Kirkwood By the River
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Birmingham, AL
CMS overall rating Info 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.

Kirkwood By the River

Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Birmingham, AL
CMS overall rating Info 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.
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Kirkwood By the River accepts Medicare and private pay.

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.

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.
▲ 36.0% Above AL avg. ▲ 36.0% Above AL avg.AL average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 41.1% Above AL avg. ▲ 41.1% Above AL avg.AL average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 12.9% Above AL avg. ▲ 12.9% Above AL avg.AL average: 3.5Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 32.8% Below AL avg. ▼ 32.8% Below AL avg.AL average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Alabama averages

Rank #17 / 125Nurse hours — State benchmarkedThis home is ranked 17th out of 125 homes we track in Alabama for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Alabama average, with a ranking across 125 Alabama facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Alabama that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 17th out of 125 homes we track 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.

5h 10m

18% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
35m
−9% State avg: 38m per day · National avg: 41m per day
LPN / LVN Info 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.
1h 37m
+106% State avg: 47m per day · National avg: 52m per day
Nurse Aide Info 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 59m
+19% State avg: 2h 30m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 36m
+40% State avg: 3h 17m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
3m
+31% State avg: 2m per day · National avg: 4m per day
Weekend RN Info 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.
30m
+35% State avg: 22m per day · National avg: 28m per day

1 of 6 metrics below state avg

Capacity and availability

Residents per day
53
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
88 days
Bed community size
46-bed community Rank #192 / 242Bed count — State benchmarkedThis home is ranked 192nd out of 242 homes we track in Alabama for bed count. Shows this facility's certified or reported bed count compared to other Alabama facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Alabama that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
46 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
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
100%
Higher than the Alabama average: 80.8%
Occupied beds
46 / 46
Average occupied beds in Alabama homes 97 beds

License Details

Facility TypeAssisted Living Facility
StatusRegular
CountyJefferson
Business TypeNonprofit Corporation
CMS Certification Number15457

Ownership & Operating Entity

Kirkwood By the River is administered by Jeff Burchfield.

Contact Kirkwood By the River

CMS Health Inspection History

Inspections Since 2018 · 8 years of data
Total health inspections 3

State average 2.9


Last Health inspection on Oct 2021

Total health citations
8 Rank #45 / 124Health citations — State benchmarkedThis home is ranked 45th out of 124 homes we track in Alabama for health citations. Shows this facility's total health deficiency citations benchmarked to the Alabama State average, with a ranking across all 124 AL facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Alabama that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 10.4

Citations per inspection
2.67 Rank #37 / 124Citations per inspection — State benchmarkedThis home is ranked 37th out of 124 homes we track in Alabama for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Alabama mean across 124 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Alabama that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State 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 8 years)
Critical health citations
0
100% better than State average

State average: 0.7


Serious health citations
0
100% better than State average

State average: 0.2

0 critical citations State average: 0.7

0 serious citations State average: 0.2

8 moderate citations State average: 9.1

0 minor citations State average: 0.4
Citations history (last 8 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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 117
Employees 60
Contractors 57
Staff to resident ratio 2.85 : 1
83% more staff per resident than Alabama average
Alabama average ratio: 1.56 : 1 Alabama average ratio: 1.56 : 1See full Alabama ranking
Avg staff/day 34
Average shift 8.4 hours
6% better than Alabama average
Alabama average: 7.9 hours Alabama average shift: 7.9 hoursSee full Alabama ranking
Total staff hours (quarter) 26,123

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 7 total: 3 full-time employees and 4 contractors. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 4 total: 2 full-time employees and 2 contractors. 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 60 total: 37 full-time employees and 23 contractors. 60
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

13.1%

3,414 contractor hours this quarter

Certified Nursing Assistant: 23 Respiratory Therapy Technician: 8 Physical Therapy Aide: 7 Registered Nurse: 4 Qualified Social Worker: 4 Physical Therapy Assistant: 3 Speech Language Pathologist: 3 Licensed Practical Nurse: 2 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant37236013,38692100%8.2
RN Director of Nursing130135,78092100%10.1
Registered Nurse3471,82592100%10.7
Licensed Practical Nurse2241,1578390%9.5
Speech Language Pathologist0337536571%6.1
Qualified Social Worker0447336773%5.7
Clinical Nurse Specialist3037027076%7.4
Physical Therapy Assistant0336186368%7.3
Nurse Practitioner1014565762%8
Dietitian1014076065%6.8
Respiratory Therapy Technician0881084246%2.5
Occupational Therapy Aide011792022%3.9
Medical Director011483538%1.4
Physical Therapy Aide077451112%3.7
Occupational Therapy Assistant0112744%6.8
60 Certified Nursing Assistant
% of Days 100%
13 RN Director of Nursing
% of Days 100%
7 Registered Nurse
% of Days 100%
4 Licensed Practical Nurse
% of Days 90%

Penalties and fines

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.

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
Average Alabama avg: 3.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.61
20% better than Alabama average

Alabama average: 2.00

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.71
60% better than Alabama average

Alabama average: 1.79

Short-stay resident measures
Significantly below average Alabama avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 55.0%
124% worse than Alabama average

Alabama average: 24.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 16.8%
46% worse than Alabama average

Alabama average: 11.5%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 2.6%
242% worse than Alabama average

Alabama average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 38.9%
28% worse than Alabama average

Alabama average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 42.7%
16% worse than Alabama average

Alabama average: 50.6%

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

Facility Characteristics

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

Total residents 41
Medicare
4
9.8% of residents
Private pay or other
37
90.2% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$14.5M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.1M
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$14.5M Rank #26 / 108Net patient revenue — State benchmarkedThis home is ranked 26th out of 108 homes we track in Alabama. Shows this facility's net patient revenue compared to the Alabama average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Alabama that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.1M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.1M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #26 / 108Payroll costs — State benchmarkedThis home is ranked 26th out of 108 homes we track in Alabama. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Alabama average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Alabama that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$7.2M 49.9% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #61 / 107Payroll % of net patient revenue — State benchmarkedThis home is ranked 61st out of 107 homes we track in Alabama. Shows payroll as a percentage of net patient revenue versus the Alabama average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Alabama that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$8.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$15.6M

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

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

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.

Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 4 - 5 months.

Admissions
182 total

Coverage residents most often arrive under.

Medicare 47%
Private pay 53%
Discharges
167 total

Coverage residents most often leave under.

Medicare 41%
Private pay 59%

Managed by Chad Carter

President and CEO

18 years of experience

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.

Places of interest near Kirkwood By the River

Address 3605 Ratliff Rd, Birmingham, AL 35210

Calculate Travel Distance to Kirkwood By the River

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Compare Nursing Homes around the area

Info below is compiled from CMS reports & the AL Dept. of Public Health (ADPH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Alabama average is: 53.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Albertville Nursing Home
NH
RC
SNF
North Albertville
159
Facility 159
AL AVG 90
Rank #23 / 242
96.5%
Facility 96.5%
AL AVG 81.3%
Rank #6 / 104
+19%
5.28
Facility 5.28
AL AVG 4.37
Rank #13 / 125
-21%+21%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
9
Facility 9
AL AVG 10.4
Rank #52 / 124
3.0
Facility 3.0
AL AVG 3.5
Rank #46 / 124
-154-
66
Facility 66
AL AVG 39
Rank #33 / 382
Terri Brown
$18.0MFiscal year ending 06/2024
Facility $18.0MFiscal year ending 06/2024
AL AVG $11.3M
Rank #9 / 108
$10.6MFiscal year ending 06/2024
Facility $10.6MFiscal year ending 06/2024
AL AVG $5.7M
Rank #3 / 108
58.9%Fiscal year ending 06/2024
Facility 58.9%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #21 / 107
15163
Kirkwood By the River
NH
AL
IL
MC
SNF
Birmingham (Overton)
46
Facility 46
AL AVG 90
Rank #192 / 242
--
5.17
Facility 5.17
AL AVG 4.37
Rank #17 / 125
-41%+18%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
8
Facility 8
AL AVG 10.4
Rank #45 / 124
2.7
Facility 2.7
AL AVG 3.5
Rank #37 / 124
-53A+-William Widman
$14.5MFiscal year ending 12/2023
Facility $14.5MFiscal year ending 12/2023
AL AVG $11.3M
Rank #26 / 108
$7.2MFiscal year ending 12/2023
Facility $7.2MFiscal year ending 12/2023
AL AVG $5.7M
Rank #26 / 108
49.9%Fiscal year ending 12/2023
Facility 49.9%Fiscal year ending 12/2023
AL AVG 53.1%
Rank #61 / 107
15457
Fair Haven
NH
AL
IL
MC
SNF
Birmingham (Crestline)
259
Facility 259
AL AVG 90
Rank #2 / 242
93.7%
Facility 93.7%
AL AVG 81.3%
Rank #18 / 104
+15%
5.46
Facility 5.46
AL AVG 4.37
Rank #8 / 125
-55%+25%
$31.6k
Facility $31.6k
AL AVG $59.8k
Rank #115 / 125
11
Facility 11
AL AVG 10.4
Rank #74 / 124
3.7
Facility 3.7
AL AVG 3.5
Rank #78 / 124
-243-
56
Facility 56
AL AVG 39
Rank #81 / 382
William Allison
$31.5MFiscal year ending 06/2024
Facility $31.5MFiscal year ending 06/2024
AL AVG $11.3M
Rank #1 / 108
$15.7MFiscal year ending 06/2024
Facility $15.7MFiscal year ending 06/2024
AL AVG $5.7M
Rank #1 / 108
49.8%Fiscal year ending 06/2024
Facility 49.8%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #62 / 107
15076
Diversicare of Oneonta
NH
HOS
MC
SNF
Oneonta
120
Facility 120
AL AVG 90
Rank #62 / 242
91.5%
Facility 91.5%
AL AVG 81.3%
Rank #31 / 104
+13%
3.21
Facility 3.21
AL AVG 4.37
Rank #123 / 125
+13%-27%
$9.3k
Facility $9.3k
AL AVG $59.8k
Rank #103 / 125
10
Facility 10
AL AVG 10.4
Rank #63 / 124
3.3
Facility 3.3
AL AVG 3.5
Rank #61 / 124
1110A+
65
Facility 65
AL AVG 39
Rank #37 / 382
-
$9.9MFiscal year ending 06/2024
Facility $9.9MFiscal year ending 06/2024
AL AVG $11.3M
Rank #59 / 108
$4.2MFiscal year ending 06/2024
Facility $4.2MFiscal year ending 06/2024
AL AVG $5.7M
Rank #76 / 108
42.4%Fiscal year ending 06/2024
Facility 42.4%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #95 / 107
15159
Aspire Physical Recovery Center at Cahaba River, LLC
NH
PC
SNF
Vestavia Hills
120
Facility 120
AL AVG 90
Rank #62 / 242
94.9%
Facility 94.9%
AL AVG 81.3%
Rank #10 / 104
+17%
4.84
Facility 4.84
AL AVG 4.37
Rank #31 / 125
+36%+11%
$16.8k
Facility $16.8k
AL AVG $59.8k
Rank #108 / 125
17
Facility 17
AL AVG 10.4
Rank #109 / 124
5.7
Facility 5.7
AL AVG 3.5
Rank #113 / 124
1114-
73
Facility 73
AL AVG 39
Rank #15 / 382
John Wheeler
$15.5MFiscal year ending 06/2024
Facility $15.5MFiscal year ending 06/2024
AL AVG $11.3M
Rank #19 / 108
$8.0MFiscal year ending 06/2024
Facility $8.0MFiscal year ending 06/2024
AL AVG $5.7M
Rank #20 / 108
51.6%Fiscal year ending 06/2024
Facility 51.6%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #51 / 107
15468

Frequently Asked Questions about Kirkwood By the River

What neighborhood is Kirkwood By the River in?

Kirkwood By the River is in the Overton neighborhood of Birmingham.

What is the occupancy rate at Kirkwood By the River?

Kirkwood By the River's occupancy is 100%.

How long has Kirkwood By the River been in business?

Kirkwood By the River has been operating for approximately 46 years, based on available licensing and registration records.

Are pets allowed at Kirkwood By the River?

No, Kirkwood By the River has a no-pet policy.

Does Kirkwood By the River operate as a for-profit or non-profit?

Kirkwood By the River is registered as a non-profit in AL.

Who is the administrator of Kirkwood By the River?

Jeff Burchfield is the administrator of Kirkwood By the River.

How many beds does Kirkwood By the River have?

Kirkwood By the River has 46 beds.

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