Nursing Care Index

Oak Knoll Health And Rehabilitation, LLC

Birmingham, Jefferson County, Alabama · CCN 015117 · For-profit (Corporation) · part of Nhs Management (43 facilities, chain average 2.9 stars)

CMS rates Oak Knoll Health And Rehabilitation, LLC 3 of 5 overall as of August 2026. 100 certified beds, 99 residents a day on average. 12 citations on record from the current inspection cycles; no fines on record.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / — of 5

Staffing

Total nurse staffing3.71222 hours per resident per day
Registered nurses0.71772 hours per resident per day
Weekend total2.91834 hours per resident per day
Nursing staff turnover52.5% (registered nurses 40%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2024-05-02
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-23
2024-05-02
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-23
2021-03-18 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2021-05-13
2021-03-18 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · tag F0803
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-05-13
2021-03-18 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-13
2021-03-18 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-13
2021-03-18 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-13
2021-03-18 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-13
2019-02-21 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-03-28
2018-04-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2018-05-17
2018-04-12 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2018-05-17
2018-04-12 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2018-05-17

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Nhs Operations LLC
Organization
5% or greater direct ownership interest100%2002-08-20
James Norman Estes Jr Tr
Organization
5% or greater indirect ownership interest5%2002-08-20
Jennifer Lee Estes Tr 031093
Organization
5% or greater indirect ownership interest5%2002-08-20
Berkadia Commercial Mortgage LLC
Organization
5% or greater mortgage interest2006-07-26
Berkadia Commercial Mortgage LLC
Organization
5% or greater security interest2006-07-26
Oak Knoll Health Realty LLC
Organization
5% or greater security interest2002-10-01
Regions Bank
Organization
5% or greater security interest2016-08-24
Estes, James
Individual
5% or greater indirect ownership interest89%2002-08-20
Cobb, Leigh
Individual
corporate director2023-07-24
Morris, Hilary
Individual
corporate director2023-09-01
Rasco, Lynn
Individual
corporate director2013-07-29
Estes, James
Individual
corporate officer2002-08-20
Long, Phillip
Individual
corporate officer2019-10-01
Bester, Latoya
Individual
operational/managerial control2023-07-24
Cobb, Leigh
Individual
operational/managerial control2023-07-24
Morris, Hilary
Individual
operational/managerial control2023-09-01
Rasco, Lynn
Individual
operational/managerial control2013-07-29
Bester, Latoya
Individual
w-2 managing employee2023-07-24

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Jefferson County.