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.

(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 Alabama avg: 4.37/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
3/5
Alabama avg: 2.9/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
4/5
Alabama avg: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
Alabama avg: 3.5/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
1/5
Alabama avg: 3.0/5

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

Compare Assisted Living around Jefferson County

The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.
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 (Overton)
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
8
+4%
+17%
-18%
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
10
+93%
+18%
+10%
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 (Sand Ridge)
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

Total Health inspections 3
Near Alabama average
Alabama average: 2.9

Last Health inspection on Oct 2021

Total Health citations 8
23% below Alabama average
Alabama average: 10.4

2.67 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 8 citations
Complaint investigations 0 citations
Breakdown of citations
Critical Health citations 0
100% below Alabama average
Alabama average: 0.7
Serious Health citations 0
100% below Alabama average
Alabama average: 0.2
Moderate Health citations 8

Minor Health citations 0
Citations history (last 3 years)
Infection Control moderate citation Oct 07, 2021
Corrected

Infection Control moderate citation Mar 28, 2019
Corrected

Nutrition moderate citation Mar 28, 2019
Corrected

Infection Control moderate citation Mar 22, 2018
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 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 15.2
71% worse than Alabama average
Alabama average: 8.9
Functional decline score 27.3
88% worse than Alabama average
Alabama average: 14.5
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 37.0%
167% above Alabama average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 17.5%
28% above Alabama average.
Safety & clinical stability

Falls with Major Injury 5.7%
69% above Alabama average.

High Risk Residents with Pressure Ulcers 10.8%
82% above Alabama average.

Urinary Tract Infection 2.9%
7% above Alabama average.
Emotional & behavioral wellbeing

Depressive Symptoms 0.0%
100% below Alabama average.

Antipsychotic Use 33.9%
64% above Alabama average.
Preventive care

Pneumococcal Vaccine 100.0%
9% above Alabama average.

Influenza Vaccine 98.0%
3% above Alabama average.
Nutrition & physical health

Lost Too Much Weight 7.4%
37% above Alabama average.
Short-stay resident measures
Pneumococcal Vaccine 100.0%

19% better than Alabama average
Antipsychotic medication increase 2.9%

37% worse than Alabama average
Influenza Vaccine 98.4%

23% better than Alabama average

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.

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