL CARES

Caregivers of Alabama residents aged 60+ needing assistance with 3+ daily activities; no age limit for caregivers.

No strict limit; cost-sharing based on recipient’s income (e.g., ~$2,500/month threshold).

Not applicable; focus on need.

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

Tour Icon
Planning a tour? Check our touring checklist.
Chat Icon
Thinking of living here? We can help you speak to a current resident