Highlands Rehabilitation and Wellness Center

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

1. CMS update of October 28, 2026

   • Star rating

     The CMS overall star rating changed from 2 of 5 to 1 of 5.

   • Star rating

     The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

2. CMS update of October 8, 2026

   • Name

     CMS lists a new name for this home. It was BIRMINGHAM NURSING AND REHABILITATION CENTER EAST.

   • Name

     CMS lists a new legal business name for this home.

   • Ownership

     CMS lists this home under a new chain.

3. CMS update of July 29, 2026

   • Star rating

     The CMS staffing star rating changed from 1 of 5 to 2 of 5.

4. CMS update of June 24, 2026

   • Name

     CMS lists a new legal business name for this home.

5. CMS update of February 25, 2026

   • Ownership

     CMS lists this home under a new chain.

6. CMS update of November 20, 2025

   • Star rating

     The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

   • Star rating

     The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

   • Fine

     CMS changed the fine from May 13, 2024 from $24,835 to $4,017.

7. CMS update of July 30, 2025

   • Star rating

     The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

   • Star rating

     The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

   • Ownership

     CMS no longer lists a chain for this home.

8. CMS update of June 25, 2025

   • CMS abuse icon

     CMS removed its abuse icon from this home.

9. CMS update of December 20, 2024

   • Fine

     CMS changed the fine from May 13, 2024 from $38,206 to $24,835.

10. CMS update of September 26, 2024

    • CMS abuse icon

      CMS added its abuse icon to this home.

11. CMS update of July 31, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 1 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 2.5 to 2.2 hours per resident per day.

12. June 12, 2024

    Payment stopped

    CMS stopped payment for new admissions from June 12, 2024, for 54 days.

    See this home on CMS Care Compare

13. Health inspection on May 13, 2024

    9 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Severity L is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    13 of 224 Alabama homes (6%) got a citation at the immediate jeopardy level in 2024.

    CMS fine of $4,017 on May 13, 2024.

    CMS fine of $4,017 on May 13, 2024.

    CMS fine of $5,600 on May 13, 2024.

    CMS fine of $5,600 on May 13, 2024.

    CMS fine of $5,600 on May 13, 2024.

    Show the 9 citations

    • Citation F0867. Severity L: immediate jeopardy, widespread.

      The rule CMS cited: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

      CMS lists it as corrected on June 7, 2024.

    • Citation F0578. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

      CMS lists it as corrected on June 7, 2024.

    • Citation F0678. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

      CMS lists it as corrected on June 7, 2024.

    • Citation F0725. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      CMS lists it as corrected on June 7, 2024.

    • Citation F0726. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

      CMS lists it as corrected on June 7, 2024.

    • Citation F0554. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Allow residents to self-administer drugs if determined clinically appropriate.

      CMS lists it as corrected on June 7, 2024.

    • Citation F0602. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from the wrongful use of the resident's belongings or money.

      CMS lists it as corrected on August 5, 2024.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on August 5, 2024.

    • Citation F0851. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

      CMS lists it as corrected on June 7, 2024.

    See this home on CMS Care Compare

14. Fire safety inspection on May 13, 2024

    3 citations

    CMS lists this as a standard inspection.

    Show the 3 citations

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on June 20, 2024.

      CMS has cited this home for K0353 2 times since 2019.

    • Citation K0324. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on June 20, 2024.

    • Citation K0918. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on June 20, 2024.

    See this home on CMS Care Compare

15. Health inspection on April 20, 2021

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on June 4, 2021.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on March 31, 2021.

    See this home on CMS Care Compare

16. Health inspection on March 13, 2019

    3 citations

    CMS lists this as a standard inspection.

    Show the 3 citations

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on April 17, 2019.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 17, 2019.

    • Citation F0732. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Post nurse staffing information every day.

      CMS lists it as corrected on April 17, 2019.

    See this home on CMS Care Compare

17. Fire safety inspection on March 13, 2019

    5 citations

    CMS lists this as a standard inspection.

    Show the 5 citations

    • Citation K0355. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on April 23, 2019.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on April 23, 2019.

    • Citation K0920. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on April 23, 2019.

    • Citation K0363. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on April 23, 2019.

    • Citation K0372. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on April 23, 2019.

    See this home on CMS Care Compare

CMS star ratings

• 1 of 5CMS overall star rating
• 1 of 5CMS health inspection star rating
• 2 of 5CMS staffing star rating
• 4 of 5CMS quality measures star rating

Facts from CMS

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

• ALABAMA SEVEN SNF OPCO HOLDINGS LLCDirect ownership interest · not applicable · since 11/01/2025
• GEFEN AL SEVEN OPCO HOLDINGS LLCDirect ownership interest · not applicable · since 11/01/2025
• CCG ALABAMA OPCO HOLDINGS LLCIndirect ownership interest · not applicable · since 11/01/2025
• GEFEN AL SEVEN OPCO HOLDINGS LLCIndirect ownership interest · not applicable · since 11/01/2025
• GEFEN NG TRUSTIndirect ownership interest · not applicable · since 11/01/2025

Questions

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