KIRKWOOD BY THE RIVER – BIRMINGHAM, AL

CMS Verified | 2026-03-01

Kirkwood By The River

3605 RATLIFF ROAD, Birmingham, AL 35210
(205) 956-2184
61 beds
All Birmingham facilities
3.0*
Overall
4.0*
Health Inspection
1.0*
Quality Care
4.0*
Staffing
60.74
Score /100
#11841
National Rank

#11841
of 14703 facilities
National
19.5% position
#195
of 224 in AL
State Rank
#27
of 34 in Jefferson
County Rank
#18
of 20 in Birmingham
City Rank
#2
of 3 in ZIP 35210
ZIP Rank






About Kirkwood By The RiverKirkwood By The River is located at 3605 Ratliff Road, Birmingham, AL, reachable at (205) 956-2184. This Non profit – Corporation facility operates 61.0 certified beds and serves an average of 51 residents per day. Medicare and Medicaid services have been provided since 2006-09-08. The facility currently holds a average (3-star) overall CMS rating.
Facility

Kirkwood By The River

Address

3605 Ratliff Road, Birmingham, AL 35210

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
Facility Details
  • 61 Certified Beds
  • Ownership: Non profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
⚠️ Average (3★) overall rating
Health Inspection
✅ Above Average (4★) health inspection
Staffing
✅ Above Average (4★) staffing rating
Quality of Care
❌ Poor (1★) quality of care
Compliance
⚠️ 0 fine(s) over 5 years
5-Year Trend
Declining over 5 years
60.74
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#11841 of 14703 nationally – #195 of 224 in Alabama

Who Is This Facility Best For?

Kirkwood By The River offers a mid-range care option in Birmingham, AL. Above-average staffing levels make it a good option for residents needing intensive nursing care. Its clean five-year compliance record adds confidence for families making this important decision.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

3 / 5
Health Inspection

4 / 5
Staffing Rating

4 / 5
Quality Measures (QM)

1 / 5
Long-Stay QM Rating

1 / 5
Short-Stay QM Rating

1 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightKirkwood By The River currently provides 4 hours 41 minutes of total nurse staffing per resident per day, including 35 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 4 out of 5 reflects strong nurse coverage. Total nursing staff turnover is high at 50.6%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing4 hours 41 minutes
Nurse Aide Hours2 hours 44 minutes
Licensed Practical Nurse (LPN) Hours1 hour 22 minutes
Registered Nurse (RN) Hours35 minutes
Physical Therapist Hours1 minute

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours4 hours 14 minutes
Weekend Registered Nurse (RN) Hours33 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryKirkwood By The River has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 3 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 8.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#11,841
of 14,703
National
Bottom 19%
#195
of 224
AL State
Bottom 13% in AL
#27
of 34
️ Jefferson County
#27 of 34
#18
of 20
️ Birmingham
#18 of 20
#2
of 3
ZIP 35210
#2 of 3

Nationally, Kirkwood By The River ranks 11841st out of 14,703 facilities (composite score: 60.7/100), placing it in the bottom 25% nationwide. Within AL, it ranks 195th out of 224 nursing homes. In Birmingham, it ranks 18th out of 20 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 3. For 2026 staffing: total nurse hours rank #1,856 nationally and RN hours rank #6,975 nationally (#123 in AL).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank AL State Rank Note
2022 5.65 #572 / 14,703 #1 / 224 Top 5%
2023 4.28 #2,817 / 14,703 #52 / 224 Top 25%
2024 6.07 #340 / 14,703 #2 / 224 Top 5%
2025 4.66 #1,853 / 14,703 #20 / 224 Top 25%
2026 4.68 #1,856 / 14,703 #20 / 224 Top 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank AL State Rank Note
2022 0.72 #4,828 / 14,703 #55 / 224 Above average
2023 0.64 #5,536 / 14,703 #65 / 224 Above average
2024 0.71 #4,402 / 14,703 #50 / 224 Above average
2025 0.35 #11,825 / 14,703 #206 / 224 ⚠️ Bottom 25%
2026 0.59 #6,975 / 14,703 #123 / 224 Above average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Kirkwood By The River is certified as a Medicare facility and has been approved to provide these services since 2006-09-08. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (205) 956-2184 or your local Medicaid office to verify current eligibility.

Kirkwood By The River holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (4★), and Quality of Resident Care (1★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 60.7/100, placing it #11841 of 14703 facilities nationally and #195 of 224 in Alabama. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Kirkwood By The River receives a reported average of 4 hours 41 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 35 minutes; Licensed Practical Nurse (LPN) — 1 hour 22 minutes; Nurse Aide — 2 hours 44 minutes. On weekends, total nurse staffing is 4 hours 14 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 50.6%. Families are encouraged to ask about current staffing schedules during their facility visit.

Kirkwood By The River has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 3 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 8.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Kirkwood By The River ranks 11841st out of 14,703 facilities (composite score: 60.7/100), placing it in the bottom 25% nationwide. Within AL, it ranks 195th out of 224 nursing homes. In Birmingham, it ranks 18th out of 20 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 3. For 2026 staffing: total nurse hours rank #1,856 nationally and RN hours rank #6,975 nationally (#123 in AL). Our composite quality score of 60.7/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Birmingham, visit: https://nursinghomesnearme.org/alabama/birmingham/

Contact and Location

ADR
Address

3605 RATLIFF ROAD, Birmingham, AL 35210
Get directions on Google Maps

TEL
LLC
Legal Name

PRESBYTERIAN RETIREMENT HOMES OF BIRMINGHAM, INC.

MAP
Browse by Location

All Alabama ·
Jefferson County ·
Birmingham ·
ZIP 35210

Facility Details

Number of Certified Beds 61
Average Residents / Day 51 (85% occupancy)
Ownership Type Non profit – Corporation
Provider Type Medicare
County Jefferson County, AL
City Birmingham, AL
ZIP Code 35210
Approved Since September 8, 2006
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 015457
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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